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Radiology Neoplasia 6a2277b6

Which of the following features on mammogram would suggest malignancy?

A
Well defined lesion
B
A mass of decreased density
C
Areas of spiculated microcalcifications
D
Smooth borders
High-Yield Explanation
Ans. is 'c' i.e. Areas of spiculated microcalcifications Distinguishing features between benign and malignant lesions on mammogram:- BenignMalignantOpacitySmooth marginIII defined margin, Irregular stellate, spiculated margin, comet tail Low densityHigh density HomogeneousIn homogeneous Thin halowide haloCalcificationMacrocalcification (> 5mm inMicrocalcification (< 5 mm in diameter)diameter)Breast ParenchymaNormalArchitectural distortionNipple/areola+- Retracted+- RetractedSkinNormalthickenedCooper ligamentsNormalthickened, increase numberDuctsNormalfocal dilatationSubcutaneous retro mammary spaceNormalobliterated

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