Breast cancer - malignant calcification (mammography)

Case contributed by Garth Kruger , 2 Mar 2013
Diagnosis almost certain
Changed by Henry Knipe, 11 May 2016
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Case Attributes

Title was changed:
DCIS right breastBreast cancer: malignant calcification on mammography
Presentation was changed:
Mammograms form 2009 and 2011Routine screening. Both are routine screening studies.
Body was changed:

The mammogram shows DCIS right breast. The ultrasound adds value; imaging suggests and an IDC and pathological node in the axilla. Ultrasound adds value. The The biopsy of the mass and FNAC of the node confirmed IDC and lymph node metastatic cells.

ItsIt is practical and easy to add FNAC of an axilla. The procedure is generally well tolerated. The yield of cells is in general proportional to the number of needle passes. I use three separate 21 g21G needles and pass them in turn repeatedly through the node and inject the yield into cytolyte. Same process as used in thyroid FNAC.

  • -<p>The mammogram shows DCIS right breast. The ultrasound adds value; imaging suggests and IDC and pathological node in the axilla. Ultrasound adds value. The biopsy of the mass and FNAC of the node confirmed IDC and lymph node metastatic cells.</p><p>Its practical and easy to add FNAC of an axilla. The procedure is generally well tolerated. The yield of cells is in general proportional to the number of needle passes. I use three separate 21 g needles and pass them in turn repeatedly through the node and inject the yield into cytolyte. Same process as used in thyroid FNAC.</p>
  • +<p>The mammogram shows <a title="DCIS" href="/articles/ductal-carcinoma-in-situ">DCIS</a> right breast. The ultrasound adds value; imaging suggests an <a title="Invasive ductal carcinoma" href="/articles/invasive-ductal-carcinoma">IDC</a> and pathological node in the axilla. The biopsy of the mass and FNAC of the node confirmed IDC and lymph node metastatic cells.</p><p>It is practical and easy to add FNAC of an axilla. The procedure is generally well tolerated. The yield of cells is in general proportional to the number of needle passes. I use three separate 21G needles and pass them in turn repeatedly through the node and inject the yield into cytolyte. Same process as used in thyroid FNAC.</p>
Diagnostic Certainty was set to .

Updates to Study Attributes

Caption was added:
Two years earlier
Findings was changed:

No suspicious calcifications, masses or architectural distortion. 

Normal mammogram.

Images Changes:

Image Mammography (MLO) ( update )

Perspective was set to MLO.
Single Or Stack Root was set to .

Image Mammography (CC) ( update )

Perspective was set to CC.
Single Or Stack Root was set to .
Description was removed:
Conventional MLO and CC views right breast 2009.

Updates to Study Attributes

Findings was changed:

Calcifications"Ground rock" calcifications in the central beast highly suggestive of DCIS.

Images Changes:

Image Mammography (MLO) ( update )

Description was removed:
MLO and CC views right breast 2011.
Single Or Stack Root was set to .
Perspective was set to MLO.

Image Mammography (CC) ( update )

Perspective was set to CC.
Single Or Stack Root was set to .

Updates to Quizquestion Attributes

Question was added:
What else would you do?
Answer was added:
Review prior imaging if available.

Updates to Freetext Attributes

Description was added:

The calcifications are new and concerning. Ultrasound was performed. 

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