Sclerosing adenosis

Case contributed by Dr Garth Kruger

Presentation

Palpable abnormality in the left breast.

Patient Data

Age: 40
Gender: Female
Modality: Mammography

Large area of parenchymal distortion with a small number of concerning microcalcifications. Note that the centre of the lesion has a relatively low density.

Modality: Ultrasound

This is the ultrasound images of the lesion above. The microcalcifications are visible on ultrasound. The lesion is relatively speaking noted to have a low echogenicity centre, i.e. there is no central mass lesion.

Case Discussion

Sclerosing adenosis is difficult to distinguish from invasive ductal carcinoma and biopsy is mandatory. However, if you see enough of these lesions and compare the images carefully with mammographic and ultrasound images, you will begin to notice the fact that the lesion is relatively low density in the centre. There is a huge surrounding spiculated response but in relation to that there is actually very little happening in the centre.

The diagnosis is still made with biopsy. But you can get a very good indication of the diagnosis if you look at these lesions carefully enough.

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Case Information

rID: 18582
Case created: 13th Jul 2012
Last edited: 9th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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