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Atlas of breast cancer early detection

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Case
Picture
Age
Clinical presentation
BI-RADS
1
Case:173
50
Perimenopausal woman with family history of colon cancer presented for mammography screening. On examination, no abnormality was detected.
2 (Benign)

2
Case:172
70
Postmenopausal woman with history of right breast cancer and who had undergone right MRM presented for annual surveillance. On examination, no abnormality was detected in the left breast.
2 (Benign)

3
Case:170
74
Postmenopausal woman with history of left breast cancer and who had undergone left MRM is on annual surveillance. She also has high family risk because of breast carcinoma in a maternal cousin. On examination, no abnormality was detected in the right breast.
2 (Benign)

4
Case:171
38
Premenopausal woman with average risk of developing breast cancer presented with a painful right breast lump noticed a few days ago. On examination, a mobile palpable lump (3 × 2 cm) with smooth margins was noted in the inferior quadrant of the right breast below the areolar margin.
2 (Benign)

5
Case:174
43
Premenopausal woman with average risk of developing breast cancer presented with bilateral mastalgia. On examination, no abnormality was detected.
2 (Benign)

6
Case:163
51
Perimenopausal woman with average risk of breast cancer presented with left mastalgia. Clinical breast examination did not reveal any abnormality. She was diagnosed with left breast cancer and underwent surgery. At postoperative follow-up surveillance, she presented with a left breast lump and pain at the site of surgery. On examination, a firm palpable lump was detected beneath the surgical scar.
4C High suspicion for malignancy
Left BCS, post operative breast: 2 (Benign)
7
Case:164
74
Postmenopausal woman with increased risk of breast cancer presented with right supraclavicular node she had first noticed 1 month ago. Since then it had increased in size. She had undergone right breast-conserving surgery for breast cancer 6 years earlier. On examination, a hard, non-tender supraclavicular lump was palpable in the right breast. A surgical scar in the right breast was seen with a palpable, diffuse, firm to hard area beneath the scar. The left breast was unremarkable.
Right BCS, post operative breast: 5 (Highly Suggestive of Malignancy)

8
Case:175
66
Postmenopausal woman with average risk of developing breast cancer presented with a right breast lump first noticed 4 years ago with progressive increase in size since then. On examination, a hard non-tender lump (5 × 5 cm) was palpable in the right breast below the nipple–areolar complex. It was not fixed to the chest wall or skin and was fixed to the breast parenchyma. The right nipple was retracted. The left breast was unremarkable. A hard mobile lymph node (3 × 4 cm) was also palpable in the right axilla in a central group of axillary nodes.
5 (Highly Suggestive of Malignancy)

9
Case:176
61
Postmenopausal woman with average risk of developing breast cancer presented with a right breast lump first noticed more than 10 months ago. It has increased significantly in size since then.
4A Low suspicion for malignancy

10
Case:177
39
Premenopausal woman with average risk of developing breast cancer presented with a left breast areolar nodule. On examination, there was expressible serous discharge from the left nipple.
4A Low suspicion for malignancy

11
Case:178
46
Premenopausal woman with average risk of developing breast cancer presented with an area of firmness in the upper inner quadrant of the left breast first noticed a few days ago.
4C High suspicion for malignancy

12
Case:179
70
Postmenopausal woman with increased risk of developing breast cancer presented with a lump in the left axillary tail. The patient had ovarian carcinoma detected 1 year ago and had undergone a hysterectomy.
4C High suspicion for malignancy

13
Case:180
67
Postmenopausal woman with average risk of breast cancer presented with a right breast lump first noticed 1–2 years ago, which had progressively increased in size. On examination, a hard, non-tender lump was palpable in the right breast. It was fixed to the chest wall and skin and fixed to the breast parenchyma. The right nipple was retracted. The left breast was unremarkable.
5 (Highly Suggestive of Malignancy)

14
Case:181
37
Premenopausal woman with average risk of breast cancer presented with a right breast lump first noticed 1 month ago with progressive rapid increase in size. On examination, a hard non-tender lump was palpable in the right breast.
5 (Highly Suggestive of Malignancy)

15
Case:182
85
Postmenopausal woman with average risk of developing breast cancer presented with a right breast lump noticed 1–2 years ago. It has progressively increased in size. On examination, a hard non-tender lump was palpable in the right breast, fixed to the chest wall and skin and fixed to the breast parenchyma. The right nipple was retracted. The left breast was unremarkable.
5 (Highly Suggestive of Malignancy)

16
Case:183
71
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump noticed 6 months ago. On examination, abnormal unilateral reduction in the size of the left breast was noted. A hard lump was palpable in the lower inner quadrant of the left breast with skin retraction seen. The left nipple was retracted.
left breast: 5 (Highly Suggestive of Malignancy)
right breast: 2 (Benign)
17
Case:184
70
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump. Examination revealed a hard lump in the outer quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

18
Case:185
72
Postmenopausal woman with average risk of developing breast cancer presented with left axillary lump. Clinical examination revealed non tender, mobile lump in the left axilla, no palpable breast lump was detected.
4C High suspicion for malignancy

