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A 58-year-old woman was seen in the multidisciplinary breast-cancer clinic of this hospital for management of early-stage breast cancer.
One month earlier, a routine screening mammogram at another facility revealed an ill-defined mass, approximately 15 to 20 mm in diameter, associated with calcifications in the lower inner quadrant of the right breast. The mass had not been present on a mammogram obtained two and a half years earlier. An ultrasonographic examination performed at this hospital 12 days after routine mammography showed a hypoechoic mass at the 3 o'clock position, measuring 1.2 cm in diameter. Two days later an ultrasonographically guided
Differential Diagnosis
Pathological Discussion
Discussion of Management
Anatomical Diagnosis
Source Information
From the Departments of Hematology and Oncology (P.D.R.), Radiology (D.B.K.), and Pathology (D.C.S.), Massachusetts General Hospital; and the Departments of Medicine (P.D.R.), Radiology (D.B.K.), and Pathology (D.C.S.), Harvard Medical School.
Related Letters:
Case 24-2005: A Woman with Estrogen-ReceptorPositive Breast Cancer
Denes A. E., Ryan P. D.
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N Engl J Med 2005;
353:2304-2305, Nov 24, 2005.
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