Small breast cancer

Case contributed by Dr Alexandra Stanislavsky

Presentation

Routine screening. Patient is asymptomatic.

Patient Data

Age: 56
Gender: Female
Modality: Mammography

There is a subtle spiculated mass in the left breast, upper inner quadrant.  It is more easily appreciated on the CC view. A

Mammo zoom

Modality: Mammography

This is a zoomed in image of the left CC contact mammogram shown above - making allowances that we are no longer on the high resolution mammo screens!

Mammo workup

Modality: Mammography

Dedicated workup views confirm that the lesion persists following spot compression.

Modality: Ultrasound

Spiculated mass was found on ultrasound, measuring only 3mm.

Post biopsy

Modality: Mammography

An ultrasound guided biopsy of the sonographic lesion was performed. Clip inserted at the biopsy site confirms that this corresponds to the spiculated mass seen on mammogram.

Core biopsy pathology result:

Grade 1 invasive ductal carcinoma.

Case Discussion

This is a small, subtle low grade cancer detected at screening mammography as a spiculate mass.

The ability to detect small cancers is crucial in breast cancer screening, as cancer size is an independent risk factor for overall and recurrence-free survival.  

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Case Information

rID: 49027
Case created: 6th Nov 2016
Last edited: 8th Nov 2016
System: Breast
Inclusion in quiz mode: Included

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