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Diagnostics
Volume 14
Issue 7
10.3390/diagnostics14070727
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Interesting Images

Arterial Calcification Disappearance in Breast Imaging: A Key Indicator for Transition to Invasive Ductal Carcinoma

by
Arisa Sato
1,2,
Tomoyuki Fujioka
1,*,
Iichiroh Onishi
3,
Emi Yamaga
1,
Leona Katsuta
1,
Kazunori Kubota
4,
Yuichi Kumaki
5,
Toshiyuki Ishiba
5,
Goshi Oda
5 and
Ukihide Tateishi
1
1
Department of Diagnostic Radiology, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8519, Japan
2
Department of Radiology, Nitobe Memorial Nakano General Hospital, 4-59-16, Chuo, Nakano-ku, Tokyo 164-8609, Japan
3
Department of Comprehensive Pathology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
4
Department of Radiology, Dokkyo Medical University Saitama Medical Center, 2-1-50, Minamikoshigaya, Koshigaya 343-8555, Saitama, Japan
5
Department of Surgery, Breast Surgery, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(7), 727; https://doi.org/10.3390/diagnostics14070727
Submission received: 26 February 2024 / Revised: 27 March 2024 / Accepted: 28 March 2024 / Published: 29 March 2024
(This article belongs to the Section Medical Imaging and Theranostics)
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Abstract

A woman in her 70s, initially suspected of having fibroadenoma due to a well-defined mass in her breast, underwent regular mammography and ultrasound screenings. Over several years, no appreciable alterations in the mass were observed, maintaining the fibroadenoma diagnosis. However, in the fourth year, an ultrasound indicated slight enlargement and peripheral irregularities in the mass, even though the mammography images at that time showed no alterations. Interestingly, mammography images over time showed the gradual disappearance of previously observed arterial calcification around the mass. Pathological examination eventually identified the mass as invasive ductal carcinoma. Although the patient had breast tissue arterial calcification typical of atherosclerosis, none was present around the tumor-associated arteries. This case highlights the importance of monitoring arterial calcification changes in mammography, suggesting that they are crucial indicators in breast cancer diagnosis, beyond observing size and shape alterations.
Keywords: breast cancer; mammography; ultrasound; arterial calcification; disappearance breast cancer; mammography; ultrasound; arterial calcification; disappearance

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MDPI and ACS Style

Sato, A.; Fujioka, T.; Onishi, I.; Yamaga, E.; Katsuta, L.; Kubota, K.; Kumaki, Y.; Ishiba, T.; Oda, G.; Tateishi, U. Arterial Calcification Disappearance in Breast Imaging: A Key Indicator for Transition to Invasive Ductal Carcinoma. Diagnostics 2024, 14, 727. https://doi.org/10.3390/diagnostics14070727

AMA Style

Sato A, Fujioka T, Onishi I, Yamaga E, Katsuta L, Kubota K, Kumaki Y, Ishiba T, Oda G, Tateishi U. Arterial Calcification Disappearance in Breast Imaging: A Key Indicator for Transition to Invasive Ductal Carcinoma. Diagnostics. 2024; 14(7):727. https://doi.org/10.3390/diagnostics14070727

Chicago/Turabian Style

Sato, Arisa, Tomoyuki Fujioka, Iichiroh Onishi, Emi Yamaga, Leona Katsuta, Kazunori Kubota, Yuichi Kumaki, Toshiyuki Ishiba, Goshi Oda, and Ukihide Tateishi. 2024. "Arterial Calcification Disappearance in Breast Imaging: A Key Indicator for Transition to Invasive Ductal Carcinoma" Diagnostics 14, no. 7: 727. https://doi.org/10.3390/diagnostics14070727

APA Style

Sato, A., Fujioka, T., Onishi, I., Yamaga, E., Katsuta, L., Kubota, K., Kumaki, Y., Ishiba, T., Oda, G., & Tateishi, U. (2024). Arterial Calcification Disappearance in Breast Imaging: A Key Indicator for Transition to Invasive Ductal Carcinoma. Diagnostics, 14(7), 727. https://doi.org/10.3390/diagnostics14070727

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