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What Does Microcalcifications In A Mammogram Indicate?

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Posted on Wed, 16 Apr 2014
Question: I had a mammogram showed some microcalcifications, had compression mammogram showed Pleomorhic Microcalcifications subadjacent to left nipple. Surgeon did discharge smear that showed Macrophanges and rare atypical ductul cell. what can you tell from this?
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Answered by Dr. Shailja Puri (2 hours later)
Brief Answer: Features of carcinoma of breast Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. Detection of microcalcification on mammography suggests possibility of carcinoma/ cancer of breast. The calcification is near to the nipple area thus suggesting that the cacerous lesion is present beneath the nipple. The nipple discharge is showing presence of macrophages and atypical cells. Macrophages are benign cells present is any fluid containing cavity (here milk containing). The presence of atypical cells is very much suggestive of carcinoma of the breast. The next step is to get an aspiration cytology of the breast lesion. The aspirated cells are spread on glass slide, stained and examined under the microscope. The examination of the cells will determine the character of the lesion. If the lesion turns out to be positive, the next step is mastectomy or breast removed followed by chemotherapy, radiotherapy or hormonal treatment. The further management will depend on relevant investigations. If you have more queries, I will be glad to answer. Dr Shailja P Wahal
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Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

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What Does Microcalcifications In A Mammogram Indicate?

Brief Answer: Features of carcinoma of breast Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. Detection of microcalcification on mammography suggests possibility of carcinoma/ cancer of breast. The calcification is near to the nipple area thus suggesting that the cacerous lesion is present beneath the nipple. The nipple discharge is showing presence of macrophages and atypical cells. Macrophages are benign cells present is any fluid containing cavity (here milk containing). The presence of atypical cells is very much suggestive of carcinoma of the breast. The next step is to get an aspiration cytology of the breast lesion. The aspirated cells are spread on glass slide, stained and examined under the microscope. The examination of the cells will determine the character of the lesion. If the lesion turns out to be positive, the next step is mastectomy or breast removed followed by chemotherapy, radiotherapy or hormonal treatment. The further management will depend on relevant investigations. If you have more queries, I will be glad to answer. Dr Shailja P Wahal