DR (MRS) AUGUSTINA BADU-PEPRAH

MB Ch B, FWACSRADIOLOGIST

KATH

Breast cancer

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MAMMOGRAMDUCTOGRAPHYMRIULTRASOUND

Ultrasound equipment

Linear probeFreq of 7.5-9MHZ

ULTRASONOGRAPHY

RT/LT RADIAL/ANTIRADIAL DISTANCE FROM NIPPLE;CM FN1.Breast composition2.Symmetry3.Focal masses4.?Calcification5.Axillary LN

Screening Guidelines for the Early Detection of

Breast Cancer, American Cancer Society

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Yearly mammograms are recommended starting at age 40.

A clinical breast exam should be part of a periodic health examination, about every 3 years for women in their 20s and 30s. Asymptomatic women aged 40 and older should continue to undergo a clinical breast exam, preferably annually*.

Beginning in their early 20s, women should be told about the benefits and limitations of breast-self examination. Women should know how their breasts normally feel and report any breast changes promptly to their health care providers.

__________ * Beginning at age 40 years, annual CBE should be performed prior to mammography

Usg preferred below 30yrsDue to breast compositionCarcinogenic nature of x-rays

BENIGN FEATURES MASS1.Well defined2.Smooth margins3.Fatty content

CALCIFICATION1.Tramline and tortuous; arterial2.Smooth and round with lucent centre3.Thick rod-like 4.Egg-shell5.Pop corn6.Large calcific opacity

MALIGNANT FEATURES

MASS1.Spiculated margins2.Ill defined3.?Architectural distortion4.Skin thickening5.?Nipple retraction6.?Retraction of pectorialis muscle

CALCIFICATION1.Micro calcification2.Mixture of sizes and shapes3.Cluster 4.Haphazard arrangement5.Linear branching patterns

BI-RADS

Category 0 (needs additional imaging evaluation)

Category 1 (negative- nothing to comment on)

Category 2 (Benign finding) Category 3 (Probably benign finding) Category 4 (Suspicious abnormality) Category 5 (Highly suggestive of malignancy)Category 6(histologically known malignancy)

BENIGN

Ultrasound features of malignancy

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Inflammatory breast disease

SUBTLE CHANGES THAT CAN BE MALIGNANT

Group of calcification

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