Infiltrating ductal carcinoma - left breast

Case contributed by Dr Garth Kruger

Presentation

Routine screening.

Patient Data

Age: Adult
Gender: Female
Mammography

This lesion in the left breast was considered to possibly be an intramammary lymph node but note the density of the lesion and the slightly spiculated margins.

Mammography

On magnification the lesion is not well defined.

The ultrasound shows a small spiculated solid lesion that was malignant on biopsy.

Case Discussion

You cannot assume all lesions that are small and in the upper outer quadrant of the breast are in fact lymph nodes. Lymph nodes are low density, smoothly circumscribed and have  a fatty hilum.

This lesion was  a 5 mm malignancy.

Compare this case with 21305 and note the differences.

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Case information

rID: 21306
Case created: 15th Jan 2013
Last edited: 16th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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