81

Case 81



Indication: Screening.


History: Unremarkable.


Risk profile: No increased risk.


Age: 46 years.


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Fig. 81.1 Digital mammography of the left breast, CC view.


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Fig. 81.2 Digital mammography of the left breast, MLO view.


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Clinical Findings


Normal.


Ultrasound


No unusual findings.


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Fig. 81.3a,b Magnification views of the left breast.











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Please characterize ultrasound, mammography, and MRI findings.


What is your preliminary diagnosis?


What are your next steps?


 



























BI-RADS Categorization


Clinical Findings


right 1


left 1


Ultrasound


right 1


left 1


Mammography


right 1


left 4


BI-RADS Total


right 1


left 4


This is a typical screening mammography.


Mammography


ACR type 4 glandular tissue density. In the lower outer quadrant of the left breast at the 4-o’clock position, a cluster of polymorphous microcalcifications could be seen. BI-RADS 4. PGMI is not defined for unilateral mammograms.


Procedure


Histopathological analysis of the microcalcifications with stereotactic vacuum biopsy.


Specimen radiography


Characteristic documentation of calcifications in multiple specimens (Fig. 81.4).


Histopathology of the specimen


Ductal carcinoma in situ (DCIS) (Fig. 81.5).


Procedure


Open biopsy after preoperative localization.


Radiography of the macroscopic specimen


Two residual microcalcifications were depicted near the end of the hook-wire (Fig. 81.6).


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Fig. 81.4 Specimen radiography.


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Fig. 81.5 Histology of the specimens.


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Fig. 81.6 Radiography of the macroscopic specimen.


Sep 3, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on 81

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