There are diffuse discernable calcifications and multiple clusters of calcifications in this rare group of challenging cases of cancer-mimicking benign papillomas and small, hyalinized fibroadenomas. Each case provides a considerable challenge for the diagnostic team members. Evidence from one of our scientific studies addresses the question of whether core biopsy proven benign papillomas need to be surgically removed.
These carefully chosen, fully worked-up cases cover the full spectrum of malignant-type calcifications seen at mammography. You will learn how to find faint and subtle calcifications and recognize malignancy by the distribution of the calcifications, even when the individual calcifications appear benign. Our multimodality diagnostic approach benefits from the strengths of magnification mammography, ultrasound and MRI. The imaging findings are correlated in every case with large format thin section (and often thick section) histopathology images to show the underlying structure of the malignancies we see at imaging. Every case has illustrated teaching points reviewing the major findings and commenting on the appropriateness of the management. These lectures improve your skills in perception and diagnosis and give you greater confidence when communicating your findings to your pathologists and surgeons.