The Clock Is Ticking

Samantha Sorrow (42) has decided to get a mammo-gram—for the first time in her life. Her mother and her aunt have died of breast cancer and now breast cancer has been diagnosed in her younger sister. Mrs. Sorrow therefore is a high-risk patient—no doubt about

I Breast Carcinoma in a Man

I Breast Carcinoma in a Man

Internal Breas Now

Fig. 12.28 You are looking at a medial oblique (a) and a cranio-caudal mammogram (b) of a man. Located anterior to the pectoral muscle is seen a circumscribed soft tissue mass with fine internal calcifications. This is a breast carcinoma. Breast cancer in men is mammographically identical to the cancer in women.

Fig. 12.28 You are looking at a medial oblique (a) and a cranio-caudal mammogram (b) of a man. Located anterior to the pectoral muscle is seen a circumscribed soft tissue mass with fine internal calcifications. This is a breast carcinoma. Breast cancer in men is mammographically identical to the cancer in women.

that. She had a genetic assessment to determine whether she is a carrier of the BRCA-1 and BRCA-2 genes, which may be associated with a lifetime risk of developing breast cancer as high as 87 %. Her husband accompanies her into the examination room. Her clinical examination is unremarkable. The mam-mograms, however, show a lesion (Fig. 12.29a). Do you see it?

Giufeng hasn't a clue—no wonder, it's her first time in mammography. Hannah has a potential diagnosis in the back of her mind but she is not completely sure. The calcifications are definitely intraductal. But they are also smoothly marginated and very dense. Can you help the two women? The next case Dr. Skywang has set aside for Giufeng.

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