This lecture includes a mixture of DAB cases with necrosis and the lesser-known fluid-producing carcinomas. Finding these cases in an early phase is particularly challenging. Microcalcifications associated with the fluid producing DAB cases are often underdiagnosed. Treatment planning requires careful utilization of our modern diagnostic tools if we are to successfully estimate the true extent of these carcinomas of ductal origin.
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.