Radial scar

Case contributed by Dr Alexandra Stanislavsky

Presentation

Screening mammogram, round 1. No breast symptoms.

Patient Data

Age: 50
Gender: Female
Mammography

Screening mammogram

There is a spiculated mass in the lateral left breast, which is best seen on the CC projection.  On the MLO view, there is some architectural distortion in the upper quadrant but no discrete mass.  

On CC, the lesion demonstrates long black spicules "black star" but there is no increase in the density of the central portion of the lesion.

Mammography

Mammographic work up

Further workup views confirm and better demonstrate these findings.

Case Discussion

This case demonstrates some typical features of a radial scar (complex sclerosing lesion), which was confirmed on histopathology.  No associated malignant or high risk lesion.

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Case information

rID: 31417
Case created: 8th Oct 2014
Last edited: 8th Feb 2016
System: Breast
Inclusion in quiz mode: Included

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