19
Case:186
74
Postmenopausal woman with average risk of developing breast cancer presented with a right breast lump noticed more than 2 years ago. She now also had right nipple retraction.
5 (Highly Suggestive of Malignancy)

20
Case:001
50
Postmenopausal woman with average risk of developing breast cancer presented with a painless lump of duration 3–4 days in the upper outer quadrant of the left breast. On examination, she had a firm 3 cm lump in the upper outer quadrant of the left breast with minimal tenderness.
2 (Benign)

21
Case:089
43
Premenopausal, nulliparous woman with increased risk of developing breast cancer because of family history of breast cancer presented with lumps in the right breast of duration 18 months. She also had occasional cyclical mastalgia. Examination revealed a lump in the right retroareolar region at the 6 o’clock position. The lump was hard with limited mobility within breast. Smaller lumps were noted in the upper and lower outer quadrants of the right breast. The right axilla was normal. Central group of nodes were palpable in the left axilla.
2 (Benign)

22
Case:006
48
Premenopausal woman with average risk of breast cancer presented with a recent-onset left breast lump in the upper quadrant. Examination revealed a firm 8 cm lump in the upper half of the left breast.
2 (Benign)

23
Case:008
41
Premenopausal woman with average risk of breast cancer presented with a left breast lump. Examination revealed multiple small lumps in the left breast; the largest was 1.2 cm in diameter.
2 (Benign)

24
Case:061
51
Perimenopausal woman with average risk of developing breast cancer presented with a lump in the right breast that she noticed 4 months ago. On examination, she was found to have a lump in the right breast with irregular margins. No history of trauma, fever, pain, or nipple discharge.
5 (Highly Suggestive of Malignancy)

25
Case:062
63
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the left breast. On examination, she was found to have a hard 3 cm lump in her left breast. Axillary nodes were not palpable.
5 (Highly Suggestive of Malignancy)

26
Case:065
60
Postmenopausal woman with average risk of developing breast cancer presented with painless right breast lump. On examination, a hard non-tender lump was found in the right breast.
4B Moderate suspicion for malignancy

27
Case:069
60
Postmenopausal woman with average risk of developing breast cancer and known neurofibromatosis, involving the entire body including the breast, presented with a left breast lump. Examination revealed a hard lump 4 cm in diameter and fixed to the pectoralis muscle.
5 (Highly Suggestive of Malignancy)

28
Case:071
74
Postmenopausal woman with a family history of breast cancer in her mother, presented with a left breast lump. On examination, she had two lumps palpable in her left breast. The larger lump was in the lower inner quadrant, 3 cm in diameter, hard, and fixed to the muscle. The other lump was 2 cm in diameter and in the upper outer quadrant.
5 (Highly Suggestive of Malignancy)

29
Case:075
51
Postmenopausal woman with average risk of developing breast cancer presented with right breast lump noticed a few days ago. CBE revealed a hard lump in the medial quadrant of the right breast. Also palpable is a firm to hard lump in the upper quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

30
Case:059
43
Premenopausal woman with average risk of developing breast cancer presented with pain and a lump in the left breast of duration 4–5 days. Examination revealed a large (6 cm) tender lump with redness of the overlying skin in the upper half of the left breast.
5 (Highly Suggestive of Malignancy)

31
Case:050
66
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the right breast. Examination revealed a hard 3 cm lump in the right lower quadrant extending into the retroareolar region. Lymph nodes in the axillae were palpable on the right side.
5 (Highly Suggestive of Malignancy)

32
Case:049
49
Premenopausal woman with average risk of developing breast cancer presented with a left breast lump. Examination revealed a hard 2 cm lump in the lower inner quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

33
Case:047
67
Postmenopausal woman with past history of ovarian carcinoma and increased risk of developing breast cancer presented with a right breast lump. Examination revealed a diffuse hard lump in the right breast.
5 (Highly Suggestive of Malignancy)

34
Case:044
65
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump. Examination revealed a hard lump, 6 cm in diameter, in the upper quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

35
Case:040
57
Postmenopausal woman with average risk of developing breast carcinoma presented with bilateral breast lumps. Examination revealed two lumps in the left breast and one lump in the upper outer quadrant of the right breast. Axillae were normal.
4C High suspicion for malignancy

36
Case:035
68
Postmenopausal woman with family history of colon cancer presented with a lump in the right breast. Examination revealed a hard, mobile, 3 cm lump in the upper outer quadrant of the right breast.
5 (Highly Suggestive of Malignancy)

37
Case:010
78
Postmenopausal woman with average risk of breast cancer underwent CT scan of the chest for retrosternal enlargement of thyroid. The scan revealed an incidental presence of right breast lump. Examination revealed lumpish nodularity in both breasts.
2 (Benign)

38
Case:013
75
Postmenopausal woman with average risk of breast cancer presented with a painless right breast lump of long duration. The lump had gradually grown to the present size. Examination revealed a large firm lump (> 10 cm) in the right breast.
2 (Benign)

