Slow growing breast carcinoma

Case contributed by Dr Garth Kruger

Presentation

Routine mammograms almost 4 years apart. This case only makes sense if you see both images.

Patient Data

Age: 70
Gender: Female
Mammography

The spiculated asymmetry is visible but almost hidden.

Mammography

Four years later

The lesion is clearly visible now with long spiculated runners.

Case Discussion

Not all cancers grow quickly in the breast. In a very general sense, the postmenopausal cancers tend to grow more slowly than the premenopausal ones, all other factors being equal. Which is why some feel that we should screen annually above 40 and perhaps less frequently after 70...

As a general rule small, dense cancers with long runners turn out to be the tubular variety of IDC.

If it looks like a cancer it is still a cancer, even if it grows slowly. Do not assume that because a lesion has more or less stable volume it is innocuous.

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Case information

rID: 18912
Case created: 27th Jul 2012
Last edited: 18th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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