Presentation
Screening mammogram shows malignant calcifications in the left breast.
Patient Data
Inhomogeneously dense breast tissue.
Left upper outer quadrant polymorphous microcalcifications with crushed stone appearance highly suspicious of malignancy (BIRADS 5).
Bilateral vascular calcification.
Tomo vacuum assisted Bx
Posterior position of the calcifications made positioning difficult. Multiple passes made with a 9G vacuum needle.
Post biopsy specimen mamogram
The specimen contains several microcalcification clusters.
Case Discussion
Biopsy histology = intermediate grade DCIS with comedo necrosis, no invasive carcinoma.
Wide location excision performed, histology = intermediate grade DCIS, solid and cribriform types, clear of margins.