39
Case:015
42
Premenopausal woman with average risk of breast cancer presented with a right breast lump. Examination revealed a 5 cm lump in the right breast.
2 (Benign)

40
Case:025
44
Premenopausal woman with average risk of developing breast cancer presented with cyclical mastalgia in both breasts. On examination, nodularity in the outer quadrant of the right breast was noted.
2 (Benign)

41
Case:027
57
Postmenopausal woman with average risk of developing breast cancer presented with a slowly growing lump in the left breast for 6 months before presentation. Examination revealed a hard lump (5 × 3 cm) in the retroareolar region of the left breast.
4B Moderate suspicion for malignancy

42
Case:031
45
Premenopausal woman with average risk for developing breast cancer presented with left breast lump of 2 years duration, slowly growing in size. Examination revealed 2 cm diameter lump in upper outer quadrant of left breast.
2 (Benign)
Follow-up:
43
Case:032
65
Postmenopausal woman with average risk of developing breast cancer presented with a painful lump in the left breast. She had a history of excision of a benign breast lump in the right breast. Examination revealed a 2 cm lump in the inner lower quadrant of the left breast.
2 (Benign)

44
Case:033
42
Premenopausal woman with average risk of developing breast cancer presented with a right breast lump noticed 3 days ago.
5 (Highly Suggestive of Malignancy)

45
Case:078
65
Postmenopausal woman with average risk of developing breast cancer presented with right nipple–areolar ulceration and itching. On clinical examination, a hard lump was felt in the right breast in the retroareolar region.
5 (Highly Suggestive of Malignancy)

46
Case:080
64
Postmenopausal woman with average risk of developing breast cancer presented with redness of the skin over the right breast and lump in the same area. The duration of breast lump was 2 years whereas the duration of skin changes were for past 7 days. On clinical examination, a hard lump was palpable in the central quadrant of the right breast with overlying skin thickening.
May 2012: 5 (Highly Suggestive of Malignancy)
September 2012: 6 (Known Biopsy-Proven Malignancy)
December 2012: 6 (Known Biopsy-Proven Malignancy)
47
Case:082
59
Postmenopausal woman with increased risk of developing breast cancer in view of a history of breast cancer in two of her first-degree relatives, presented with left breast lump.
August 2014: 5 (Highly Suggestive of Malignancy)
Left BCS, post operative breast: 2 (Benign)
48
Case:085
43
Premenopausal woman presented with a small lump in her left breast. She had no significant family history or risk factors for breast cancer. On examination, a hard 2 cm lump was found in the upper inner quadrant of the left breast.
4C High suspicion for malignancy

49
Case:090
27
Premenopausal woman with average risk of developing breast cancer presented with pain in the right breast. Examination revealed a lump measuring 1.5 cm in diameter in the right upper outer quadrant.
2 (Benign)

50
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
51
Case:107
51
Postmenopausal woman with increased risk of developing breast cancer presented for screening. Examination revealed a lumpish feel in the left breast and a swelling < 1 cm in the right retroareolar region.
bilateral: 4C High suspicion for malignancy

52
Case:116
44
Premenopausal woman with average risk of developing breast cancer presented with a breast lump. Examination revealed a mobile breast lump on the right side.
2 (Benign)

53
Case:118
75
Postmenopausal woman who was a known case of bilateral breast cancer and had undergone right breast-conserving surgery, left MRM, and a reconstruction with rectus abdominis muscle presented for a follow-up mammography.
2 (Benign)

54
Case:123
69
Postmenopausal woman with average risk of developing breast cancer presented with redness of skin over the left breast upper quadrant. Examination revealed redness of the skin around nipple–areolar complex in the upper half of the left breast and an enlarged and palpable left axillary nodal mass.
5 (Highly Suggestive of Malignancy)

55
Case:124
38
Premenopausal woman with average risk of developing breast cancer presented with nipple discharge on the right breast along with left breast lump. Examination revealed a lump (4 × 4 cm) in the upper outer quadrant of the left breast, which was firm in consistency, mildly tender, and fixed to breast tissue.
5 (Highly Suggestive of Malignancy)

56
Case:125
56
Postmenopausal woman with average risk of developing breast cancer presented with a right breast lump and mastalgia of duration 1 week. Examination revealed a soft palpable right breast lump.
4C High suspicion for malignancy

57
Case:029
44
Premenopausal woman with average risk of developing breast cancer presented with a left breast lump following breast trauma a week ago.
2 (Benign)

58
Case:024
39
Premenopausal woman with average risk of developing breast cancer presented with a long-standing breast lump in the left breast. Examination revealed a large (8 × 9 cm), lobulated, firm, and mobile lump that occupied all the quadrants in the left breast.
4A Low suspicion for malignancy

59
Case:131
67
Postmenopausal woman with average risk of developing breast cancer presented with left breast lump noticed a few weeks ago with mastalgia.
4A Low suspicion for malignancy

