Breast mass (BI-RADS 4)

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Baseline screening mammography. No symptoms. No familial history.

Patient Data

Age: 40 years
Gender: Female
mammography

An iso-dense mass-like density with irregular margins and mild surrounding parenchymal distortion is noted in the central lateral part of the left breast, which is suspicious. (BI-RADS 4)

In addition, an intra-mammary lymph node is noted in the upper outer quadrant of the right breast known as a lobulated margin and fatty hilum. (BI-RADS 2)

Case Discussion

The patient underwent a targeted ultrasonography and ultrasound-guided core needle biopsy, and histopathology evaluation confirmed an invasive breast carcinoma with no special type.

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