screening mammography in 38y woman

 

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Doctor's Information

Name : Nasrin,Nastaran
Family : Ahmadinejad,Abdi
Affiliation :Emam khomeini Hospital
Academic Degree : Associate professor of TUMS,Fellowship of breast imaging
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : ------------------

 

Case Section

Breast Imaging

 

Patient's Information

Gender : Female
Age : 38

 

Clinical Summary

Sreening mammography in 38y woman

 

Imaging Findings

In left MLO and CC and FMCV segmental distribution of pleomorphic microcalcifications(fine linear branching,granular,dot and dash,punctate)is seen in central and inner portion of Left breast.(BIRADS:5) Streotactic biopsy has been done

 

Differential Diagnosis

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Final Diagnosis

comedocarcinoma with foci of invasive ductal carcinoma

 

Discussion (Related Text)

The segmental distribution of calcifications is an important analytic observation, and biopsy is usually indicated unless they are very round and regular. If the segmentally distributed calcifications are very round and regular in their appearance, then we have found that they are due to benign stromal deposits. When segmentally distributed calcifications are caused by cancer, they generally indicate diffuse intraductal tumor (with or without invasion), and the pathologist frequently sees the comedo, poorly differentiated variety. This distribution is thought to represent calcifications within a single duct network of a lobe or segment. A lobe or segment of the breast is defined by the major duct opening on the nipple and its branches spreading into the breast, beginning in the lobules of the segment. The data suggest that breast cancer is a process that initially is confined to a single duct network.

 

References

Breast Imaging, 3rd Edition, Daniel B. Kopans MD, FACR, 13 - Interpreting the Mammogram,page 462

 

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