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Developing asymmetries  Go back to the list of case studies

Case
Picture
Age
Clinical presentation
BI-RADS
1
Case:097
55
Postmenopausal woman presented for follow-up screening with increased risk of developing breast cancer. She has a family history of breast carcinoma. Examination did not reveal any lumps in either of the breasts or in the axillae.
2009: 1 (Negative)
2012: 4C High suspicion for malignancy
2
Case:098
62
Postmenopausal woman, presented with a painful left breast lump of duration 1 month. She had increased risk of developing breast cancer because of family history. Examination revealed small lumps in the upper outer quadrant of the left breast.
2011: 2 (Benign)
2013: 5 (Highly Suggestive of Malignancy)
3
Case:099
77
Woman was diagnosed with right breast carcinoma and underwent MRM in 2000. She noticed a left breast lump 6–8 months ago. On clinical examination, a hard lump was palpable in the upper quadrant of the left breast.
Right MRM: 5 (Highly Suggestive of Malignancy)

4
Case:126
48
Premenopausal woman presented for mammography follow-up after breast-conserving surgery done 20 years ago for breast cancer. She had an increased risk of developing breast cancer because three other women in the family had been diagnosed with breast cancer. Clinical examination did not reveal any significant finding except the scar of previous surgery.
2011, 2014, 2016: Left BCS, post operative breast: 2 (Benign)
2018: Left BCS, post operative breast: 4C High suspicion for malignancy
5
Case:100
66
Postmenopausal woman with increased risk of developing breast cancer because of a family history of breast cancer presented for follow-up. Previous mammography was normal. Examination revealed symmetrical diffuse thickening in the upper outer quadrants of both breasts.
2013: 1 (Negative)
2014: 5 (Highly Suggestive of Malignancy)
6
Case:102
58
Postmenopausal woman with increased risk of developing breast cancer in view of family history of breast cancer in paternal aunt and maternal grandmother. She presented with a lump in the right breast. Examination revealed a 2.5 cm right breast lump at the 12 o’clock position.
2010: 1 (Negative)
2012: 5 (Highly Suggestive of Malignancy)
7
Case:103
82
Postmenopausal woman had undergone microdochectomy for right nipple discharge. Histopathology of the excised duct showed benign papilloma. On follow-up a year later, she presented with a left breast lump. Mammography and breast ultrasound dated 2015 reveal a new lesion in the left breast. Compared with a previous mammogram dated 2014, follow-up reveals developing asymmetry in the left breast. Interval change is seen. Diagnosed as highly suspicious for malignancy, BI-RADS 4C on imaging, as mucinous carcinoma on cytology, and as mucinous carcinoma, pT2N0 on histopathology.
2014: 2 (Benign)
2015: 4C High suspicion for malignancy
8
Case:104
61
Postmenopausal woman with increased risk of developing breast cancer because of family history of breast cancer presented with nipple discharge. Examination revealed a small area of irregular thickening in the upper quadrant of the left breast.
2001: 2 (Benign)
2002: 2 (Benign)
2010: 5 (Highly Suggestive of Malignancy)
9
Case:105
76
Postmenopausal woman with increased risk of developing breast cancer because of family history of breast cancer presented for follow-up. Examination revealed a small palpable nodule in the retroareolar region of the right breast.
2000: 2 (Benign)
2014: 4B Moderate suspicion for malignancy
10
Case:113
51
Postmenopausal woman with increased risk of developing breast cancer presents for a follow-up because she feels pain in her right breast. She has a strong family history of breast carcinoma. Clinical examination reveals different para-areolar consistencies on the right and left breasts. Comparison was made with a previous mammogram dated May 2015 (BI-RADS 2).
2015: 2 (Benign)
2016: 4C High suspicion for malignancy
11
Case:115
72
Postmenopausal woman with increased risk of developing breast cancer was on surveillance by mammography. She had two first-degree relatives who had been diagnosed with breast cancer. She had also undergone distal pancreatectomy for a pancreatic neuroendocrine tumour.
2012: 2 (Benign)
2016: 4C High suspicion for malignancy
12
Case:120
75
Postmenopausal woman who had undergone an MRM for left breast cancer 4 years ago and was on regular follow-up presented for mammography screening. Clinical examination of the right breast was found to be normal.
2013, right: 3 (Probably Benign)
2013, left: 5 (Highly Suggestive of Malignancy)
2014, right: 4B Moderate suspicion for malignancy
Total record number: 12
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