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Multifocal Ductal Carcinoma picture -CT, MRI, Mammography, and Ultrasound for Women's Health

Multifocal Ductal Carcinoma of the Breast Click on Images for Enlarged View Clinical History: 60-year-old asymptomatic female for screening mammogram. Findings:Cluster of pathologic calcifications with minimal change over

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Old 01-26-2009, 08:38 AM   post no: 1
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Default Multifocal Ductal Carcinoma picture -CT, MRI, Mammography, and Ultrasound for Women's Health


Multifocal Ductal Carcinoma of the Breast

Click on Images for Enlarged View Clinical History: 60-year-old asymptomatic female for screening mammogram.

Findings:Cluster of pathologic calcifications with minimal change over time.
Multifocal Ductal Carcinoma picture Mammography, mam005a.gif
9/22/92
Cluster of multiple indeterminate calcifications in mid portion of left breast.
Multifocal Ductal Carcinoma picture Mammography, mam005b.gif
6/3/94
Cluster of heterogenous multiple calcifications, slightly better defined than 9/25/92.
Multifocal Ductal Carcinoma picture Mammography, mam005c.gif
6/28/95
Calcifications now pleomorphic and increased in number since 6/3/94. Worrisome for carcinoma.
Multifocal Ductal Carcinoma picture Mammography, mam005d.gif
7/05/95
Pleomorphic calcifications, again worrisome.
Multifocal Ductal Carcinoma picture Mammography, mam005e.gif
8/31/95
Needle localization biopsy sample containing calcifications.
Pathology: Multifocal ductal carcinoma in situ, micropapillary and cribriform types - low grade. Focal lobular carcinoma in situ. Fibrocystic disease with atypical ductal epithelial hyperplasia and papillomatosis.

Diagnosis: Multifocal ductal carcinoma in situ.
Discussion: Worrisome calcifications should be biopsied, regardless of stability over time.


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Anne H. Nicklas, M.D>
Sutek Lie, M.D.
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