Spiculated complex sclerosing lesion of the breast: radial scar

Case contributed by Mark Holland

Diagnosis certain

Citation, DOI, disclosures and case data

Citation:

Holland M, Spiculated complex sclerosing lesion of the breast: radial scar. Case study, Radiopaedia.org (Accessed on 25 Mar 2023) https://doi.org/10.53347/rID-25309

DOI:

https://doi.org/10.53347/rID-25309

Permalink:

https://radiopaedia.org/cases/25309

rID:

25309

Disclosures:

At the time the case was submitted for publication Mark Holland had no recorded disclosures.

View Mark Holland's current disclosures

Case published:

18 Oct 2013

Revisions:

16 times, by 4 contributors - see full revision history and disclosures

Systems:

Breast

Tags:

radial scar, complex sclerosing lesion, spiculation

Quiz mode:

Included

Presentation

Prevalent round breastscreen. Asymptomatic.

Patient Data

Age: 50 years

Gender: Female

From the case: Spiculated complex sclerosing lesion of the breast: radial scar

mammography

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MLO

Subtle right sided architectural distortion at 9 o'clock

From the case: Spiculated complex sclerosing lesion of the breast: radial scar

mammography

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MLO

Spiculated architectural distortion causing a black star on spot compression views.

From the case: Spiculated complex sclerosing lesion of the breast: radial scar

ultrasound

Typical poorly defined hypoechogenic area that has a malignant appearance

Case Discussion

14G core biopsy histology of a radial scar. Surgical wide local excision performed.

Complex sclerosing lesion with no evidence of atypia or malignancy.

1 article features images from this case

Ultrasound guided breast biopsy

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Spiculated complex sclerosing lesion of the breast: radial scar

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Spiculated complex sclerosing lesion of the breast: radial scar

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Case Discussion

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