DCIS right breast - extensive

Discussion:

This case illustrates how extensive DCIS can be. In this case, the calcifications occupy the whole breast. Remember DCIS calcification underestimates the extent of disease. Do not be phased if the disease is this extensive; the individual calcifications are still suspicious when looked at individually.

Remember, segmental distribution limited to a segment of the breast or a quadrant is a red flag.

Always do an ultrasound and see if there is a solid component. I am happy to biopsy these calcifications if they are found on ultrasound, using ultrasound guidance. If you are careful and meticulous about technique, you can on occasion find DCIS even in small volumes. 

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