Presentation
Palpable breast lump.
Patient Data
Area of architectural distortion with pleomorphic calcifications.
Area of architectural distortion with pleomorphic calcifications persist on coned compression magnification view.
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.