Case 12
Case History
A 32-year-old woman presents with a new left breast lump. She is diabetic and has been insulin dependent since childhood.
Physical Examination
• left breast: large hard mass at the 3:00 position
• right breast: normal exam
Mammogram
Mass (Fig. 12–1)
• margin: circumscribed
• shape: oval
• density: high density
Figure 12–1. In the 3:00 to 4:00 position of the left breast, there is a circumscribed oval mass that corresponds to the palpable mass designated by the metallic marker. (A). Left MLO mammogram. (B). Left CC mammogram.
Ultrasound
Low Frequency
Frequency
• 8 MHz
Mass
• margin: ill defined
• echogenicity: hypoechoic
• retrotumoral acoustic appearance: severe shadowing, mass completely obscured
• shape: irregular (Fig. 12–2)
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