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Breast Abnormalities and Other Symptoms
General questions about breast health and possible symptoms.
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9/10/2017What does this mean?

Medical SummaryTest Results


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NarrativeClinical History: 47-year-old female with an area of architectural distortion in her left breast. Technique: Upright stereotactic biopsy of the left breast with vacuum-assistance, clip placement, and post procedure left mammogram. Findings: Prior to beginning the procedure today, a left full 90 degree tomosynthesis view was obtained, which demonstrates an area of architectural distortion in the upper outer quadrant. Informed consent was obtained. Timeout performed. Laterality confirmed. Utilizing sterile technique, local anesthesia, and a lateral approach, stereotactic biopsy was performed of architectural distortion in the upper outer quadrant at 2:00. Multiple passes were made with a 9 gauge Suros Eviva vacuum-assisted device. A specimen radiograph demonstrates small areas of increased density, likely pieces of the distortion. A top hat clip was placed. Post procedure CC and 90 degree views of the left breast demonstrate that the clip migrated 1 cm superolateral to the area of distortion. The patient tolerated the procedure well without immediate complications. Estimated blood loss less than 5 cc.


Impression: Upright stereotactic biopsy of an area of architectural distortion in the left breast at 2:00, with top hat clip placement. Pathology and recommendations are pending. The differential diagnosis includes a radial scar versus malignancy. If the pathology results are benign and do not include a radial scar or elastosis, I would consider the result discordant and recommend surgical consultation.

RepliedJHU's Breast Center Reply
9/11/2017When the term architectural distortion is used it implies that the lesion seen has very irregular borders which is a sign in many cases for it being breast cancer. it also could be a radial scar which is a benign growth but also warrants surgical removal.

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