MEDULLARY BREAST CARCINOMA
Abstract:
Medullary breast carcinoma is a special type of invasive ductal carcinoma, relatively rare, representing 2-7% of all breast neoplasms. Material and methods: We present the case of a patient who checked in due to an existing tumour mass in the left breast discovered three weeks before. Results: Digital mammography with Giotto Image revealed a lobulated opacity with blurred contours, of medium intensity located in the upper extern quadrant. Ultrasound examination revealed a solid mass with lobulated contours, an intensely hypoechogenic structure, with hyperechogenic pseudosepta. The microscopically examined material on sections after paraffin embedding led to the diagnosis of medullary carcinoma. Conclusions: Medullary carcinoma is a malignant well-defined, lobulated, rapidly growing tumour; sometimes, because of associated significant inflammatory reaction, it shows blurred contours. Mammography and ultrasound diagnosis is difficult due to the non pathognomonic aspect. One has to carefully consider all imaging characteristics as to avoid confusion with other welldefined tumours, especially the benign ones.
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