Invasive ductal breast carcinoma

Case contributed by Dr Alexandra Stanislavsky

Presentation

Palpable breast lump.

Patient Data

Age: 45 years
Gender: Female
Modality: Mammography

Area of architectural distortion with pleomorphic calcifications.

Coned compression magnification

Modality: Mammography

Area of architectural distortion with pleomorphic calcifications persist on coned compression magnification view. 

Modality: Ultrasound

Ill-defined mass with angular margins, echogenic rind, taller-than-wide orientation and dense posterior shadowing, which corresponds to the mammographic abnormality.

Case Discussion

Mammography demonstrates a region of architectural distortion and pleomorphic calcification. Corresponding finding of a spiculated mass on ultrasound.

Pathology report:

Poorly differentiated (Grade III) ductal carcinoma fn NOS with focal mucin secretion and probable lobular differentiation.  Associated intermediate grade DCIS with microcalcification.

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Case Information

rID: 12543
Case created: 14th Dec 2010
Last edited: 17th Sep 2015
System: Breast
Inclusion in quiz mode: Included

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