Invasive ductal carcinoma

Case contributed by Dr Garth Kruger


Palpable mass left breast with no previous breast imaging

Patient Data

Age: 80 years
Gender: Female

The mammogram shows a poorly defined asymmetrical mass effect laterally in the left breast.


Left breast ultrasound shows a poorly defined mixed density lesion which on biopsy was confirmed as IDC.


Right breast ultrasound annotated image confirms a 12 mm lesion at the 10 o'clock radian. This lesion too was confirmed as an IDC.

Case Discussion

This case shows a synchronous carcinoma of the right breast. The teaching point is the danger of satisfaction of search. Note the small spiculated asymmetrical density of the right mammogram at the 10 o'clock radian.

Make sure the terms synchronous and metachronous are known to you.

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Case information

rID: 23260
Published: 1st Jun 2013
Last edited: 24th Apr 2021
System: Oncology, Breast
Inclusion in quiz mode: Included