Summary: A 46-year-old woman presented for evaluation of a breast mass.
Dr. Tu is Chairman, Department of Radiology, United Medical Center, Washington, DC, Partner at Progressive Radiology, Falls Church, VA, and Associate Professor of Radiology, The George Washington University School of Medicine and Health Sciences, Washington, DC.
A 46-year-old woman presented for evaluation of a breast mass.
Breast cyst and dermal calcification
initial mammogram (Figure 1) identified a focal asymmetry, which was
evaluated by sonography and determined to be a cyst. Calcifications at
the inferomedial quadrant were compressed and a repeat tangential view
(Figure 2) identified the calcifications to be benign, with no evidence
of malignancy BI-RADS 2 (arrows).
dermal calcifications may be confused with malignant calcifications.
Their location on the skin surface rather than within the breast is key
to proper diagnosis.1 Dermal calcifications are benign and should not be confused with malignancy.
findings of a focal asymmetry in the initial mammogram, a repeat
tangential view, acquired on a MicroDose digital mammographic system,
identified the calcification as a dermal calcification and, therefore,
benign, concluding that there was no evidence of malignancy BI-RADS 2.
- Geiss CS, Raza S, Birdwell RL. Continuing medical education:
Distinguishing breast skin lesions from superficial breast parenchymal
lesions: Diagnostic criteria, imaging characteristics, and pitfalls. Radiographics. 2011;31:1959-1972; doi:10.1148/rg.317115116.