60
Case:133
42
Premenopausal woman presented for mammography screening. She had an increased risk of developing breast cancer in view of family history of breast cancer.
1 (Negative)

61
Case:134
55
Postmenopausal woman presented for mammography screening. She had increased risk of developing breast cancer in view of family history of breast cancer.
1 (Negative)

62
Case:135
50
Postmenopausal woman with average risk of developing breast cancer presented for mammography screening.
1 (Negative)

63
Case:138
64
Postmenopausal woman with increased risk of developing breast cancer in view of family history of breast cancer presented for mammography screening.
2 (Benign)

64
Case:042
67
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump that she noticed many months ago. Now has left nipple and areolar ulceration and erosion.
5 (Highly Suggestive of Malignancy)

65
Case:012
65
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump that she first noticed more than 4 months ago. Now presented with overlying skin changes and pain.
5 (Highly Suggestive of Malignancy)

66
Case:019
71
Postmenopausal woman with average risk of developing breast cancer presented with left nipple retraction first noticed 2 months ago.
5 (Highly Suggestive of Malignancy)

67
Case:021
48
Premenopausal woman presented with right nipple inversion that she had had for many years. Patient had not breastfed her child from the right breast. She had an increased risk of developing breast cancer and a family history of ovarian cancer. Examination revealed nodularity in the outer quadrant of the right breast.
2 (Benign)

68
Case:026
42
Premenopausal woman with average risk of developing breast cancer presented with a right breast lump she had noticed many months ago. It had gradually increased in size. Examination revealed a large firm mobile lump (8.0–9.0 cm in greatest dimension) in the upper quadrant of the right breast.
4A Low suspicion for malignancy

69
Case:028
62
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump noticed 4–5 months ago.
5 (Highly Suggestive of Malignancy)

70
Case:034
67
Postmenopausal woman with increased risk of developing breast cancer because of family history of uterine carcinoma presented with a left breast lump noticed 2 days ago.
5 (Highly Suggestive of Malignancy)

71
Case:165
56
Postmenopausal woman with average risk of breast cancer presented with a left breast lump and mastalgia noticed 1 week ago.
2 (Benign)

72
Case:166
41
Premenopausal woman with average risk of breast cancer presented with a left breast lump first noticed 6–8 months earlier.
2 (Benign)

73
Case:002
49
Premenopausal woman with average risk of developing breast cancer presented with painful breast lumps in both breasts. On examination, she had multiple lumps with firm consistency in both breasts and a well-defined mobile lump, 5 × 3 cm.
2 (Benign)

74
Case:009
41
Premenopausal woman with average risk of developing breast cancer presented with breast pain. She did not report a lump or nipple discharge. Examination revealed a 5 cm lump in the right breast.
2 (Benign)

75
Case:060
54
Postmenopausal woman with increased risk of developing breast cancer in view of family history presented with acute-onset left mastalgia and unilateral breast enlargement of the left breast. On examination, the left breast showed an area of acute tenderness and lumpish feel in the upper outer quadrant.
April 2013: 5 (Highly Suggestive of Malignancy)
July 2013: 6 (Known Biopsy-Proven Malignancy)
76
Case:063
39
Premenopausal woman with average risk of developing breast cancer presented with a rapidly growing left breast lump. On examination, she was found to have a large firm to hard lump in her left breast.
4C High suspicion for malignancy

77
Case:066
58
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the right breast noticed on breast self-examination.
4B Moderate suspicion for malignancy

78
Case:067
53
Postmenopausal woman with average risk of developing breast cancer presented with painful right breast lump. On examination, she was found to have a freely mobile soft to firm lump in the right breast.
4A Low suspicion for malignancy

79
Case:068
37
Premenopausal woman with average risk of developing breast cancer, who had twice undergone surgery for fibroadenomas, presented with a large recurrent lump in the right breast. Examination revealed a large lobulated lump in the right breast.
2 (Benign)

80
Case:076
40
Premenopausal woman presented to surgical unit with pain in abdomen. Ultrasound of the abdomen revealed focal hepatic lesions of indeterminate aetiology, suspicious of metastatic foci. Clinical examination to look for primary revealed bilateral breast lumps.
4C High suspicion for malignancy

81
Case:056
58
Postmenopausal woman with average risk of developing breast cancer presented with blood-stained nipple discharge from the left nipple. Examination did not reveal significant lumps in either breasts or axillae.
4B Moderate suspicion for malignancy

82
Case:055
73
Postmenopausal woman with increased risk of developing breast cancer in view of family history of breast cancer presented with a lump in the left breast. Examination revealed a hard irregular lump 2 cm in diameter in the upper quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

83
Case:051
78
Postmenopausal woman with average risk of developing breast cancer presented with pain and a lump in the left breast of duration 1 month. Examination revealed a hard lump 4 cm in diameter in the left breast.
5 (Highly Suggestive of Malignancy)

