mammogram cases
TRANSCRIPT
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Mammogram
Cases
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adenoma
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benign
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Ca
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Ca,niple inversion
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Colloid ca
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cyst
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Extravasated
silicone
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fibroadenoma
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fibroadenosis
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adenosis
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Sclerosing adenosis
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fibrocystic
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Fibrous nodules
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Intracystic
papillary ca
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Papilloma ductogram
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aged 36, ump !it" local inflammatory c"anges
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# Infected sebaceous cyst
# Topography: very superficialTopography: very superficial
# US: Hypoechoic cyst with hyperechoicUS: Hypoechoic cyst with hyperechoicspots in the wallspots in the wall
# Mammogram : Comet tail with the skinMammogram : Comet tail with the skin
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aged $6, %ery &ard ump fixed to t"e s'in(
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PilomatrixomaEpit"elioma of Mal"erbeEpit"elioma of Mal"erbe
)enign epit"elial *umor of t"e sebaceous gland)enign epit"elial *umor of t"e sebaceous gland Clinically suspect because "ard roc' consistence at palpationClinically suspect because "ard roc' consistence at palpation
*ypical psamomatous Calcifications in old tumors*ypical psamomatous Calcifications in old tumors
Slo! evolution +ood prognostic local recurenceSlo! evolution +ood prognostic local recurence
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Patient aged -, Mammogram,
CC and M vie!(
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Mil' of Calcium
#image, t"ey are fu..y, round, amorp"ous deposits #/n t"e Medio0lateral vie!, t"ey are s"arply defined, tea0cup or crescent Sedimentation
of mil' of calcium in cysts #/n t"e CC s"aped, 1concave up2, defining t"e dependent portion of cysts( If t"e cysts
are very small t"ey may appear linear on t"e M( #)enign in 445( C7 8
http://www.uhrad.com/mamarc/mam005d.jpg
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M ul t i f o c al 9 u c t al
C ar c
i n om a
http://www.uhrad.com/mamarc/mam005d.jpg
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$3 year old !oman presents !it" a rig"t
breast lump(
http://www.uhrad.com/mamarc/mam017b2.jpghttp://www.uhrad.com/mamarc/mam017a2.jpghttp://www.uhrad.com/mamarc/mam017c2.jpg
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n excisional biopsy revealed intracystic papillary
carcinoma
# In an elderly patient even a !ell0circumscribed masss"ould be vie!ed !it" suspicion, especially if it ispalpable( *"e ultrasound findings of a complex massalso raise concern( *"e differential diagnosis of a
complex cyst is cyst !it" debris:"emorr"age, papillarylesion 1benign and malignant2, necrotic cancers andmucinous:colloid carcinomas(
# Intracystic papillary carcinomas !"en small are notevident mammograp"ically( *"ey do not produce t"e
fibrotic proliferation associated !it" ot"er forms of ductalcarcinoma( s t"e intracystic carcinomas enlarge, t"eytend to form fairly well-circumscribed masses.
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ipoma
http://www.uhrad.com/mamarc/mamm021b2.jpghttp://www.uhrad.com/mamarc/mamm021a2.jpg
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Sclerosing denosis
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Breast Imaging Reporting an !ata System "BI#R$!S% Categories
6 categories of assessment and recommendation # Category &: 'ee $itional Imaging (valuation)
# Category *: 'egativeIn this case+ there is no apprecia,le a,normality to report )
# Category -: Benign .iningThis is also a negative mammogram+ ,ut the reporting
physician chooses to escri,e a fining known to ,e ,enign )
# Category /: 0ro,a,ly Benign .ining # Short Interval .ollow#up Suggeste$ fining place in this category shoul have a very high pro,a,ility of ,eing ,enign
# Category 4: Suspicious $,normality#Biopsy Shoul Be ConsiereThese finings that o not have characteristic cancer morphology+ ,ut have a
efinite su,stantial pro,a,ility of ,eing malignant+ generally accepte to,e at least *&1+ an ieally /&1) The raiologist has sufficient concern torecommen ,iopsy)
# Category 2: Highly Suggestive of Malignancy # $ppropriate $ction Shoul Be TakenThese finings are characteristic of cancers an have a high pro,a,ility of malignancy) Biopsy is very strongly recommene)