Infiltrating ductal carcinoma of breast

Case contributed by Dr Shailaja Muniraj

Presentation

Lump over right breast. Brown tinged discharge per nipple. No pain. No family history of carcinoma

Patient Data

Age: 70 years
Gender: Female

There is a solid, spiculated mass lesion noted in the right breast lower outer quadrant. Similar such lesion noted in the adjacent plane. 

Breast parenchyma composition is of 25-50% glandular component (ACR-2).

ACR BIRADS assessment category 5: highly suggestive of malignancy.

The mammographic lesions show contour irregularity with internal vascularity.

The above seen ill defined lesions shows interconnecting spiculations.

Type III enhancement curve seen -  early intense enhancement, followed by reduced intensity after the peak - suggestive for malignancy.

Also noted is focal parenchymal architectural distortion with focal skin puckering.

No suspicious or evident chest wall lesions or axillary nodes.

Left breast shows normal imaging features.

Special thanks: Dr. Nanda Kumar

Patient was taken for fine needle aspiration cytology procedure.

It revealed :  Cellular aspirate composed of neoplastic cells with high N:C ratio, nuclear pleomorphism and prominent nucleoli. These cells are arranged singly and in clusters.

Features suggest infiltrating duct carcinoma.

 

Case Discussion

This case demonstrates right breast infiltrating ductal carcinoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.