8/10/2023 0 Comments Fibrocystic breast changes upper![]() Histologically characterized by a combinations of cysts, stromal fibrosis, and epithelial proliferation. Clinical manifestations include palpable lumps with breast pain or tenderness. Hormonal imbalance of the menstrual cycle is believed to account for the pathogenesis.įCC is frequently diagnosed before or at menopause. It can be seen as a diffuse or focal condition, sometimes mimicking malignancy. ![]() Final assessment "BIRADS 4B".Ĭore biopsy was performed because we could not confidently exclude carcinoma due to coexisting "milk of calcium" and pleomorphic microcalcifications.Ĭore biopsy of the lesion: Fibrocystic changes: (adenosis, stromal fibrosis, ductal ectasia, dystrophic microcalcifications)įibrocystic Changes (FCC) of the breast is a very common condition, affecting over half the women between 20 and 50 years old. Ultrasound: heterogeneously echogenic tissue with simple and clustered microcysts, scattered echogenic foci due to microcalcifications, no posterior shadowing, minimal marginal power doppler signal, correponding to the palpable lump. Other pleomorphic microcalcifications were also found. On the CC digital magnification some round microcalcifications can be identified that layer on the OML view suggestive of "milk of calcium". Mammogram: Breast Composition Categorie (ACR B).Īn ovoid mass with obscured margins (half circumscribed and half (> 25%) hidden by adjacent fibroglandular tissue), occupying the upper-outer cuadrant of the left breast, measuring 9 x 7 cm, with microcalcifications was found.
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