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Tubular Carcinoma of the Breast

Mammographic and Sonographic Features

Declan G. Sheppard1, Gary J. Whitman1, Bruno D. Fornage1, Carol B. Stelling1, Phan T. Huynh2 and Aysegul A. Sahin3

1 Division of Diagnostic Imaging, The University of Texas M. D. Anderson Cancer Center, Box 57, 1515 Holcombe Blvd. Houston, TX 77030.
2 Department of Radiology, The University of Texas Health Science Center, 6411 Fannin St., Houston, TX 77030.
3 Division of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030.



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  		Fig. 1. —Tubular carcinoma in 53-year-old woman.

A, Exaggerated lateral craniocaudal mammogram shows irregularly shaped mass (arrow).

 


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  		Fig. 1. —Tubular carcinoma in 53-year-old woman.

B, Magnified craniocaudal mammogram shows irregular mass (arrow) with spiculated margins. Spicules are shorter than diameter of central mass.

 


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  		Fig. 1. —Tubular carcinoma in 53-year-old woman.

C, Sonogram reveals hypoechoic mass (arrow) with ill-defined margins and marked posterior acoustic shadowing.

 


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  		Fig. 1. —Tubular carcinoma in 53-year-old woman.

D, Specimen radiograph reveals irregularly shaped mass with spiculated margins (arrows).

 


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  		Fig. 1. —Tubular carcinoma in 53-year-old woman.

E, Pathology specimen reveals yellow-white sclerotic mass (arrow). Histopathologic diagnosis was tubular carcinoma.

 


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  		Fig. 2. —Tubular carcinoma in 53-year-old woman. Craniocaudal mammogram of left breast shows irregularly shaped mass (arrow) with ill-defined margins in fatty breast. Biopsy (not shown) revealed tubular carcinoma (90%) with ductal carcinoma in situ (10%).

 


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  		Fig. 3. —Tubular carcinoma in 46-year-old woman.

A, Lateral mammogram of right breast shows irregularly shaped mass with spiculated margins (arrow) in dense breast. Lesion has lucent center, and spicules are longer than diameter of central lesion.

 


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  		Fig. 3. —Tubular carcinoma in 46-year-old woman.

B, Sonogram reveals hypoechoic mass (arrow) with ill-defined margins and no posterior acoustic shadowing. Height-to-width ratio of mass exceeds 1:1. Biopsy (not shown) revealed tubular carcinoma (90%) with ductal carcinoma in situ (10%).

 

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