Breast mass - BI-RADS V

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Left breast palpable mass and deformity.

Patient Data

Age: 65 years
Gender: Female
mammography

Large hyper dense mass with irregular and spiculated margin is noted at left breast which causing marked nipple and skin retraction. Multiple microclacifications are seen within. A few prominent lymph nodes are also observed at left axillary regions.

Case Discussion

Features on mammogram are compatible with BI-RADS assessment category 5 lesion which is highly suggestive of malignancy.

The patient underwent left mastectomy and axillary lymph node dissection. Histopathology evaluation confirms invasive ductal carcinoma with lymph node involvement. 

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