Case 4 Answer

Yes. Spot compression magnification views are important in the work-up of extent of disease (see Case 3). Even when you have already decided to biopsy the lesion, it is important that you make sure there are no subtle calcifications elsewhere in the breast, especially in the segment between the mass and the nipple. Being thorough here helps to determine the definitive surgical procedure. Many times we will identify extensive disease precluding breast conservation, and spare the patient unneccessary surgery.

 

Is ultrasound indicated?

 

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