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Metaplastic carcinoma - breast

Case contributed by Garth Kruger
Diagnosis certain

Presentation

Palpable mass lesion left breast.

Patient Data

Age: 70 years
Gender: Female
mammography

Note on the mammogram how the upper outer quadrant dense lesion is smoothly well defined on the CC view but has slightly spiculated margins on the MLO view. 

ultrasound

Pending. 

Case Discussion

Histology shows a metaplastic carcinoma.

This alternating appearance of spiculation between the CC and MLO views may even be seen on a single image and is apparently highly suggestive of metaplastic carcinoma.

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