case_images: PMC9784141_01
case_images: Mammography of the left breast in 2016 shows a group of new micro- and macrocalcifications (irregular pleiomorphic, tubular and linear) of 2 cm at 9h (a: medial part on craniocaudal incidence, b: caudal part on medial-oblique incidence). No associated architectural distortion or mass.
case_images: jbsr-106-1-2988-g1.jpg
case_images: PMC9784141_01_jbsr-106-1-2988-g1.jpg
case_images: F1
case_images: However, the mammography in the left breast showed new calcifications in comparison to the screening mammography of 2013 (see Figure 1).
case_images: APD amyloid deposition. a. Hematoxylin and eosine staining, amyloid is bright pink. b. Congo red, amyloid is red. c. Congo red under polarized light, amyloid is apple-green.
case_images: jbsr-106-1-2988-g2.jpg
case_images: PMC9784141_01_jbsr-106-1-2988-g2.jpg
case_images: F2
case_images: Figure 2). Further staining for kappa and lambda (AL type) was negative, whereas Amyloid A and transthyretin were positive suggesting the diagnosis of AA type amyloidosis.
case_images: Mammography of the right breast in 2018 shows new micro- and macrocalcifications (fine regular and punctiform) of 2 cm at 11h (a: lateral part on craniocaudal incidence, b: cranial part on medial-oblique incidence). No architectural distortion or mass.
case_images: jbsr-106-1-2988-g3.jpg
case_images: PMC9784141_01_jbsr-106-1-2988-g3.jpg
case_images: F3
case_images: Nevertheless, the screening mammography of 2018 showed new calcifications in the right breast and amyloidosis (Amyloid A) was confirmed on vacuum biopsy again (see Figure 3).