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Correspondence
Monckeberg medial calcific sclerosis mimicking malignant calcification pattern at mammography
  1. A Saxena1,
  2. I C Waddell2,
  3. R W Friesen3,
  4. R T Michalski4
  1. 1Department of Pathology, Royal University Hospital, 103 Hospital Drive, Saskatoon, SK, S7N 0W8 Canada; saxena@sask.usask.ca
  2. 2Department of Radiology, Victoria Hospital, Prince Albert, Saskatchewan, S6V ST4 Canada
  3. 3Department of Surgery, Victoria Hospital
  4. 4Department of Pathology, Victoria Hospital

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      Monckeberg medial calcific sclerosis (MCS) is a ring-like calcification of the vascular media of small to medium sized vessels without associated intimal thickening. Almost exclusively, MCS is the underlying condition in what is referred to as breast arterial calcification (BAC) detected at mammography. BAC is a relatively common finding. The classic radiographic pattern of BAC is the “railroad track” pattern, which appears as linear parallel calcifications, and is a reflection of the circumferential pattern of calcification in MCS1; it is easily interpreted as benign.

      We recently encountered an atypical microcalcification pattern of MCS mimicking malignancy in …

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