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Multiple Bilateral Masses Detected on Screening Mammography

Assessment of Need for Recall Imaging

¹ Department of Radiology, University of California San Francisco Medical Center, Box 1667, San Francisco, CA 94143-1667.
² Present address: Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St., Boston, MA 02115.

View larger version (75K): [in a new window]   Fig. 1A. —49-year-old woman with multicentric cancer in right breast. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple ill-defined and spiculated masses are seen in right breast (B and D), representing multiple foci of breast cancer. Note that masses are unilateral and each mass displays mammographic features suggestive of malignancy. Therefore, patient was recalled from screening and was not considered as multiple-masses case.

View larger version (86K): [in a new window]   Fig. 1B. —49-year-old woman with multicentric cancer in right breast. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple ill-defined and spiculated masses are seen in right breast (B and D), representing multiple foci of breast cancer. Note that masses are unilateral and each mass displays mammographic features suggestive of malignancy. Therefore, patient was recalled from screening and was not considered as multiple-masses case.

View larger version (75K): [in a new window]   Fig. 1C. —49-year-old woman with multicentric cancer in right breast. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple ill-defined and spiculated masses are seen in right breast (B and D), representing multiple foci of breast cancer. Note that masses are unilateral and each mass displays mammographic features suggestive of malignancy. Therefore, patient was recalled from screening and was not considered as multiple-masses case.

View larger version (68K): [in a new window]   Fig. 1D. —49-year-old woman with multicentric cancer in right breast. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple ill-defined and spiculated masses are seen in right breast (B and D), representing multiple foci of breast cancer. Note that masses are unilateral and each mass displays mammographic features suggestive of malignancy. Therefore, patient was recalled from screening and was not considered as multiple-masses case.

View larger version (107K): [in a new window]   Fig. 2A. —49-year-old asymptomatic woman with several masses revealed on screening mammography. Mammogram of left breast in mediolateral oblique projection reveals several masses in upper aspect of breast.

View larger version (128K): [in a new window]   Fig. 2B. —49-year-old asymptomatic woman with several masses revealed on screening mammography. Photographic enlargement of upper aspect of left breast shows most masses to be partially or well-circumscribed. However, uppermost mass (arrow) stands apart from others in that its margins are spiculated. Patient was recalled for diagnostic imaging and subsequent imaging-guided biopsy. Invasive ductal carcinoma was diagnosed for uppermost mass.

View larger version (53K): [in a new window]   Fig. 3A. —66-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple partially or well-circumscribed masses are identified in all areas of both breasts. Masses appear similar to one another, and none display any mammographic features of malignancy. Findings strongly suggest that masses are benign.

View larger version (62K): [in a new window]   Fig. 3B. —66-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple partially or well-circumscribed masses are identified in all areas of both breasts. Masses appear similar to one another, and none display any mammographic features of malignancy. Findings strongly suggest that masses are benign.

View larger version (75K): [in a new window]   Fig. 3C. —66-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple partially or well-circumscribed masses are identified in all areas of both breasts. Masses appear similar to one another, and none display any mammographic features of malignancy. Findings strongly suggest that masses are benign.

View larger version (76K): [in a new window]   Fig. 3D. —66-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple partially or well-circumscribed masses are identified in all areas of both breasts. Masses appear similar to one another, and none display any mammographic features of malignancy. Findings strongly suggest that masses are benign.

View larger version (93K): [in a new window]   Fig. 4A. —59-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple masses in this patient are smaller in size and fewer in number than those of patient depicted in Figure 3A,3B,3C,3D. Though imaging findings are less dramatic, multiple masses seen in this case are also partially or well-circumscribed, bilateral, and similar-appearing to one another. Thus, these masses are also likely benign.

View larger version (93K): [in a new window]   Fig. 4B. —59-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple masses in this patient are smaller in size and fewer in number than those of patient depicted in Figure 3A,3B,3C,3D. Though imaging findings are less dramatic, multiple masses seen in this case are also partially or well-circumscribed, bilateral, and similar-appearing to one another. Thus, these masses are also likely benign.

View larger version (84K): [in a new window]   Fig. 4C. —59-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple masses in this patient are smaller in size and fewer in number than those of patient depicted in Figure 3A,3B,3C,3D. Though imaging findings are less dramatic, multiple masses seen in this case are also partially or well-circumscribed, bilateral, and similar-appearing to one another. Thus, these masses are also likely benign.

View larger version (87K): [in a new window]   Fig. 4D. —59-year-old asymptomatic woman with multiple masses revealed on screening mammography. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection. Multiple masses in this patient are smaller in size and fewer in number than those of patient depicted in Figure 3A,3B,3C,3D. Though imaging findings are less dramatic, multiple masses seen in this case are also partially or well-circumscribed, bilateral, and similar-appearing to one another. Thus, these masses are also likely benign.

View larger version (73K): [in a new window]   Fig. 5A. —56-year-old woman with multiple masses revealed on screening mammography, who was diagnosed with breast cancer 8 months 12 days later by fine-needle aspiration of a then-palpable upper outer right breast mass. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection.

View larger version (75K): [in a new window]   Fig. 5B. —56-year-old woman with multiple masses revealed on screening mammography, who was diagnosed with breast cancer 8 months 12 days later by fine-needle aspiration of a then-palpable upper outer right breast mass. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection.

View larger version (73K): [in a new window]   Fig. 5C. —56-year-old woman with multiple masses revealed on screening mammography, who was diagnosed with breast cancer 8 months 12 days later by fine-needle aspiration of a then-palpable upper outer right breast mass. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection.

View larger version (73K): [in a new window]   Fig. 5D. —56-year-old woman with multiple masses revealed on screening mammography, who was diagnosed with breast cancer 8 months 12 days later by fine-needle aspiration of a then-palpable upper outer right breast mass. Mammograms of left (A) and right (B) breasts in mediolateral oblique projection and of left (C) and right (D) breasts in craniocaudal projection.

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