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13 Cards in this Set
- Front
- Back
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Lesions to consider with dense breasts |
Fibromatosis
Focal Fibrosis Diabetic Fibrous Mastopathy Pseudoangiomatous Stromal Hyperplasia (PASH |
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differential diagnosis of tumors showing cystic and solid components on US includes
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phylloides tumor,
infected cyst, organizing hematoma, fat necrosis, papillary carcinoma, medullary carcinoma colloid carcinoma. SCC can also be included in this differential although it is rare. |
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Skin lesions to be aware of include those associated with
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Gardner syndrome,
cutaneous metastatic disease, lipomatosis, steatocystoma multiplex, neurofibromatosis leiomyomas, glomangiomas, xanthomatosis cytercercosis. |
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lymph node calcifications
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Granulomatous disease
Fat necrosis Metastatic disease Tattoo (pigments) Gold deposition Breast cancer |
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Differential diagnoses for artifacts on mammography:
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Technical factors:
Related to processor Dirt on roller Contaminated developer Equipment malfunction Darkroom cleanliness Patient-related factors: Jewelry Life support devices Cosmetic use Cutaneous lesions like seborrheic keratosis and sebaceous cysts Suboptimal positioning, suboptimal compression, incorrect use of equipment, errors in developing and handling film by personnel |
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DDX fluid containing breast masses |
Breast hematoma
Simple cyst Abscess Galactocele Necrotic malignancy Intracystic carcinoma Intracystic papilloma |
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DDX of a breast mass in pregnancy and during lactation includes a
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growing fibroadenoma,
cancer, mastitis or abscess, galactocele. lactating adenoma |
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Differential considerations for a completely fat-containing breast lesion include
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lipoma,
galactocele oil cyst. |
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Partially fat-containing masses include
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hamartomas,
intramammary lymph nodes, angiolipomas hibernomas |
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DDX Granulomatous Mastitis |
infectious mastitis from bacterial, tuberculosis, or fungal etiology. |
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DDX Spiculated Mass |
Spiculated Mass Presentation: * Invasive ductal carcinoma* Invasive lobular carcinoma * Radial scar * Fat necrosis * Granular cell tumor * Fibromatosis * Diabetic mastopathy |
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DDX Circumscribed Mass |
Circumscribed (Early Stage) Mass Presentation: * Invasive cuctal carcinoma* Papillary carcinoma * Medullary carcinoma * Mucinous carcinoma * Lymphoma * Metastasis * Benign: fibroadenoma, intramammary lymph node, dermal lesion |
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DDX Dermal Breast Calcifications |
dermal calcifications on mammography include systemic manifestations such as chronic renal failure, osteoma cutis, or hypercalcemic states. Dermal calcifications may also result from specific nipple/areolar etiologies such as mammary duct ectasia, cutaneous horn of the nipple, abscess of Montgomery gland, Paget disease of the breast, primary lymphoma, and breast carcinoma. Tatoos! |
