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80-year-old woman with remote history of right mastectomy, recalled for mass in left breast

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Our next patient is an 80-year-old

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woman with a remote history of right

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breast cancer treated with mastectomy.

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So now she's having yearly screening

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for the left side, and she was recalled

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from the screening examination for

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evaluation of a mass in the left breast.

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So these are the screening views of the left

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breast for this patient, and we can see a

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small mass here in the left lateral breast and

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it's in the left upper breast on the MLO view.

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This was a 2D mammogram.

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So, when the patient was recalled,

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we started with 3D mammographic views.

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So,

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we have

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the MLO view and tomosynthesis images.

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So, as we scroll through the tomosynthesis

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images, we can see this little mass in the

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upper outer left breast.

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And a CC view.

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And these were the tomosynthesis

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images of the left CC view.

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You can see that mass here.

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We also did spot compression

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views in CC and MLO projections.

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So here's the CC spot.

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You can see that mass a little better.

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These are the tomosynthesis

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views showing the mass.

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And MLO spot compression view,

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again showing that small mass here.

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We

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thought that we could probably see this based on

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its location, that we could see it on ultrasound.

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So we went to ultrasound next.

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And here's the little hypoechoic mass,

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in the left breast at the 12:30 position,

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seven centimeters from the nipple.

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And it's about four millimeters,

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three to four millimeters in size.

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So very small, but you can see it kind of

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has irregular borders and distinct margins.

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And we recommended biopsy for this.

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And we did an ultrasound-guided biopsy

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and it was an invasive ductal carcinoma.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Tags

Women's Health

Ultrasound

Tomosynthesis

Neoplastic

Mammography

Breast

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