Invasive breast cancer and contralateral distracting lesion


There is an obvious, circumscribed mass in the left breast, which was proven to be a fibroadenoma on biopsy.

There is also a more subtle area of spiculation in the right breast which was shown to represent invasive ductal carcinoma.

This case highlights the importance of a structured search pattern and "satisfaction of search" approach, in order not to miss a more subtle but significant finding.