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Ca,niple inversion

Colloid ca






Sclerosing adenosis


Fibrous nodules

papillary ca

Papilloma ductogram

aged 36, Lump with local inflammatory changes

Infected sebaceous cyst

Topography: very superficial
US: Hypoechoic cyst with hyperechoic
spots in the wall
Mammogram : Comet tail with the skin

aged 76, Very Hard Lump fixed to the skin.

Epithelioma of Malherbe
Benign epithelial Tumor of the sebaceous gland
Clinically suspect because hard rock consistence at palpation
Typical psamomatous Calcifications in old tumors
Slow evolution Good prognostic local recurence

Patient aged 41, Mammogram,

CC and ML view.

Milk of Calcium

image, they are fuzzy, round, amorphous deposits

On the Medio-lateral view, they are sharply defined, tea-cup or crescent Sedimentation
of milk of calcium in cysts
On the CC shaped, (concave up), defining the dependent portion of cysts. If the cysts
are very small they may appear linear on the ML.
Benign in > 99%. ACR 2

Multifocal Ductal

73 year old woman presents with a right

breast lump.

An excisional biopsy revealed intracystic papillary

In an elderly patient even a well-circumscribed mass
should be viewed with suspicion, especially if it is
palpable. The ultrasound findings of a complex mass
also raise concern. The differential diagnosis of a
complex cyst is cyst with debris/hemorrhage, papillary
lesion (benign and malignant), necrotic cancers and
mucinous/colloid carcinomas.
Intracystic papillary carcinomas when small are not
evident mammographically. They do not produce the
fibrotic proliferation associated with other forms of ductal
carcinoma. As the intracystic carcinomas enlarge, they
tend to form fairly well-circumscribed masses.


Sclerosing Adenosis

Breast Imaging Reporting and Data System (BI-RADS) Categories

6 categories of assessment and recommendation

Category 0: Need Additional Imaging Evaluation.

Category 1: Negative
In this case, there is no appreciable abnormality to report .

Category 2: Benign Finding

Category 3: Probably Benign Finding - Short Interval Follow-up Suggested

Category 4: Suspicious Abnormality-Biopsy Should Be Considered

Category 5: Highly Suggestive of Malignancy - Appropriate Action Should Be Taken

This is also a negative mammogram, but the reporting

physician chooses to describe a finding known to be benign .

A finding placed in this category should have a very high probability of being benign

These findings that do not have characteristic cancer morphology, but have a
definite substantial probability of being malignant, generally accepted to
be at least 10%, and ideally 30%. The radiologist has sufficient concern to
recommend biopsy.

These findings are characteristic of cancers and have a high probability of

malignancy. Biopsy is very strongly recommended.