Breast Lump

55-year-old female with left breast, upper, central lump.

Figure 1. Left breast CC and MLO views demonstrate a partially-defined, lobulated, dense mass with clusters of microcalcifications along its margin and another linear distal microcalcifications cluster.

Figure 2. Shows a microlobulated septated complex left breast mass with posterior enhancement at the 12:00 region measuring about 26x20x25 mm.

Diagnosis: Left breast intracystic papillary carcinoma associated with DCIS

Intracystic papillary carcinoma is the second most common breast cancer in men.

Papillary carcinomas are classified histologically into intraductal and intracystic papillary carcinoma.

Radiological findings may show on mammogram as an oval or lobulated, circumscribed lesion.

Color Doppler is helpful to demonstrate the intramural blood flow within the solid component of the mass.

Magnetic resonance imaging (MRI) is sensitive but not specific in detecting papillary tumors.