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Role of Radiologic Features in the Management of Papillary Lesions of the Breast

W. W. M. Lam1, W. C. W. Chu1, A. P. Y. Tang2, G. Tse1 and T. K. F. Ma2

1 Department of Diagnostic Radiology and Organ Imaging, Rm. 27029, Prince of Wales Hospital, Ngan Shing St., Shatin, Hong Kong.
2 Department of Radiology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong.


Figure 1
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  		Fig. 1 —Mammogram (magnified oblique view) in 51-year-old woman shows irregular lesions associated with microcalcifications having high probability of malignancy (arrows). Microcalcifications are in a ductal distribution. Mastectomy confirmed papillary carcinoma.

 

Figure 2
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  		Fig. 2 —Sonogram in 68-year-old woman shows complex lesion with both solid and cystic components. Sonographic features are suggestive of malignant lesion. Both excisional biopsy and mastectomy confirmed papillary carcinoma.

 

Figure 3
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  		Fig. 3 —Sonogram in 48-year-old woman shows irregular lesion with indistinct border and microcalcification (arrows) inside lesion. Mastectomy confirmed papilloma with foci of carcinoma in situ.

 

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