Case 33 Answer

These are typical secretory calcifications. These calcifications are dense, smooth and rod-like in a ductal distribution. They may be uni- or bilateral. Occasionally, early secretory calcifications may be difficult to distinguish from the linear, dot-dash calcifications of DCIS. Over time, secretory calcifications become denser and more cigar-like. In this patient, these had been stable for many years.

What about these calcifications?

What about these calcifications?

• Sclerosing Adenosis
• DCIS
• Fibrocystic change
• Secretory calcifications
• Vascular calcifications