0:00

Our next patient is an 80-year-old

0:03

woman with a remote history of right

0:05

breast cancer treated with mastectomy.

0:09

So now she's having yearly screening

0:12

for the left side, and she was recalled

0:14

from the screening examination for

0:17

evaluation of a mass in the left breast.

0:20

So these are the screening views of the left

0:23

breast for this patient, and we can see a

0:25

small mass here in the left lateral breast and

0:29

it's in the left upper breast on the MLO view.

0:33

This was a 2D mammogram.

0:36

So, when the patient was recalled,

0:38

we started with 3D mammographic views.

0:43

So,

0:43

we have

0:44

the MLO view and tomosynthesis images.

0:51

So, as we scroll through the tomosynthesis

0:53

images, we can see this little mass in the

0:55

upper outer left breast.

1:00

And a CC view.

1:05

And these were the tomosynthesis

1:07

images of the left CC view.

1:10

You can see that mass here.

1:14

We also did spot compression

1:16

views in CC and MLO projections.

1:19

So here's the CC spot.

1:21

You can see that mass a little better.

1:25

These are the tomosynthesis

1:27

views showing the mass.

1:32

And MLO spot compression view,

1:38

again showing that small mass here.

1:42

1:43

thought that we could probably see this based on

1:45

its location, that we could see it on ultrasound.

1:48

So we went to ultrasound next.

1:51

And here's the little hypoechoic mass,

1:55

in the left breast at the 12:30 position,

1:57

seven centimeters from the nipple.

1:59

And it's about four millimeters,

2:04

three to four millimeters in size.

2:05

So very small, but you can see it kind of

2:08

has irregular borders and distinct margins.

2:12

And we recommended biopsy for this.

2:16

And we did an ultrasound-guided biopsy

2:18

and it was an invasive ductal carcinoma.

80-year-old woman with remote history of right mastectomy, recalled for mass in left breast

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0:00

Our next patient is an 80-year-old

0:03

woman with a remote history of right

0:05

breast cancer treated with mastectomy.

0:09

So now she's having yearly screening

0:12

for the left side, and she was recalled

0:14

from the screening examination for

0:17

evaluation of a mass in the left breast.

0:20

So these are the screening views of the left

0:23

breast for this patient, and we can see a

0:25

small mass here in the left lateral breast and

0:29

it's in the left upper breast on the MLO view.

0:33

This was a 2D mammogram.

0:36

So, when the patient was recalled,

0:38

we started with 3D mammographic views.

0:43

So,

0:43

we have

0:44

the MLO view and tomosynthesis images.

0:51

So, as we scroll through the tomosynthesis

0:53

images, we can see this little mass in the

0:55

upper outer left breast.

1:00

And a CC view.

1:05

And these were the tomosynthesis

1:07

images of the left CC view.

1:10

You can see that mass here.

1:14

We also did spot compression

1:16

views in CC and MLO projections.

1:19

So here's the CC spot.

1:21

You can see that mass a little better.

1:25

These are the tomosynthesis

1:27

views showing the mass.

1:32

And MLO spot compression view,

1:38

again showing that small mass here.

1:42

1:43

thought that we could probably see this based on

1:45

its location, that we could see it on ultrasound.

1:48

So we went to ultrasound next.

1:51

And here's the little hypoechoic mass,

1:55

in the left breast at the 12:30 position,

1:57

seven centimeters from the nipple.

1:59

And it's about four millimeters,

2:04

three to four millimeters in size.

2:05

So very small, but you can see it kind of

2:08

has irregular borders and distinct margins.

2:12

And we recommended biopsy for this.

2:16

And we did an ultrasound-guided biopsy

2:18

and it was an invasive ductal carcinoma.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Lesson

Sample Lesson

Lesson

Palpable Lumps

Lesson

Breast Pain

Lesson

Nipple Discharge

Lesson

Skin Changes/Inflammation

Lesson

Recall from Screening

Lesson

Surveillance After Breast Cancer Treatment

Lesson

Follow Up Probably Benign Findings - BI-RADS 3

Lesson

Follow up Benign Biopsy

Lesson

Pregnant and Lactating Women

Lesson

Male Patients

80-year-old woman with remote history of right mastectomy, recalled for mass in left breast