3.4 Invasive Lobular Carcinoma
The term:Often accompanied by infiltration of lobular carcinoma in situ,lack of normal cell adhesion.It consists of non-adherent cells distributed in a single line in the fibrous stroma.
Clinical manifestation:
●Mostly found by mammography(85%),the clinical touch does not reach the mass
●Breast tissue thickens and the mass lacks clear boundaries
Population distribution characteristics:
●Age 51~61 years old
●The second common type of invasive breast cancer
Mammography:
●50%~68%is a star-shaped mass
●16%~25%is isolated structural distortion
●3%~19%are focal or progressive asymmetry,often only seen in a single position
●Calcification is rare
MR:
●More manifestations of irregular,burr-like masses
●T2W1 signal can be lower
●Enhanced scanning enhancement is not obvious(https://www.daowen.com)
●Hemodynamic changes:outflow type>platform type>continuous type
Image inspection recommendation:
●Best image inspection method:MR
Case 1


Fig.(a-d)DR Female 51 years old,medical examination:right breast invasive lobular carcinoma
Case 2


Fig.(a-h)MR Female,67 years old,found right breast mass for 5 years.Pathology:right breast invasive lobular carcinoma
Case 3


Fig.(a-l)DR+MR Female,59 years old,found the right breast mass for more than one month.Pathology:right breast invasive lobular carcinoma.