Extensive DCIS

Case contributed by Dr Garth Kruger


A 55 year old female presented to her family physician with swelling of the left breast following a recent rural camping trip.

Patient Data

Age: 55
Gender: Female
Modality: Mammography

Significant findings in the left breast include calcifications of DCIS throughout the left breast, a spiculated mass lateral supriorly and diffuse skin thickening throughout with nipple retraction.

Conventional diagnostic mammogram and left breats ultrasound.

Modality: Ultrasound

Diffuse skin thickening and edema of the left breast noted on ultrasound.

Case Discussion

The pertinent observations would suggest extensive DCIS with a focal component of IDC and lymphatic extention manifesting as skin thickening i.e. orange skin peau d'orange.

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Case Information

rID: 24974
Case created: 25th Sep 2013
Last edited: 1st Mar 2016
System: Breast
Inclusion in quiz mode: Included

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