Lobular carcinoma left breast

Case contributed by Dr Garth Kruger


Routine screening mammogram

Patient Data

Age: 60 years
Gender: Female

Subtle parenchymal density deep in the breast just medial of the breast equator.

Case Discussion

This density was on two previous mammograms. It had increased slightly in volume. Workup showed an ultrasound visible mass: diagnosis lobular carcinoma.

Do not leave these densities without workup. Compare with the earliest mammogram available. These lobular cancers can show little change year on year.

We know we miss lobular cancers in large series of screening studies. They do not behave like the typical IDC, very little scirrhous reaction and the asymmetry in density can be really subtle. A high index of suspicion is key.

PlayAdd to Share

Case information

rID: 19031
Published: 3rd Aug 2012
Last edited: 11th Apr 2020
System: Breast
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.