Invasive Ductal CarcinomaBy Markus HolzhauerHistory: 50 y old patient with first mammogram. Patient is clinically asymptomatic. Findings:
:: X-Ray 1 ::Mammogram, left MLO standard view.
:: X-Ray 2 ::Mammogram, left standard CC view.
:: X-Ray 3 ::Mammogram, right MLO standard view
:: X-Ray 4 ::Mammogram, right CC standard view.
:: X-Ray 5 ::Mammogram, right ML magnification view
:: X-Ray 6 ::Mammogram, right CC magnification view
:: Ultrasound 1 ::US right breast, area of concern Discussion: This demonstrates to be clear about the morphology and descriptors in regard of calcifications. The descriptor "coarse and heterogenous" can be a dangerous BIRADS term because in some cases it can be used to justify 6 month follow up - although it is not a classical 6month follow up descriptor by BIRADS - and in general requires biopsy. In this particular case, regardless if these calcifications are named heterogenous and coarse or pleomorphic they needed to be biopsied. Differential diagnosis: Fibroadenoma with calcifications-Bi-RADS II Probably benign heterogenous and coarse calcifications. Benign macrocalcifications due to fat necrosis. Pleomorphe, highly suspicous calcifications. Suspicous mass on US with suspicous calcifications. Diagnosis confirmation: Surgery / Histo Category: Other Region / Organ: Other Etiology: neoplastic References: Malignant lesions initially subjected to short-term mammographic follow up. Rosen EL, Baker JA , Soo MS Radiology.2002 Apr;223(1):221-8 Get more for Invasive Ductal Carcinoma Peer-reviewed resources Literature  More publications about Invasive Ductal CarcinomaChallenge yourself with the case quiz! |