Presentation
Screening mammogram shows malignant calcifications in the left breast.
Patient Data
Age: 55 years
Gender: Female
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CC
Inhomogeneously dense breast tissue.
Left upper outer quadrant polymorphous microcalcifications with crushed stone appearance highly suspicious of malignancy (BIRADS 5).
Bilateral vascular calcification.
Tomosynthesis vacuum assisted breast biopsy
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Posterior position of the calcifications made positioning difficult. Multiple passes made with a 9G vacuum needle.
Post biopsy specimen mamogram
Specimen mammogram
The specimen contains several microcalcification clusters.
Case Discussion
Biopsy histology = intermediate grade DCIS with comedo necrosis, no invasive carcinoma.
Wide location excision performed, histology = intermediate grade DCIS, solid and cribriform types, clear of margins.
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