Invasive ductal breast carcinoma

Case contributed by Alexandra Stanislavsky
Diagnosis certain

Presentation

Palpable breast lump.

Patient Data

Age: 45 years
Gender: Female
mammography

Area of architectural distortion with pleomorphic calcifications.

Coned compression mag

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.

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