Ductal carcinoma in situ with a large invasive ductal carcinoma

Case contributed by Garth Kruger
Diagnosis probable

Presentation

Diagnostic workup palpable mass laterally in the left breast

Patient Data

Age: 45 years
Gender: Female

Dense parenchyma on the cc view of the right breast. The DCIS is seen laterally. Typical gross appearance of DCIS calcification.

The ultrasound of the palpable mass shows a large solid component with the calcifications of DCIS centrally. Doppler demonstrates an adjacent artery.

Case Discussion

It pays to do Doppler if you are going to do a needle biopsy to assess for nearby arteries. Stay away from the artery if you can.

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