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Re-pitching the tent sign: A case report.

Yvonne Estrin¹, Michele Drotman¹

¹Department of Radiology, Weill Cornell, United States of America.

Clinical Imaging

|January 1, 2021

Summary

The tent sign, a subtle mammographic finding, can indicate underlying breast cancer. This case highlights its potential as an early sign of invasive carcinoma in screening mammograms.

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Area of Science:

Radiology
Oncology
Breast Imaging

Background:

The tent sign is an under-recognized mammographic finding characterized by localized breast parenchyma retraction.
This subtle sign, forming an inverted 'V' shape, is not well-defined in existing literature.
It can be the sole indicator of an underlying malignancy.

Observation:

A 50-year-old female presented for screening mammography.
A subtle tent sign was identified on her mammogram.
Subsequent pathological analysis confirmed invasive carcinoma.

Findings:

The tent sign, though subtle, was associated with invasive breast carcinoma.
This case underscores the diagnostic importance of recognizing this specific mammographic feature.
Early detection through mammography is crucial for effective cancer treatment.

Implications:

Increased awareness and recognition of the tent sign among radiologists may improve early breast cancer detection.
Further research is warranted to better delineate the tent sign and its diagnostic accuracy.
This finding emphasizes the value of vigilant interpretation of screening mammograms for subtle abnormalities.

Keywords:

Breast imaging Mammography Tent sign

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