Invasive breast cancer: Digital breast tomosynthesis versus
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A 57-year-old woman presented for her annual breast screening. The patient had three prior benign left breast biopsies, which demonstrated fibrocystic changes and a fibroadenoma. She had no personal history of breast cancer. There is a family history of breast cancer, including her mother, her paternal grandmother, and her paternal aunt, all diagnosed at peri-menopausal ages. On mammography, an irregular mass with spiculated margins was identified in the outer right breast with a BI-RADS score of 5. Ultrasound imaging was performed to determine whether this mass would be amenable to biopsy under ultrasound guidance and to evaluate the remainder of the breast and axilla. Ultrasound imaging confirmed that the suspicious mass was amenable to ultrasound biopsy, which revealed carcinoma.

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