Case 52
Case History
An 80-year-old woman presents with left nipple retraction.
Physical Examination
• left breast: retracted nipple, associated with skin thickening; no definite mass identified
• right breast: normal exam
Mammogram
Mass
• margin: spiculated
• shape: irregular
• density: high
Calcifications
• type: dystrophic
• distribution: grouped/clustered
Associated Findings
• architectural distortion, skin retraction, skin thickening, trabecular thickening, nipple retraction (Fig. 52–1)
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