84
Case:048
57
Postmenopausal woman with average risk of developing breast cancer presented with a right breast lump. Examination revealed a 1.7 cm lump in the outer quadrant of the right breast.
5 (Highly Suggestive of Malignancy)

85
Case:046
61
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the upper quadrant of the left breast. Examination revealed a lump above the nipple–areolar complex with an inverted nipple on the left side.
5 (Highly Suggestive of Malignancy)

86
Case:045
67
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the right breast. Examination revealed a 4 × 3 cm lump in the upper inner quadrant of the right breast. It was freely mobile and not fixed to the skin or chest wall.
5 (Highly Suggestive of Malignancy)

87
Case:043
77
Postmenopausal woman with average risk of developing breast cancer presented with a large mass in the left breast first noticed 1 year ago. Examination revealed a large hard mass, 8 cm in diameter, fixed to the skin of the left breast.
5 (Highly Suggestive of Malignancy)

88
Case:041
64
Postmenopausal woman with increased risk of developing breast cancer because of breast carcinoma in her daughter presented for screening for breast cancer. Examination revealed a lump, 1.5 cm in diameter, in the upper outer quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

89
Case:036
52
Perimenopausal woman presented with left nipple discharge. She had an increased risk of developing breast cancer because of a family history of breast cancer. Examination did not reveal any lump or palpable lesion.
4B Moderate suspicion for malignancy

90
Case:005
50
Woman who had undergone a hysterectomy, with average risk of breast cancer presented with an acute-onset painful lump in the upper outer quadrant of the right breast. Examination revealed a tender firm swelling 2.5 cm in diameter. Mammography was not done because of severe tenderness.
2 (Benign)

91
Case:018
56
Postmenopausal woman presented with a lump in the right breast, which she had had for many years. She had an increased risk of developing breast cancer with family history of breast cancer. Examination revealed a firm 2 cm lump in the upper outer quadrant of the right breast.
2 (Benign)

92
Case:072
58
Postmenopausal woman with average risk of developing breast cancer presented with a lump in her right breast. On clinical examination, she had a hard lump in the upper quadrant of the right breast.
5 (Highly Suggestive of Malignancy)

93
Case:074
59
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump. Examination revealed a lump 3 cm in diameter in the lower inner quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

94
Case:081
60
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the left breast. On clinical examination, she had a hard lump palpable in the upper quadrant of the left breast and another large lump in the left axilla suggestive of palpable axillary nodes.
May 2014: 5 (Highly Suggestive of Malignancy)
September 2014: 6 (Known Biopsy-Proven Malignancy)
95
Case:083
56
Postmenopausal woman, a known operated case of left breast cancer, now presented with a lump in the left breast at the operated site.
Left BCS, post operative breast: 2 (Benign)

96
Case:086
43
Premenopausal woman under follow-up for fibrocystic changes in both breasts for more than 2 years. She had symptomatic breast nodularity in the left breast and presented with a left breast lump. On examination, a hard left breast lump was found.
4C High suspicion for malignancy

97
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)
98
Case:108
52
Premenopausal woman presented for mammography screening. She had an increased risk of breast cancer because of family history, and was scheduled for mammographic surveillance.
5 (Highly Suggestive of Malignancy)

99
Case:112
69
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.
2 (Benign)

100
Case:128
54
Postmenopausal woman with increased risk of developing breast cancer presented with a lump in the right breast and spontaneous right nipple discharge. She had a family history of gastrointestinal tract malignancy. Examination revealed a diffuse lump in the right breast.
4B Moderate suspicion for malignancy

101
Case:130
70
Postmenopausal woman with average risk of developing breast cancer presented with lumpish feel in the upper quadrant of the right breast following blunt trauma by ball.
2 (Benign)

102
Case:137
41
Premenopausal woman with average risk of developing breast cancer presented with a history of left mastalgia.
1 (Negative)

103
Case:139
62
Postmenopausal woman with average risk of breast cancer presented for the evaluation of a chest CT scan, which had detected a lump in the left breast. Patient first noticed a lump many years ago and reports that it has not increased in size.
2 (Benign)

104
Case:091
46
Perimenopausal woman presented for mammography screening. She has no risk factor on examination and no significant abnormality is detected.
2 (Benign)

105
Case:058
52
Postmenopausal woman with average risk of developing breast cancer attended for mammography screening.
1 (Negative)

106
Case:053
54
Postmenopausal woman with average risk of developing breast cancer presented for mammography screening. Examination revealed bilateral breast nodularity.
1 (Negative)

107
Case:014
59
Postmenopausal woman with average risk of developing breast cancer presented with a large painless lump of long duration in her right breast. Examination revealed a soft to firm lump in the right breast.
2 (Benign)

108
Case:003
75
Postmenopausal woman with increased risk of developing breast cancer because of a family history of breast cancer presented for screening. Examination revealed no abnormality.
1 (Negative)

109
Case:020
60
Postmenopausal woman presented with left nipple retraction noticed a month ago.
5 (Highly Suggestive of Malignancy)

