Determining Tumor Size Only the invasive component Identified specific imaging modalities including MMG, US and MRI Tx T0 Tis Carcinoma in situ, with no evidence of an invasive component. Tis(DCIS) Tis(LCIS) Tis(Paget’s) : Paget’s dz of the nipple NOT associated with underlying breast cancer T1 Tumor ≤ 20mm in greatest dimension T1mi : microinvasion ≤ … Read more
Infrequent form of invasive breast carcinoma (<1%) Increased volume and induration of the breast Increased temperature, Tenderness or pain Peau d’orange or cutaneous edema, redness of the skin of at least one-third of the breast The presence of a palpable ridge at the margin of induration Inflammatory breast cancer T stage : T4d ** Primary … Read more
When you find “A spiculated mass” in mammography you should think these four differential diagnosis Radial scar Sclerosing adenosis Invasive ductal carcinoma Tubular carcinoma
Older women Slow growth, good prognosis Less frequent axillary lymph node metastasis Imaging finding
Common in older age than IDC NOS Slow growing, more favorable prognosis DCIS are found in 75% of the patients Imaging finding US : Circumscribed, isoechoic or slightly hypoechoic mass, posterior enhancement > 50% MR : High signal intensity in T2WI due to mucinous component Let’s see a case (83 year-old female) from my hospital … Read more
Younger women than IDC NOS More favorable prognosis Could be misdiagnosed as ‘fibroadenoma’ Calcification – Rare Imaging finding MG : partially circumscribed mass, calcification rare US : hypoechoic mass with posterior enhancement Let’s see a case (33 year-old woman) from my hospital confirmed as medullary carcinoma in CNB Other Circumscribed masses Medullary carcinoma, Papillary carcinoma, … Read more
An 59 year old woman presented with large right breast mass
1) mastitis/abscess 2) Galactocele 3) Lactating adnoma ➤ Most breast masses that develop during pregnancy and lactation are benign 4) Pregnancy associated cancer Breast malignancy diagnosed during pregnancy or after pregnancy upto one year Accounts 0.2 to 3% of all breast cancers Young age, associated with BRCA gene mutation Most PABC are in advanced stage … Read more
1) Fat necrosis Lucent mass with dystrophic calcifications Associated with surgery or trauma Follow up in 3-6 months : typically decrease in size 2) Oil cyst An area of focal fat necrosis becomes walled off by fibrous tissue. 3) Galactocele : Fat fluid level on 90′ lateral view M/C benign breast lesions in lactating women … Read more
