Ductal carcinoma in situ with infiltrating ductal carcinoma

Case contributed by Garth Kruger
Diagnosis certain

Presentation

Routine screening right breast

Patient Data

Age: 60
Gender: Female

A screening mammogram shows microcalcifications highly suggestive of DCIS

Note the spiculated asymmetrical density.

Note the spiculated asymmetrical density indicated on the annotated images.

Ultrasound 4 o'clock right breast shows a mass lesion. Solid lesion, tall as broad, multiple sharp angular margins.

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.

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