0:00

So the last case is I'm

0:03

was just going to do a show

0:06

and tell I don't have any questions for this one.

0:11

I thought this was just interesting.

0:14

So I'm actually in the interest of time. I'm just going to

0:17

jump to so this patient was called back

0:20

for a very small group of calcifications in August

0:23

of 2016.

0:25

Okay mag goes up here.

0:29

Hopefully those project okay, very small just a couple of calcifications. She

0:33

was called back for those.

0:35

A stereotactic biopsy was recommended. I'll show

0:38

the

0:40

lateral magnification View

0:48

And there they are so like I said a stereotactic biopsy was recommended

0:51

in the patient.

0:53

did not want the biopsy and

0:57

agreed to come in for follow-up. She

1:00

was a little bit late coming in.

1:03

But did come back.

1:08

And you can see or hopefully you can see they just

1:11

increased a number just a little bit.

1:16

And gets shows here better.

1:23

Again, a stereotactic biopsy was recommended and

1:26

the patient at this point declined again

1:29

and was lost to follow up for a couple.

1:33

For about a little more than a year.

1:37

And then somehow she got scheduled for a screening mammogram.

1:41

And this is the we called her back because now

1:44

where she had those calcifications the calcifications

1:47

have decreased in number and now she has a

1:50

mass.

1:54

So here's the ultrasound showing that hypocalic, Mass.

1:58

Not sure why it's not scrolling.

2:01

I can show the clips.

2:08

Make sure this shows it better.

2:10

And now she has a hypochoic.

2:14

irregular Mass with angulated margins and

2:19

this underwent now she agreed

2:22

to undergo stereotactic. I'm sorry ultrasound got a biopsy.

2:26

And of course that showed a grade two invasive ductal carcinoma,

2:29

and she was noted to have multiple Foci of

2:33

dcis in the area as well. So this is just a

2:36

nice example of Disappearing calcifications,

2:39

which is a very rare phenomenon, but

2:42

I have seen this case and I have one

2:45

other case that I've seen of this where the calcifications

2:48

probably were inductal carnoma

2:51

in site you which continued to progress and ultimately

2:54

become an invasive cancer which

2:57

resulted in some of the calcifications being

3:00

sort of resolved or dissolved by

3:03

the growing cancer.

3:05

And that is all I have.

3:08

for this case review