Presentation
Routine screening right breast
Patient Data
Age: 60
Gender: Female
From the case:
Ductal carcinoma in situ with infiltrating ductal carcinoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/21906/annotated_viewer_json?lang=us"}
A screening mammogram shows microcalcifications highly suggestive of DCIS
Note the spiculated asymmetrical density.
From the case:
Ductal carcinoma in situ with infiltrating ductal carcinoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/82217/annotated_viewer_json?lang=us"}
Note the spiculated asymmetrical density indicated on the annotated images.
From the case:
Ductal carcinoma in situ with infiltrating ductal carcinoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/21905/annotated_viewer_json?lang=us"}
Ultrasound 4 o'clock right breast shows a mass lesion. Solid lesion, tall as broad, multiple sharp angular margins.
From the case:
Ductal carcinoma in situ with infiltrating ductal carcinoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/21904/annotated_viewer_json?lang=us"}
Images obtained during ultrasound-guided core biopsy of the lesion.
Case Discussion
Another case to illustrate the value of doing ultrasound even if you are working up microcalcifications.
Infiltrating ductal carcinoma with DCIS on excision.