110
Case:147
44
Premenopausal woman with average risk of developing breast cancer presented with a left axillary lump. The lump has been present for many years but appears to have increased in size recently and the patient is concerned about how it looks. Examination reveals a soft tissue bulge in the left axilla, but no palpable breast lesion.
2 (Benign)

111
Case:152
33
Premenopausal woman with average risk of developing breast cancer presented with a right breast lump with severe pain and tenderness first noticed 2 weeks ago.
2 (Benign)

112
Case:153
50
Postmenopausal woman with average risk of breast cancer presented with a right breast lump noticed 2–3 years earlier. Examination revealed a right breast lump (3 × 2 cm).
2 (Benign)

113
Case:157
62
Postmenopausal woman with average risk of developing breast cancer presented with a hard palpable lump in the inner quadrant of the left breast.
2 (Benign)

114
Case:161
44
Premenopausal woman with increased risk of breast carcinoma because of family history of breast cancer presented in 2012 for screening. CBE did not reveal any abnormality.
2012: 3 (Probably Benign)
at follow-up (2017): 2 (Benign)
at follow-up (2018): 2 (Benign)
115
Case:169
48
Perimenopausal woman with average risk of developing breast cancer presented to breast clinic with bilateral mastalgia. Clinical examination did not reveal any abnormality.
2 (Benign)

116
Case:004
78
Postmenopausal woman with average risk of developing breast cancer presented with a large lump in the right breast. On examination, she had a large firm right breast lump.
2 (Benign)

117
Case:114
65
Postmenopausal woman with average risk of developing breast cancer presented with pain and lump in the left breast. Examination revealed a hard lump, 2 cm in diameter, at the 6 o’clock position, which was fixed to the chest wall. Axillary nodes were not palpable.
Right: 2 (Benign), Left: 5 (Highly Suggestive of Malignancy)

118
Case:121
52
Postmenopausal woman presented with bilateral breast enlargement and redness of skin over both breasts. Examination revealed large hard lumps and inflammatory changes on the overlying skin in both breasts.
bilateral: 5 (Highly Suggestive of Malignancy)

119
Case:073
47
Premenopausal woman with average risk of developing breast cancer presented with a lump in her right breast. On clinical examination, she had a hard lump in the upper outer quadrant of the right breast.
5 (Highly Suggestive of Malignancy)

120
Case:077
65
Postmenopausal woman with average risk of developing breast cancer presented with an ulcer on the upper quadrant of the left breast. Examination revealed a hard irregular lump involving underlying breast and the overlying skin.
5 (Highly Suggestive of Malignancy)

121
Case:057
70
Postmenopausal woman with average risk of developing breast cancer presented with lump of duration 3–4 months in the left breast. Subsequently she also developed discharge from the left nipple. Examination revealed a 1 × 2 cm lump in the inner lower quadrant of the left breast. Nipple discharge was serous in nature.
4B Moderate suspicion for malignancy

122
Case:054
62
Postmenopausal woman with average risk of developing breast cancer presented with right nipple retraction of duration 4 months. She had also noted a lump in the right breast a month before presentation. Examination revealed a hard lump, 6 cm in diameter, fixed to the rest of the breast tissue but not to the underlying muscles. Axilla was unremarkable.
5 (Highly Suggestive of Malignancy)

123
Case:052
67
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the left breast. Examination revealed a hard 2 cm lump in the upper inner quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

124
Case:039
77
Postmenopausal and post hysterectomy, nulliparous woman with increased risk for developing breast cancer presented with a lump in the left breast of 6 months duration. Examination revealed hard, mobile lump in the lower inner quadrant of the left breast.
Left breast, 2 nodules: 5 (Highly Suggestive of Malignancy)
Right breast: 2 (Benign)
125
Case:037
50
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump noticed 6 months ago. This was associated with pain at the site. Examination revealed a tender firm mobile lump less than a centimetre in diameter in the upper outer quadrant of the left breast.
4B Moderate suspicion for malignancy

126
Case:079
41
Premenopausal woman with increased risk of developing breast cancer presented with history of right breast lump noticed 1 day ago on breast self-examination. She has family history of cervical carcinoma and tongue cancer.
5 (Highly Suggestive of Malignancy)

127
Case:084
71
Postmenopausal woman after surgery for right breast carcinoma. On postoperative surveillance, examination revealed a palpable right breast lump at the operated site.
Right BCS, post operative breast: 2 (Benign)

128
Case:087
42
Premenopausal woman with average risk of developing breast cancer presented with a lump in the left breast noticed 1 month ago. On clinical examination, a single left upper quadrant lump 3 cm in diameter was found.
4C High suspicion for malignancy

129
Case:092
68
Postmenopausal woman with average risk of developing breast cancer presented with nipple discharge from the right nipple of duration 1 year. Examination revealed right breast nodularity with tenderness felt along the axillary tail. There was clear watery discharge form the nipple.
4A Low suspicion for malignancy

130
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)

