Mammogram Cases

8/17/2019 Mammogram Cases

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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)

Mammogram Cases

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