Invasive breast carcinoma

Case contributed by Dr Arlene Mou

Presentation

Presents for screening mammogram.

Patient Data

Age: 60 years
Gender: Female
Mammography

Screening mammogram

12 mm irregular mass in the lower, inner quadrant of the left breast.
Mammography

Workup mammography

12 mm mass of soft tissue density with spiculated margins.
Ultrasound

Diagnostic ultrasound

10 mm hypoechoic mass in the 7 o'clock position of the left breast. Size and position corresponds to the mammographic mass. Screening ultrasound of remainder of left breast and axilla reveal no suspicious features.
Mammography

Specimen X-Ray

Small spiculated mass within the excised tissue

Case Discussion

Left wide local excision: 13 mm, grade 3 invasive carcinoma NST. No lymphovascular or perineural invasion. Clear of margins. Negative single sentinel lymph node. Note marked hypoechoic ultrasound appearance with posterior acoustic enhancement. This should not be confused with a cyst. It often reflects the high grade/cellular nature of the high grade carcinoma.
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Case information

rID: 51055
Case created: 2nd Feb 2017
Last edited: 5th Jun 2017
Systems: Breast, Oncology
Inclusion in quiz mode: Included

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