131
Case:101
74
Postmenopausal woman with increased risk of developing breast cancer was on close clinical as well as mammography follow-up because of a history of cancers of the breast, larynx, colon, and uterus. She presented with a lump in the right breast. Examination revealed an irregular lump in the upper outer quadrant of the right breast.
5 (Highly Suggestive of Malignancy)

132
Case:111
69
Postmenopausal woman with average risk of developing breast cancer presented with a painful lump in her right breast. On clinical examination, she was found to have a large hard lump in the upper quadrant of her right breast with ulceration of the overlying skin.
5 (Highly Suggestive of Malignancy)

133
Case:117
60
Postmenopausal woman with increased risk because of a family history of breast cancer presented with increased size of the breast with pain. Examination revealed warmth and redness over the right breast with a large hard lump 8 cm in diameter. The lump was not fixed to the skin or the chest wall but she had nipple retraction on the same side.
5 (Highly Suggestive of Malignancy)

134
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
135
Case:127
50
Premenopausal woman with average risk of developing breast cancer presented with left breast lump with mastalgia.
2 (Benign)

136
Case:132
50
Perimenopausal woman with average risk of developing breast cancer presented with left breast pain and swelling.
2 (Benign)

137
Case:011
42
Premenopausal woman with average risk of developing breast cancer presented with left mastalgia. Examination revealed no abnormality.
1 (Negative)

138
Case:016
44
Premenopausal woman with average risk of developing breast cancer presented with a left breast lump. She had had the lump for 4 years and recently noticed a gradual increase in its size on self-examination. CBE revealed a firm lump in the upper outer quadrant of the left breast, with clinical increase in the size of the left breast lesion.
2 (Benign)

139
Case:017
50
Premenopausal woman presented with right nipple inversion, which she has had for many years. Patient had not breastfed her child from the right breast.
1 (Negative)

140
Case:022
60
Postmenopausal woman presented with left nipple inversion that she had had for many years.
1 (Negative)

141
Case:154
56
Postmenopausal woman with average risk of breast cancer presented with a left breast lump noticed 3 years ago. Examination revealed a soft lump in the outer quadrant of the left breast.
2 (Benign)

142
Case:155
52
Postmenopausal woPostmenopausal woman with average risk of developing breast cancer attended for mammography screening. On examination no abnormality was detected. man at average risk of developing breast cancer came for mammography screening. On examination no abnormality detected.
1 (Negative)

143
Case:158
74
Postmenopausal woman with average risk of developing breast cancer presented with a hard palpable lump in the outer quadrant of the left breast. The lump had been present for 15 years but recently it had developed a hard stony texture.
2 (Benign)

144
Case:162
43
Premenopausal woman with high risk of breast carcinoma because of family history (first-degree relative with bilateral breast carcinoma) presented with a right breast lump. CBE revealed a firm lump in the upper outer quadrant of the right breast.
2011: 3 (Probably Benign)
2012: 2 (Benign)
2017: 2 (Benign)
145
Case:007
63
Postmenopausal woman with average risk of breast cancer presented with pain and lump in the left breast. Examination revealed a lump in the left retroareolar region.
2 (Benign)

146
Case:070
45
Premenopausal woman with average risk of developing breast cancer presented with a lump in the left breast. On examination, she had a freely mobile lump in the upper inner quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

147
Case:038
74
Postmenopausal woman with increased risk of developing breast cancer presented for screening. Examination did not reveal any significant lump or irregularity in the breasts or axillae.
4B Moderate suspicion for malignancy

148
Case:093
66
Postmenopausal woman with average risk of developing breast cancer presented with a right breast lump. She says she has had the right breast lump for 20 years and that it has increased in size over the last 3 months. There is no nipple discharge or overlying skin changes.
5 (Highly Suggestive of Malignancy)
MRI Bi-RADS: 5 (Highly Suggestive of Malignancy)
149
Case:095
58
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the left breast. Examination revealed a 1.5 cm lump in the retroareolar region of the left breast.
4A Low suspicion for malignancy

150
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)
151
Case:122
68
Postmenopausal woman with increased risk of developing breast cancer because of a family history of breast cancer presented with excoriation of the left nipple with minimal serous nipple discharge. Examination did not reveal any lumps in the breast.
bilateral: 4C High suspicion for malignancy

152
Case:136
38
Premenopausal woman with average risk of developing breast cancer presented with right breast lump noticed a few weeks ago.
5 (Highly Suggestive of Malignancy)

153
Case:023
68
Postmenopausal woman presented with left axillary pain. She had an increased risk of developing breast cancer because of a family history of breast, ovarian, and rectal cancer.
1 (Negative)
Follow-up: 1 (Negative)
154
Case:141
47
Premenopausal woman with increased risk of developing breast cancer in view of family history of breast carcinoma, presented for mammography screening. Examination did not reveal any lump or palpable lesion.
1 (Negative)

155
Case:143
43
Premenopausal woman with average risk of developing breast cancer presented with left mastalgia. Examination did not reveal any lump or palpable lesion.
1 (Negative)

156
Case:148
56
Postmenopausal woman with average risk of developing breast cancer presented for mammography screening.
2 (Benign)

