PMC3328981_01
Medial lateral oblique and craniocaudal views of the bilateral breasts show flame-shaped gynecomastia of the right breast. The left breast shows microcalcifcations (arrows) for which magnification views have been performed.
JCIS-2-9-g002.jpg
PMC3328981_01_JCIS-2-9-g002.jpg
F1
There was no evidence of gynecomastia in the left breast [Figure 1].
Medial lateral and craniocaudal magnification views of the left breast show suspicious microcalcifications in the retroareolar region extending to the upper outer quadrant (arrows).
JCIS-2-9-g003.jpg
PMC3328981_01_JCIS-2-9-g003.jpg
F2
Additional magnification views of the left breast were performed for regional retroareolar pleomorphic and linear microcalcifications extending to the upper outer quadrant [Figure 2].
Transverse ultrasound image of the right breast demonstrating retroareolar glandular tissue consistent with gynecomastia. No suspicious masses were identified in the right breast.
JCIS-2-9-g004.jpg
PMC3328981_01_JCIS-2-9-g004.jpg
F3
The area of pain and retroareolar density in the right breast seen on mammogram corresponded to vague heterogeneous glandular tissue, consistent with gynecomastia, by ultrasound [Figure 3].
Microscopic findings. (a) Ductal carcinoma in situ with intraductal proliferation of small, monomorphic cells, forming secondary microlumina, with clustered microcalcifications (hematoxylin and eosin stain) (4x). (b) Punctate necrosis is present in some involved ducts (hematoxylin and eosin stain) (4x). (c) Microcalcifications are present within the ducts and stroma (hematoxylin and eosin stain) (10x).
JCIS-2-9-g005.jpg
PMC3328981_01_JCIS-2-9-g005.jpg
F4
Pathology results showed ductal carcinoma in situ grade II, with intermediate nuclear grade features in multiple core fragments [Figure 4].