Breast spiculated lesion DDX: Breast lesions which have spiculated margin

When you find “A spiculated mass” in mammography you should think these four differential diagnosis

Radial scar

Sclerosing adenosis

Invasive ductal carcinoma

Tubular carcinoma

  • Tubular proliferation > 90% of lesion
  • Good prognosis and Slow growing
  • MG : Small irregular spiculated mass
  • US : hypoechoic mass, posterior shadowing, spiculated or indistinct margin

Tubular carcinoma (MG is negative)
Tubular carcinoma (spiculated mass on MG)

Sclerosing adenosis

Typical invasive ductal carcinoma
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