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Clinical case review

Infiltrating lobular cancer missed on screening mammography

ANDREW J. SPILLANE, MERRAN McKESSAR

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Abstract

A 60-year-old woman has recently undergone mammography screening with normal results; yet, on physical examination, her GP detects a definite lump. Mammography screening for breast cancer is not without pitfalls, so how should women and their GPs approach breast screening?

Article Extract

Case scenario

Marissa, a 60-year-old woman, has had regular two-yearly screening with BreastScreen since the age of 50 years. She has had less regular physical examinations of her breasts. Her last mammography result was normal three months ago, but the GP has noticed a definite lump in her left breast. Investigations show that this is an infiltrating lobular carcinoma.

Picture credit: © Mark Thomas/SPL
Models used for illustrative purposes only

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