157
Case:156
54
Postmenopausal woman with average risk of developing breast cancer presented for mammography screening. CBE revealed no significant findings.
2 (Benign)

158
Case:167
63
Postmenopausal woman who had undergone breast-conserving surgery in 2003 for right breast cancer presented for regular surveillance check-up. On clinical examination, a firm nodularity was noted at the scar site in the right breast.
Right BCS, post operative breast: 2 (Benign)

159
Case:064
82
Postmenopausal woman with average risk of developing breast cancer presented with blood-stained discharge from the right nipple. On examination, no palpable breast lump was found.
4B Moderate suspicion for malignancy

160
Case:096
60
Postmenopausal woman with average risk of developing breast cancer presented with nipple discharge from the right nipple of duration 10 days. Examination revealed a lump 4 cm in diameter in the right retroareolar region.
4C High suspicion for malignancy

161
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)
162
Case:109
63
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the right breast associated with pain. Examination revealed two lumps larger 5 cm in diameter in the upper outer quadrant of the right breast.
4A Low suspicion for malignancy

163
Case:129
51
Perimenopausal woman with average risk of developing breast cancer presented with a lump in the right breast and mastalgia of duration 15 days. Examination revealed a 4 cm lump in the right breast.
2 (Benign)

164
Case:030
55
Postmenopausal woman presented for mammography screening with increased risk of developing breast cancer in view of family history of breast cancer.
1 (Negative)

165
Case:142
44
Premenopausal woman who had previously undergone surgery for rectal carcinoma presented for baseline screening. Examination revealed no obvious finding.
1 (Negative)

166
Case:144
44
Premenopausal woman with average risk of developing breast cancer presented for mammography screening. Examination did not reveal any palpable lesion.
1 (Negative)

167
Case:149
53
Postmenopausal woman with increased risk of developing breast cancer presented for postoperative surveillance. She had previously undergone breast-conserving surgery for invasive carcinoma of the right breast and also has family history of breast carcinoma.
2 (Benign)

168
Case:088
48
Premenopausal woman presented with right breast lump. She had no significant risk factors or family history of breast cancer. On examination, a firm breast lump in the lower quadrant of the right breast was found.
4B Moderate suspicion for malignancy

169
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
170
Case:110
60
Postmenopausal woman with average risk of developing breast cancer presented with a lump in the right axilla. Examination revealed normal breasts with axillary lymphadenopathy.
4A Low suspicion for malignancy

171
Case:119
67
Postmenopausal woman with average risk of developing breast cancer presented with a left breast lump first noticed 3 months earlier. It had gradually increased in size in the last month. On examination, she was found to have a hard lump in the upper inner quadrant of the left breast.
5 (Highly Suggestive of Malignancy)

172
Case:140
43
Premenopausal woman with average risk of breast cancer presented with a lump in the left breast of recent onset. Examination revealed a left upper quadrant lump. She has had a stable right breast lump for many years, which is proven fibroadenoma on tissue diagnosis.
2 (Benign)

173
Case:150
55
Postmenopausal woman with average risk of developing breast cancer presented for mammography screening.
2 (Benign)

174
Case:159
64
Postmenopausal woman with average risk of developing breast cancer presented with complaints of occasional left mastalgia. Examination revealed no abnormality.
1 (Negative)

175
Case:094
70
Woman aged 70 years with left breast carcinoma who underwent left MRM in 1994. She presented in 2015 with right breast serous nipple discharge. The nipple discharge is occasional, serous for 1 year, with one episode of blood-stained discharge 1 day ago.
4B Moderate suspicion for malignancy

176
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)
177
Case:145
39
Premenopausal woman with average risk of developing breast cancer presented with right nipple itching. Examination did not reveal any lump or palpable lesion.
1 (Negative)

178
Case:151
56
Postmenopausal woman with increased risk of developing breast cancer presented for postoperative surveillance. She had undergone left breast-conserving surgery for invasive carcinoma and also has a family history of breast carcinoma.
2 (Benign)

179
Case:160
56
Postmenopausal woman with average risk of developing breast cancer presented with bilateral mastalgia.
1 (Negative)

180
Case:168
65
Postmenopausal woman with average risk of developing breast carcinoma presented for screening. CBE revealed a small nodule palpable in the lower quadrant of the left breast.
2017: 3 (Probably Benign)
at follow-up (2018): 2 (Benign)
181
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
182
Case:106
49
Premenopausal woman presented with increased risk of developing breast cancer because of family history of endometrial and breast cancer. She presented for follow-up screening. Examination did not reveal any lumps in the breasts or axillae.
2013: 3 (Probably Benign)
MRI 2014: 3 (Probably Benign)
MRI 2017 and Mammography 2018: 2 (Benign)
183
Case:146
46
Premenopausal woman with average risk of developing breast cancer presented with bilateral cyclical mastalgia. Examination did not reveal any lump or palpable lesion.
1 (Negative)

184
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
185
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
186
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: 186
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