38 y/o woman for screening mammogram.
Architectural distortion in the right upper outer breast with associated calcifications
-Complex sclerosing lesion (radial scar)
-Fibrocystic change with sclerosing adenosis
-Post-surgical or traumatic scar (patient had no prior history of surgery or trauma to right breast)
Routine annual mammogram
A free-hand (anteroposterior) needle/wire location was used in this case. This is a more difficult technique that requires extrapolation of the lesion from a compressed mammogram to the breast in a natural, uncompressed state.
Some suggest increase risk of complications such as chest wall penetration (pneumothorax) with this technique (versus parallel to chest wall approach). This approach may also need several adjustments to get the needle/wire within 1 cm of the lesion
FIBROCYSTIC CHANGE WITH SCLEROSING ADENOSIS: BREAST
Fibrocystic change is a common diagnosis in women from 30 to 50 years old. This condition tends to resolve with menapause.
Fibrocystic change is a proliferation of the terminal ducts, lobules and surrounding connective tissue with associated fibrosis.
The mammographic appearance is variable and can include: cysts, calcifications (clustered or regional), masses (well-defined to spiculated), or architectural distortion.
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