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Atlas of breast cancer early detection

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Case number:017
Age:50
Clinical presentation:Premenopausal woman presented with right nipple inversion, which she has had for many years. Patient had not breastfed her child from the right breast.



Mammography:


Breast composition:ACR category b (there are scattered areas of fibroglandular density)
Mammography features:

 ‣ Location of the lesion:Right breast, inverted nipple
 ‣ Mass:
   • Number:0
   • Size:No
   • Shape:None
   • Margins:None
   • Density:None
 ‣ Calcifications:
   • Typically benign:None
   • Suspicious:None
   • Distribution:None
 ‣ Architectural distortion:None
 ‣ Asymmetry:None
 ‣ Intramammary node:None
 ‣ Skin lesion:None
 ‣ Solitary dilated duct:None
 ‣ Associated features:Inverted nipple

Ultrasound:


Ultrasound features: Right breast, inverted nipple

 ‣ Mass
   • Location:Right breast, inverted nipple
   • Number:0
   • Size:None
   • Shape:None
   • Orientation:None
   • Margins:None
   • Echo pattern:None
   • Posterior features:No posterior features
 ‣ Calcifications:None
 ‣ Associated features:None
 ‣ Special cases:None

BI-RADS:

BI-RADS Category: 1 (negative)

Case summary:

Premenopausal woman presented with long-standing right nipple inversion. Diagnosed as BI-RADS 1 on imaging.

Learning points:



  • A slit-like horizontally placed inverted nipple is usually a physiological or anatomical variation. Confirmation of the absence of underlying diseases on mammography allays anxiety.


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