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Related Experiment Videos

Intramammary lymph node gold deposits simulating microcalcifications on mammogram.

T R Carter1

  • 1Department of Pathology, University of Virginia Medical Center, Charlottesville 22908.

Human Pathology
|August 1, 1988
PubMed
Summary

Gold deposits can form in various tissues after gold therapy (chrysotherapy). This case highlights intramammary lymph node gold deposits mimicking breast microcalcifications on mammography.

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Area of Science:

  • Medical imaging
  • Pathology
  • Rheumatology

Background:

  • Chrysotherapy, a treatment using gold compounds, can lead to gold deposition in various body tissues.
  • Gold deposits are typically found in organs like the liver, spleen, and kidneys.
  • Mammography is a key screening tool for breast cancer, relying on the detection of microcalcifications.

Observation:

  • A patient undergoing chrysotherapy presented with mammographic findings.
  • Mammography revealed suspicious microcalcifications within the intramammary lymph nodes.
  • These findings were initially concerning for malignancy.

Findings:

  • Histopathological examination confirmed the presence of gold deposits within the intramammary lymph nodes.
  • The gold deposits were the cause of the simulated microcalcifications on the mammogram.

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  • This represents an unusual presentation of gold deposition.

    • Implications:

    • Radiologists and clinicians should be aware of gold deposition as a potential mimic of microcalcifications on mammograms.
    • This awareness can prevent misdiagnosis and unnecessary invasive procedures.
    • Understanding the distribution of gold deposition is crucial for interpreting imaging findings in patients receiving chrysotherapy.