Presentation
Lump over right breast. Brown tinged discharge per nipple. No pain. No family history of carcinoma
Patient Data
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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.
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The mammographic lesions show contour irregularity with internal vascularity.
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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.
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