Presentation
Left breast mass for three weeks. History of lactation for two months.
Patient Data
Multiple tiny echogenicities (suspicious of microcalcifications) are appreciable in the upper outer quadrant of left breast. A small lobular hypoechoic lesion containing a few tiny calcifications, measuring 8 x 6 mm, is seen at 2 o'clock position in left breast, adjacent to these microcalcifications.
Mammogram confirms the presence of pleomorphic microcalcification clusters in the upper outer quadrant of the left breast. Mild nipple retraction is seen on left side. No definite focal soft tissue abnormality/mass lesion is seen.
Right breast has normal parenchymal density. No suspicious soft tissue abnormality/architectural distortion, pleomorphic microcalcification clusters, abnormal skin thickening or nipple retraction is noted on the right side.
Pathology reports of the trucut biopsy and left mastectomy.
Case Discussion
Imaging features highly suggestive of malignancy. Histopathology of the truct biopsy followed by the left mastectomy showed ductal carcinoma in situ (DCIS).
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