Indication: Screening.
History: Unremarkable.
Risk profile: No increased risk.
Age: 46 years.
Fig. 81.1 Digital mammography of the left breast, CC view.
Fig. 81.2 Digital mammography of the left breast, MLO view.
Clinical Findings
Normal.
Ultrasound
No unusual findings.
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? |
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Clinical Findings |
right 1 |
left 1 |
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Ultrasound |
right 1 |
left 1 |
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Mammography |
right 1 |
left 4 |
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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).
Fig. 81.4 Specimen radiography.
Fig. 81.5 Histology of the specimens.
Fig. 81.6 Radiography of the macroscopic specimen.
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