Metachronous breast cancer

Case contributed by Garth Kruger
Diagnosis certain

Presentation

Previous left breast carcinoma is followed up annually with mammography.

Patient Data

Age: 65 years
Gender: Female

2012

mammography

2012 left MLO view shows post-surgical changes related to therapy for left breast carcinoma in 2009. Post-surgical distortion of the parenchyma.

2013

mammography

A very small spiculated lesion appears inferiorly on the MLO view in 2013.

ultrasound

A solid badly defined lesion at 8 o'clock coincides with the mammographic abnormality. IDC on biopsy.

Case Discussion

A breast carcinoma should make annual follow-up mammograms mandatory. Once a patient has a carcinoma her chances of developing another are higher than the general population. 

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