0:00

Second case is a 40 year old female with

0:03

calcification seen on Baseline screening mammogram.

0:06

How would you describe these calcifications?

0:14

Great. So the answer to this is around calcifications.

0:20

Here you could see pretty round calcification

0:24

in a grouped distribution.

0:34

So the next question would be what would be

0:37

the next step in managing this patient. So a

0:40

single group of round or punctate calcifications

0:43

can be assigned as bi rats

0:46

3 after you work up with the magnification

0:49

view given it's a baseline study.

0:53

So the answer to this question is by rats

0:56

3, which is short term mammographic follow-up again. It

1:00

is a not by Red zero additional evaluation

1:03

with MRI.

1:05

Is not indicated for calcification workup of

1:08

round calcification. It's not

1:11

by rights to return to screening because it is

1:14

a solitary group rather than bilateral and

1:17

diffuse so you don't want to return them to screening

1:20

and it is but it's not by rights

1:23

for because it is on a baseline study

1:26

and it's grouped round calcifications.

1:33

In this case, you could see the magnification CC

1:36

follow three years later. This has been stable for

1:39

three years.

1:41

So this is a companion case 42 year

1:44

old with calcification seen on Baseline screening

1:47

mammogram. You could see a group of punctate

1:50

and round calcification in grouped distribution, since

1:53

it was a baseline study by

1:56

rights three was assigned.

1:59

But when you look up when you look at the follow-up magnification

2:02

view in one year, you could

2:05

see there's a new mass now associated

2:08

with the calcification. So obviously this virus

2:11

three became barrettes for and it

2:14

was pathology yields and invasive adult

2:17

carcinoma with dcis.

2:20

So the teaching point for group of

2:23

round or punctate calcification is that

2:26

if you have a solitary group of round slash

2:29

functate calcification on a

2:32

baseline study, you can be assigned Pirates

2:35

three after you work up with magnification

2:38

View.

2:40

If those around calcifications are diffuse

2:43

and bilateral becomes by rats, too.

2:47

But you biopsy is needed when these round or

2:50

punctate calcification is in a linear or segmental

2:53

distribution, or if it is new

2:56

or increasing or it's adjacent to

2:59

a known cancer.

3:02

Again, biopsy is needed on the follow-up exam if

3:05

any of if there's any development of any suspicious

3:08

morphology or suspicious math.

3:11

Here you could see how the round cows round or

3:14

punctate calcification can be barrettes too bar at

3:17

three or barrettes for depending upon the

3:20

different scenarios.