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Invasive Ductal Carcinoma

bryant SDB - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Invasive Ductal Carcinoma

History: History: A 56 year old post menopausal female presents to MGMC Mammography with the complaint of a palpable breast mass in her right breast. The mass has been palpable by the patient for 3-4 weeks. Last mammogram: 29 August 2002. Patient underwent spot compression views for an asymmetric density as well as ultrasound at that time; no evidence of malignancy was found and routine annual follow-up was recommended. Family History is significant for breast cancer in: Sister 39 years, Mother 70 years, Paternal Aunt 60 years.

Findings: Mammogram: Spiculated, ill-defined density, located midline Craniocaudal view and superior to nipple in Mediolateral view. BIRADs V. The images were compared with prior studies from 2001 and 2002 showing a density increased in size and irregularity. Past workup of following the 2002 mammogram included spot compression vies and ultrasound; however, had the 2001 films been present at that time, biopsy of the new assymetric density would have been more appropriate. Ultrasound exam of this region demonstrates a 2.8 cm heterogeneously hypoechoic mass with irregular margins and posterior acoustic shadowing.

Ddx: Differential Diagnosis for these findings in this case: 1. Invasive ductal carcinoma 2. Invasive Lobular carcinoma 3. Phylloides tumor 4. Metastasis 5. Benign fibrocystic change

Dxhow: 3 18 gauge core biopsies specimens were sent to pathology

Exam: Physical Exam reveals a hard subcutaneous mass located in the right breast at 1200; approximately 5cm from the nipple.

No MeSH data available.


Ultrasound exam of this region demonstrates a 2.8 cm heterogeneously hypoechoic mass with irregular margins and posterior acoustic shadowing
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MPX2164_synpic26284: Ultrasound exam of this region demonstrates a 2.8 cm heterogeneously hypoechoic mass with irregular margins and posterior acoustic shadowing


Invasive Ductal Carcinoma

bryant SDB - MedPix (2005)

Ultrasound exam of this region demonstrates a 2.8 cm heterogeneously hypoechoic mass with irregular margins and posterior acoustic shadowing
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2164&req=5

MPX2164_synpic26284: Ultrasound exam of this region demonstrates a 2.8 cm heterogeneously hypoechoic mass with irregular margins and posterior acoustic shadowing

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Invasive Ductal Carcinoma

History: History: A 56 year old post menopausal female presents to MGMC Mammography with the complaint of a palpable breast mass in her right breast. The mass has been palpable by the patient for 3-4 weeks. Last mammogram: 29 August 2002. Patient underwent spot compression views for an asymmetric density as well as ultrasound at that time; no evidence of malignancy was found and routine annual follow-up was recommended. Family History is significant for breast cancer in: Sister 39 years, Mother 70 years, Paternal Aunt 60 years.

Findings: Mammogram: Spiculated, ill-defined density, located midline Craniocaudal view and superior to nipple in Mediolateral view. BIRADs V. The images were compared with prior studies from 2001 and 2002 showing a density increased in size and irregularity. Past workup of following the 2002 mammogram included spot compression vies and ultrasound; however, had the 2001 films been present at that time, biopsy of the new assymetric density would have been more appropriate. Ultrasound exam of this region demonstrates a 2.8 cm heterogeneously hypoechoic mass with irregular margins and posterior acoustic shadowing.

Ddx: Differential Diagnosis for these findings in this case: 1. Invasive ductal carcinoma 2. Invasive Lobular carcinoma 3. Phylloides tumor 4. Metastasis 5. Benign fibrocystic change

Dxhow: 3 18 gauge core biopsies specimens were sent to pathology

Exam: Physical Exam reveals a hard subcutaneous mass located in the right breast at 1200; approximately 5cm from the nipple.

No MeSH data available.