0:00

Our next patient is a 62-year-old woman who

0:04

was recalled from screening for evaluation

0:06

of a mass in the right upper outer breast.

0:10

So here's our screening evaluation

0:12

for this patient CC and MLO views.

0:15

We can see that there's a mass

0:17

here in the posterior right lateral

0:20

breast, and it's here on the MLO view.

0:24

I think just because it was able to be

0:27

seen so well, we thought we could probably

0:30

see it on an ultrasound, but this is the

0:32

tomosynthesis imaging through the right CC view.

0:38

You can see that mass sitting there with some

0:42

irregular kind of lines going out from the

0:45

front and back of it, and then on the MLO view

0:50

tomosynthesis, we can see that mass sitting right

0:54

here with a little bit of an irregular border.

0:57

So we went to ultrasound with this mass, and this

1:01

is what we found in the right breast at the

1:04

10 o'clock position, 15 centimeters from the nipple.

1:07

There was this hypoechoic mass,

1:10

fairly deep, and about 11 millimeters in size.

1:16

No internal blood flow,

1:18

possibly because of its depth.

1:20

And then we looked at lymph nodes.

1:23

Some of the lymph nodes were a little

1:26

thick in terms of their cortex,

1:28

kind of borderline at about

1:31

3.1 millimeters.

1:32

So our recommendation was a biopsy of the mass in

1:37

the breast, and that was performed, and it was a

1:40

poorly differentiated invasive ductal carcinoma for that.

62-year-old woman recalled for mass in right upper outer breast

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0:00

Our next patient is a 62-year-old woman who

0:04

was recalled from screening for evaluation

0:06

of a mass in the right upper outer breast.

0:10

So here's our screening evaluation

0:12

for this patient CC and MLO views.

0:15

We can see that there's a mass

0:17

here in the posterior right lateral

0:20

breast, and it's here on the MLO view.

0:24

I think just because it was able to be

0:27

seen so well, we thought we could probably

0:30

see it on an ultrasound, but this is the

0:32

tomosynthesis imaging through the right CC view.

0:38

You can see that mass sitting there with some

0:42

irregular kind of lines going out from the

0:45

front and back of it, and then on the MLO view

0:50

tomosynthesis, we can see that mass sitting right

0:54

here with a little bit of an irregular border.

0:57

So we went to ultrasound with this mass, and this

1:01

is what we found in the right breast at the

1:04

10 o'clock position, 15 centimeters from the nipple.

1:07

There was this hypoechoic mass,

1:10

fairly deep, and about 11 millimeters in size.

1:16

No internal blood flow,

1:18

possibly because of its depth.

1:20

And then we looked at lymph nodes.

1:23

Some of the lymph nodes were a little

1:26

thick in terms of their cortex,

1:28

kind of borderline at about

1:31

3.1 millimeters.

1:32

So our recommendation was a biopsy of the mass in

1:37

the breast, and that was performed, and it was a

1:40

poorly differentiated invasive ductal carcinoma for that.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Lesson

Sample Lesson

Lesson

Palpable Lumps

Lesson

Breast Pain

Lesson

Nipple Discharge

Lesson

Skin Changes/Inflammation

Lesson

Recall from Screening

Lesson

Surveillance After Breast Cancer Treatment

Lesson

Follow Up Probably Benign Findings - BI-RADS 3

Lesson

Follow up Benign Biopsy

Lesson

Pregnant and Lactating Women

Lesson

Male Patients

62-year-old woman recalled for mass in right upper outer breast