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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: Added value of contrast-enhanced spectral mammogram in assessment of suspicious microcalcification and grading of DCIS

Fig. 6

A Right breast CC view showing lower outer quadrant regional coarse heterogeneous microcalcifications, more delineated in zoomed images (C). B CESM show related mild lower outer non-mass enhancement with a focal area of more intense enhancement at the retro-areolar location. The patient underwent right simple mastectomy and pathology revealed invasive duct carcinoma grade II (0.8×0.3 cm). The intervening stroma is markedly desmoplastic entangling mild lymphocytic cell infiltrate with scattered epithelial microcalcific foci. There are associated scattered foci of intermediate grade DCIS component (solid pattern with comedo necrosis and calcifications), constituting 10% of the tumor area. D Intermediate grade DCIS, showing mild to moderate atypical cells with luminal calcifications. H&E, ×200

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