Invasive ductal carcinoma of the breast

Case contributed by Shervin Sharifkashani
Diagnosis almost certain

Presentation

A palpable mass lesion in the right breast lower outer quadrant and BIRADS IV on ultrasound exam.

Patient Data

Age: 65 years
Gender: Female

A solid-necrotic and relatively ill-defined and lobulated margin mass lesion with heterogeneous enhancement and the size axial width up to 45 x 40 mm and height up to 32 mm in the right breast lower outer quadrant is seen. A solid nodule up to 15 mm in the left thyroid lobe anterior lateral margin is seen. Fatty change in the liver is noted.

Case Discussion

The case illustrates the contrast-enhanced MDCT features of pathology-proved invasive ductal carcinoma of the breast. The prognosis is mostly based on molecular subtypes 1.

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