33-year-old lactating woman with palpable lump left breast
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So our next patient is a 33-year-old lactating
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woman with a palpable lump in the left breast.
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So for this patient who is 33 but
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lactating, we started with ultrasound
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in the area of palpable concern.
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So that was in the left breast,
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just a little bit lateral to the nipple.
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And we saw this hypoechoic irregular
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mass, sort of taller than wide.
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Measuring about two centimeters
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in greatest dimension.
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Here it is in antiradial and radial plane,
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little blood flow around the edges, not internally.
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And we were pretty worried about this.
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So we knew we were going to recommend a
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biopsy for it, but just to complete her
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workup, we recommended a bilateral mammogram.
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So that was done on the same day.
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So, we did CC (craniocaudal) and MLO (mediolateral oblique) views of both
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breasts, and we can see that in the left
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breast, slightly lateral to the nipple and
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posterior depth, there's this asymmetry,
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and we also see it on the MLO view.
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We're not really seeing anything
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obvious in the other breast, but
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just to have a closer look at this.
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We looked with tomosynthesis, so this is our
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mass that we've just looked at with ultrasound.
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You know, nothing else in this breast.
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We looked on our MLO.
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This is our MLO tomosynthesis view.
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We actually saw that there was one other
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mass that we were interested in,
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and we went back to ultrasound and found a
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cyst in that location, so that was okay.
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We looked at the other side, CC view,
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38 00:01:55,015 --> 00:01:56,145 nothing there.
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And then MLO view looked good as well.
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Okay.
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So, you know, we've done an
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ultrasound and a mammogram.
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We are finding one mass that we're
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concerned about, and that was
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recommended for ultrasound-guided biopsy.
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And then the biopsy result was invasive
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ductal carcinoma, poorly differentiated.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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