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Statistics from Altmetric.com – “milk of calcium”
Description
Milk of calcium within the breast consists of calcium deposits inside microcysts, and it’s present in 4–6percent1 of all ladies present process mammography. It is very important recognise its attribute options to be able to keep away from pointless biopsy (determine 1).2
Mammographic look is pathognomonic of this benign entity (determine 2).1 Characteristically, calcium particles inside cysts produce linear, curved or ‘teacup’-shaped calcifications on medio-lateral indirect or true lateral (TL) views, which clearly change their form on craniocaudal (CC) views, the place the vertical x-ray beam exhibits smudged calcifications (determine 3).3 That is defined by the deposition of calcium particles on the backside of the microcysts because of gravity.1
A 44-year-old lady was referred to our breast-imaging division due to the discovering of suspicious breast microcalcifications (BI-RADS 4), after voluntary mammography screening locally. A single cluster of microcalcifications, situated within the higher outer quadrant of the correct breast on repeat TL and CC magnified views was typical of milk of calcium. The lesion was categorized as BI-RADS 2, and the affected person was reassured with out biopsy.
Conclusion
Mammographic evaluation requires experience and the final precept of biopsying any suspicious or unsure findings ought to prevail. Milk of calcium is a comparatively frequent discovering, proven to be benign on extended follow-up,1 and prone to current at any reasonably busy breast-imaging division as a possible trigger for pointless biopsy. Biopsy shouldn’t be carried out in such instances, although care ought to be taken to not miss any suspicious lesions, both within the neighborhood or away from the lesion.