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Invasive breast carcinoma (NST)

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

High family history of breast cancer.

Patient Data

Age: 42 years
Gender: Female

Mammography (Round 1)

mammography

Bilateral MLO and CC tomosynthesis views have been performed. 12mm non-calcified spiculated mass seen at 11 o'clock in the left breast. US +/- core-biopsy is recommended. 

Targeted US of the Lt breast

ultrasound

At 11 o'clock, 3cm FN, correlating to the mammographic findings, there is a spiculated mass that is taller than wider, has angular margins with disruption of the background breast tissue, increased internal vascularity, and measuring up to 13 mm in diameter. The features are those of an aggressive lesion, core biopsy has been performed with 3 passes using a 14 G needle. The axilla didn't show suspicious lymph nodes. 

Case Discussion

Histology has demonstrated an invasive ductal carcinoma

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