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DOI:10.2214/AJR.08.1554
AJR 2009; 193:W70-W71
© American Roentgen Ray Society


Radiologic-Pathologic Conferences of Cancer Institute

Invasive Carcinoma of the Breast Accompanied by Coarse Calcification

Kenichiro Tanaka1,2, Futoshi Akiyama3, Noriko Nishikawa2, Kiyomi Kimura2, Naoya Gomi4, Koji Oda5 and Takuji Iwase2

1 Department of Surgery, Shizuoka Saiseikai General Hospital, 1-1-1 Ojika, Suruga-ku, Shizuoka 422-8527, Japan.
2 Department of Breast Surgery, Cancer Institute Hospital, Tokyo, Japan.
3 Department of Breast Pathology, Cancer Institute Hospital, Tokyo, Japan.
4 Department of Radiology, Cancer Institute Hospital, Tokyo, Japan.
5 Division of Surgical Oncology, Department of Surgery, Nagoya University, Graduate School of Medicine, Nagoya, Japan.

Abstract

OBJECTIVE. We describe the case of a woman with a left breast mass. At mammography, the mass was shown to be irregular and accompanied by coarse calcification. Core needle biopsy revealed invasive carcinoma and a mastectomy was performed. Histopathology showed fibrosis with partial hyalinization eccentrically placed within the tumor with a large area of calcification at the core.

CONCLUSION. Benign calcifications within a breast mass are not diagnostic of a benign process if the imaging characteristics of the mass are suspicious.

Keywords: breast cancer • coarse calcification • invasive ductal carcinoma


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