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| Can Large Dystrophic Calcifications in Breast Guarantee
Benignity?: A Case Report |
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| Myong Hun Hahm, MD1, Hye Jung Kim, MD2, Sang Yub Lee, MD1,
Kyung Min Shin, MD2, Seung Hyun Cho, MD2, Ji Young Park, MD3,
Jin Hyang Jung, MD2 |
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| 1Department of Radiology, Kyungpook National University Hospital
2Department of Radiology, Kyungpook National University Medical Center
3Department of Pathology, Kyungpook National University Medical Center
4Department of Surgery, Kyungpook National University Medical Center |
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| Dystrophic calcifications themselves in the breast are classified as typically benign
according to the Breast Imaging Reporting and Data System. However, we experienced
a patient with invasive ductal carcinoma surrounding large dystrophic calcifications
that could be regarded as long-standing benign conditions such as fat necrosis
or hematoma. A 61-year-old woman presented with two large dystrophic calcifications
within an irregular mass in the right upper outer breast on mammography.
Ultrasonography revealed an irregular mass with dense calcifications showing strong
posterior acoustic shadowing. On contrast enhanced magnetic resonance imaging, an
irregular mass showed a persistent enhancement pattern and high signal intensity on
a diffusion weighted image with non-enhancing areas corresponding to the calcifications.
No abnormal uptake was observed on Tc-99m methylene diphosphonate bone
scan. Invasive ductal carcinoma was observed on ultrasonography-guided core needle
biopsy. In this case, we conclude that typical dystrophic calcifications within a
breast mass cannot guarantee a benign diagnosis if the imaging characteristics of the
mass are suspicious. |
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| Keyword : Benign calcification; Dystrophic calcification; Invasive ductal carcinoma |
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pdf파일 : 202-206함명훈.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2013 ; 32 (3) : p.202-206
