Left breast cancer and high-risk lesion of the right breast

Case contributed by Dr Nikola Todorovic

Presentation

First ultrasound breast examination in the patient's life. No complaints.

Patient Data

Age: 50
Gender: Female

There is heterogeneous, dominantly hypoechoic lesion (21.6 x 10.1 x 16.5 mm ) in the upper lateral quadrant of the left breast, with small calcifications, and posterior shadowing, without pronounced vascularization. Near this lesion, there is also smaller satellite, vertical, hypoechoic, irregular shaped lesion, 8.8 mm, with posterior shadowing.

In the right breast, also in the upper lateral quadrant, there is a vertical, lobulated, hypoechoic lesion of 6.3 mm, without posterior shadowing and color signal.

Case Discussion

Patient's first visit to her gynecologist after more than five years. He palpated her breasts and found a lump in the upper lateral quadrant of the right breast. He sent her for an ultrasound examination, whose results were as described above.

She is then sent for a mammography (not shown) and the results were:  BIRADS Right 4a Left 5, so she underwent bilateral biopsy.

The biopsy results were:

Left breast- Invasive ductal carcinoma.

Right breast- Atypical ductal and lobular epithelial hyperplasia.

 

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