3.9 Invasive Papillary Carcinoma
Term:Invasive carcinoma of papillary structure composed of fibrovascular axis
Clinical manifestation:
●Mostly located under the nipple and areola
●Painless mass
●22%~35%of patients with nipple discharge
Population distribution characteristics:
●Postmenopausal women(65~70 years old)
●Account for less than 2%of invasive cancer
Mammography:
●Round,ovaland lobulated high-density masses
●Partial boundaries are clear and some boundaries are blurred
●Unshaped or polymorphic calcification(https://www.daowen.com)
●The burr sign is rare;very little fibrosis
MR:
●TIWI strengthening unevenness,more common with ring reinforcement
●Hemodynamic curve is variable:platform type or outflow type
Image inspection recommendation:
●Best image inspection method:MR
Case 1

Fig.(a-d)DR female,73 years old,medical examination:left breast invasive papillary carcinoma
Case 2

(Zhoulin Li)