Clinical Crossroads Section Editor: Margaret A. Winker, MD, Deputy Editor.
Author Affiliation: Dr Come is Associate Professor of Medicine, Harvard Medical School, and Medical Director, Breast Cancer Program, Beth Israel Deaconess Medical Center, Boston, Mass.
DR BURNS: Ms T is a 62-year-old woman with a new diagnosis of left breast cancer. A routine mammogram performed in the fall of 2004 revealed a 9-mm spiculated mass deep within the upper inner quadrant of her left breast. Prior annual mammograms had been normal. No mass was palpable in this area, but ultrasound demonstrated a hypoechoic mass at 10 o’clock a few centimeters from the nipple. A stereotactic core biopsy was performed and disclosed an infiltrating lobular carcinoma.
Steven E. Come. A 62-Year-Old Woman With a New Diagnosis of Breast Cancer. JAMA. 2006;295(12):1434–1442. doi:10.1001/jama.295.12.1434