Home / Training / Manuals / Atlas of breast cancer early detection / Cases

Atlas of breast cancer early detection

                                                                                                                         Go back to the list of case studies
                                                                                                                         Click on the pictures to magnify and display the legends
Case number:112
Clinical presentation:Postmenopausal woman with average risk of developing breast cancer presented with acute onset of itching and redness of the left nipple. Examination revealed redness and inflammation around the nipple with underlying irregular nodularity.


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

 ‣ Location of the lesion:Left breast
 ‣ Mass:
   • Number:0
   • Size:None
   • 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:Skin thickening, axillary reactive lymphadenopathy


Ultrasound features: Left breast, central portion of the breast

 ‣ Mass
   • Location:Left breast, central portion of the breast
   • Number:0
   • Size:None
   • Shape:None
   • Orientation:None
   • Margins:None
   • Echo pattern:None
   • Posterior features:No posterior features
 ‣ Calcifications:None
 ‣ Associated features:Skin thickening and axillary reactive lymphadenopathy
 ‣ Special cases:None


BI-RADS Category: 2 (benign)

Case summary:

Postmenopausal woman presented with acute onset of itching and redness of left nipple. Diagnosed as infection in the left breast, BI-RADS 2 on imaging.

Learning points:

  • Breast inflammatory changes are seen in the non-puerperal stage in women with systemic illness such as diabetes mellitus. They need medical management. Triple assessment and imaging rules out the possibility of underlying breast malignancy with features of inflammatory carcinoma.

IARC, 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France - Tel: +33 (0)4 72 73 84 85 - Fax: +33 (0)4 72 73 85 75
© IARC 2024 - All Rights Reserved.