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Breast and Axilla | 5.2 Malignant breast lesions
Case 5.2.1 Breast carcinoma diagnostic criteria
Contour and shape of the lesion


Irregular contour and ill defined margins:
Infiltrating ductal carcinoma. The mass is stiff with elastography
Irregular contour and ill defined margins:
3 x 4 mm large infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Invasive ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma with irregular contour
Irregular contour and ill defined margins:
Breast carcinoma with ill defined borders
Irregular contour and ill defined margins:
Ductal carcinoma with an ill defined mass with architectural distortion
Irregular contour and ill defined margins:
Infiltrating breast carcinoma with irregular contour, calcifications and multiple vessel poles
Irregular contour and ill defined margins:
Invasive ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma with ill defined borders
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Infiltratinng ductal carcinoma with an irregular mass
Architectural distortion:
Ill defined ductal carcinoma with architectural distortion better seen with 3D
Architectural distortion:
Small infiltrating ductal carcinoma
Architectural distortion:
Small (5 mm) infiltrating breast carcinoma
Architectural distortion:
Tubular adenocarcinoma with architectural distortion
Perifocal reaction:
Poorly differentiated adenocarcinoma with spiculated margins and diffuse hyperechoic perifocal infiltration
Perifocal reaction:
Invasive breast carcinoma with diffuse hyperechoic perifocal infiltration
Perifocal reaction:
Invasive ductal carcinoma
Vertical orientation:
Infiltrating ductal carcinoma with a an ill defined contour and vertical orientation
Vertical orientation:
Breast carcinoma with architectural distortion and vertical orientation
Vertical orientation:
Invasive ductal carcinoma with a vertical orientation and archtectural distortion and perifocal infiltration
Round aspect:
Round lesion with slightly lobulated contour that that proved to be an infiltrating ductal carcinoma
Round aspect:
Infiltrating breast carcinoma. The lesion is stiff with elastography
Acoustic shadowing:
Breast carcinoma with acoustic shadowing and metastatic axillary lymphe nodes
Acoustic shadowing:
Ductal carcinoma with for a part acoustic shadowing
Acoustic shadowing:
Infiltrative breast carcinoma with acoustic shadowing
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma. The mass is stiff with elastography
Irregular contour and ill defined margins:
3 x 4 mm large infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Invasive ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma with irregular contour
Irregular contour and ill defined margins:
Breast carcinoma with ill defined borders
Irregular contour and ill defined margins:
Ductal carcinoma with an ill defined mass with architectural distortion
Irregular contour and ill defined margins:
Infiltrating breast carcinoma with irregular contour, calcifications and multiple vessel poles
Irregular contour and ill defined margins:
Invasive ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma with ill defined borders
Irregular contour and ill defined margins:
Infiltrating ductal carcinoma
Irregular contour and ill defined margins:
Infiltratinng ductal carcinoma with an irregular mass
Architectural distortion:
Ill defined ductal carcinoma with architectural distortion better seen with 3D
Architectural distortion:
Small infiltrating ductal carcinoma
Architectural distortion:
Small (5 mm) infiltrating breast carcinoma
Architectural distortion:
Tubular adenocarcinoma with architectural distortion
Perifocal reaction:
Poorly differentiated adenocarcinoma with spiculated margins and diffuse hyperechoic perifocal infiltration
Perifocal reaction:
Invasive breast carcinoma with diffuse hyperechoic perifocal infiltration
Perifocal reaction:
Invasive ductal carcinoma
Vertical orientation:
Infiltrating ductal carcinoma with a an ill defined contour and vertical orientation
Vertical orientation:
Breast carcinoma with architectural distortion and vertical orientation
Vertical orientation:
Invasive ductal carcinoma with a vertical orientation and archtectural distortion and perifocal infiltration
Round aspect:
Round lesion with slightly lobulated contour that that proved to be an infiltrating ductal carcinoma
Round aspect:
Infiltrating breast carcinoma. The lesion is stiff with elastography
Acoustic shadowing:
Breast carcinoma with acoustic shadowing and metastatic axillary lymphe nodes
Acoustic shadowing:
Ductal carcinoma with for a part acoustic shadowing
Acoustic shadowing:
Infiltrative breast carcinoma with acoustic shadowing
Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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