Subareolar carcinoma left breast

Case contributed by Dr Garth Kruger

Presentation

Initial screening mammogram followed by a diagnostic study

Patient Data

Age: 55
Gender: Female
Modality: Mammography

Two CC images of the left breast 2 years apart.

very subtle spiculated density in the subareolar breast tissue.

Modality: Mammography

Obvious spiculated mass in the subareolar left breast.

Case Discussion

This case demonstrates the development of a carcinoma in the subareolar breast tissue.

The area is one of the review areas in the breast; an area that you consciously have to review before you move on. Another such area is the submammary fat on the MLO view. Cf. case 21726

On ultrasound of these lesions, do not be caught out by the acoustic shadow that is normally present behind the nipple. Angle your transducer to peer  in behind the nipple. This case illustrates why the ultrasound tech needs to look at the mammogram images before the ultrasound is done. The ultrasound tech needs to know what he/she is looking for before the ultrasound is done.  Breast imaging is a team effort.

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Case Information

rID: 21726
Case created: 14th Feb 2013
Last edited: 29th Dec 2016
System: Breast
Inclusion in quiz mode: Included

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