Invasive ductal breast carcinoma

Case contributed by Alexandra Stanislavsky

Presentation

Palpable breast lump.

Patient Data

Age: 45 years
Gender: Female
mammography

Area of architectural distortion with pleomorphic calcifications.

Coned compression magnification

mammography

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

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.

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.