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11 Cards in this Set

  • Front
  • Back
Benign Lesions with Typical Appearances
Lipoma
Fibroadenoma
Intramammary Lymph Node
Lipid Cyst
Single wellfefined soft Tissue Opacit
Benign Cyst
fibroadenoma
Intrammamary lymph node
skin lesion
Papilloma
galactocele
hamartoma
nipple not in prophile

Malignant
Cystosarcoma phylloides
carcinoma
Multiple Well Defined Soft Tissue opacities
cysts
fibroadenomas
skin lesions
silicone injections
Intramammary lymph nodes
Mets
Large > 5cm well Defined Opacity
giant cyst
giant fibroadenoma
sebaceous cyst
cystosarcoma phylloides
Benigh Conditions that Mimic Malignancy
Microcalcification (sclerosing adenosis (one/both breasts widely seperated opacities)
Suspcious soft tissue opacity
i)fibroadenoma when 1 marnin ill defined
ii) fat necrosi ill defined, sometimes radiolucen t center
iii) post biopsy scar
iv) radial scar
v) plasma cell mastitis
vi) hematoma
vii) summation of norman tissues
viii) irregular skin lesion
Carcinoma
Primary features
1)Opacity ill defined, spiculated outline, comet tail, usually dense
2) Microcalcificaton mixture of sizes and shapes; linear branching, punctate cluster arrangement. Eccentric to/or outside soft tissue opacity

Secondary Feature
1) Distortion adjacent tissues, obliteration syncutaneous retromammary spaces
2) skin, nipple retraction
edema
halo
Duct dilation
Venous engorgement
Edematous Breast
Signs on Mamography
diffuse incraesed density
skin thickening
Course reticular apttern
promint Cooper's ligament

Causes
Inflammatory carcinoma
Rx
Lymphatic obstruction
Venous obstruction
recent surgery
breast Abcess
Ultrasound in Breast Disease

Uses and indication
Dense parechyma
breast tenderness
breat implant
equivical mamography
biopsy, localization guidance
Ultrasound in Breast Disease

Typical appearances of Carcinoma
poorly reflective mass
ill defined mass
heterogenous internal pattern
absent 'far wall' echo
posterior acoustic shadowing
Ultrasound in Breast Disease

Typical appearances of Cysts
round, oval in shape
well defined
anechoic
posterior wall enhancement
posterior acoustic enhancement
Ultrasound in Breast Disease

Typical appearances of Fibroadenoma
Rounded or Oval (may be lobulated)
poorly reflective
homogenous wcho pattern
variable posterior echo pattern