Screening mammogram - lobular carcinoma

Case contributed by Dr Garth Kruger

Presentation

Routine breast imaging

Patient Data

Age: 50 years
Gender: Female
Race: Caucasian

2012

mammography

No abnormality 2012

2013

mammography

Small lesion has now appeared in the medial breast

ultrasound

Small solid lesion of 4 mm confirmed on ultrasound.

Case Discussion

The value of using previous studies for comparison. It is quite exceptional to be able to biopsy a 4 mm lesion. Review what "overdiagnosis" is. Reading of screening studies should be done in isolated reading areas. If your reading environment is a generally busy, noisy area with distractions and phone calls, you will miss these lesions.

Confirmed lobular carcinoma.

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