Difference between revisions of "Breast calcifications"
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==General== | ==General== | ||
*Abnormal breast calcifications are considered a marker of [[malignancy]]. | *Abnormal breast calcifications are considered a marker of [[malignancy]]. | ||
*Radiologists can pick-up calcifications that are approximately 100 micrometers; if "calcs" is on the requisition one needs to find | *Radiologists can pick-up calcifications that are approximately 100 micrometers; if "calcs" is on the requisition one needs to find calcifications this size.<ref>MUA. 1 October 2010.</ref> | ||
**The large | **The large calcifications seen on radiology are approximately 1/5 - 1/6 the size of a HPF, if the field of view (FOV) is ~0.55 mm (as is the case with 22 mm-10x eye pieces and a 40x objective). | ||
Types: | Types: |
Revision as of 09:30, 8 September 2016
![](/w/images/thumb/0/09/Calcification_in_breast_benign_--_high_mag.jpg/300px-Calcification_in_breast_benign_--_high_mag.jpg)
Calcification in benign breast tissue. H&E stain. (WC/Nephron)
Breast calcifications may be found in benign or malignant breast specimens.
General
- Abnormal breast calcifications are considered a marker of malignancy.
- Radiologists can pick-up calcifications that are approximately 100 micrometers; if "calcs" is on the requisition one needs to find calcifications this size.[1]
- The large calcifications seen on radiology are approximately 1/5 - 1/6 the size of a HPF, if the field of view (FOV) is ~0.55 mm (as is the case with 22 mm-10x eye pieces and a 40x objective).
Types:
- Calcium phosphate - typically purple.
- Q. How to remember? A. Purple = Phosphate.
- Calcium oxalate - not associated with malignancy.[2]
Microscopic
Features of calcification:
- Purple globs (with concentric rings) on H&E - represent calcium phosphate.
- Often in the lumen of a gland, may be in the stroma.
- Calcific material typically has a well-demarcated border +/- "sharp corners".
Note:
- Calcium oxalate - visible with (light) polarization.