Case 26 Answer 2

Benign, but discordant. Recommend surgical excision. This is a high density irregular spiculated mass. You will not end up eating your hat on this one. Some cancers induce such a prominent fibrotic response that this is all that can been seen on a needle biopsy core. The purpose of a needle biopsy in lesions like this is purely to help guide surgical planning. A benign core should not stop you from recommending that it be excised.

So, what about the mass in the right central breast?

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