CASE 641: SMALL BREAST TUMOR, Dr JASMINE THANH XUÂN, Dr PHAN THANH HẢI, Dr NẠI THỊ HƯƠNG THOANG, Dr TRẦN THỊ HỒNG VÂN, Dr HỒ CHÍ TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 46 yo female patient goes to Medic center in breast ultrasound screenning.

Breast ultrasound detects an [4x10mm] echo mass, irregular border, inclined axis, with microcalcifications on the right breast.

The right breast mass comes from a tubular breast with microcalcifications inside.

There is not vascular signal in the right breast mass  on Doppler ultrasound.

Elastoultrasound strain score 3, ratio B/A=3.57.

Mammography= On right breast it exists a mass # 10 mm, high density, blurre border with microcalcication foci ingathering.

Breast MRI  with gado= Mass of right breast with high signal on T2W2 and low on T1W1, non captured CE, and some breast cysts both 2 sides.

Axillary lymph nodes are inflammed nodes.

Breast thermography: Nothing abnormal detected,  due to it is a small tumor.

Result of core biopsy of the right breast tumor= Invasive breast carcinoma of no special type, grade 2.

 

CONCLUSIONS=

Small size  breast tumor <10mm  may  be revealed early in yearly screenning.

Size, location, characteristic findings will be informed with multimodalities of diagnostic imaging= ultrasound, MRI, thermography and core biopsy.

Pathohistological result is appropriate evident for  breast tumor diagnosing.