Clumped and Clustered Ring NME – DCIS
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Our next patient is a 42-year-old
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woman with a recent diagnosis of
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left invasive ductal carcinoma and DCIS.
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Her MRI was being performed to evaluate extent
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of disease, and this is her MRI, and I'm
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going to zoom in on the left breast because
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that's where clumped and clustered NME is.
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And you can start to see it here in the central
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breast at nipple level. There's clumped
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non-mass enhancement, but there's also a ring of
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enhancement with a central dark area there.
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And as we go through some more of
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this tissue, you can see more rings.
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You know, there were also some masses,
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so some of this was invasive cancer.
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So there's a mixture of clumped and
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clustered ring here coming from the top.
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You can see some of those rings here
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coming down—more rings and they extend
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all the way to the front of the breasts,
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all the way to the anterior breast.
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And there are several areas that are more
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ring-shaped, more irregular-looking
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than the last case that we looked at.
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And in her situation, the more posterior
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aspect had already been biopsied
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and found to be a combination of
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invasive ductal carcinoma and DCIS.
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We did a biopsy of some of this more anterior
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NME to assess extent of disease, and that
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was also more ductal carcinoma in situ.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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