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37 Cards in this Set

  • Front
  • Back
Well-defined mass
cyst, FA, CA, lymphoma, met, lymph node, papilloma, fibrosis, phyllodes tumor, skin lesion, PASH
Ill-defined mass
CA, abscess, hematoma, post-op scar, radial scar, fat necrosis
Spiculated mass
CA, fat necrosis, scar, radial scar
Multiple circumscribed masses
cysts, FA, lymph nodes, mets, papillomas
Multiple ill-defined masses
multifocal or multicentric CA or mets
Metastasis
melanoma, sarcomas, lymphoma, lung, GI, other breast
Giant solid masses
hamartoma, phyllodes tumor, giant FA, abscess
High-density
HRT, inflammatory CA, XRT, mastitis, CHF, obstruction to lymphatic or venous drainage, lactation, weight loss, trauma, estrogen-secreting tumor
Decreased density
age, weight gain, tamoxifen
Fat-containing
oil cyst, lipoma, galactocele, hamartoma, lymph node, fat necrosis
Benign calcifications
skin, vascular, coarse or popcorn-like, secretory, round, lucent-centered, eggshell or rim, milk of calcium, suture, dystrophic
Malignant calcifications
pleomorphic, fine linear, branching; distribution – clustered, segmental
Clustered punctate irregular calcs
ADH, well-differentiated DCIS, hyperplasia, sclerosing adenosis, FA, early vascular calcs, multiple papillomas, fat necrosis, artifact
Architectural distortion
CA, fat necrosis, scar, radial scar
Nipple retraction
acquired with age, congenital, tumor, inflammatory
Trabecular thickening
edema, lymphatic obstruction, SVC obstruction, mastitis, inflammatory CA, postlumpectomy or postradiation changes, trauma
Diffuse skin thickening
edema, lymphatic obstruction, SVC obstruction, diffuse mastitis, inflammatory CA, postsurgical or postradiation changes
Focal skin thickening
CA, skin lesions, mastitis, prior trauma or biopsy, fat necrosis, Mondor’s disease
Skin lesions
sebaceous cyst, seborrheic keratosis, keloids, NF
Axillary adenopathy
CA, lymphoma, leukemia, sarcoid, CVD, inflammation, infection, mets, HIV
Nodal calcifications
mets (most common), lymphoma, RA with prior gold injections
Dense soft tissue calcifications
silicone granulomas, scleroderma, herbal duct treatment, radiation implant therapy
Benign on US
hyperechoic, wider than tall, gentle bilobed or trilobed, thin echogenic pseudocapsule
Malignant on US
marked hypoechogenicity, spiculation, angular margins, taller than wide, shadowing, microlobulation, calcifications, branch pattern, duct extension
Implants
types – saline or silicone, single or double lumen; location – subglandular or subpectoral; rupture – intracapsular or extracapsular
Nipple discharge
papilloma (#1), duct ectasia, intraductal CA, papillomatosis, fibrocystic changes
Tubular density
dilated duct, Mondor’s disease
Male breast enlargement
gynecomastia (#1), abscess, lipoma, sebaceous cyst, CA
Gynecomastia
chronic liver disease, drugs (estrogen, cimetidine, spironolactone, reserpine, marijuana, digitalis, colchicine, HIV meds), tumor (testicular, adrenal, pituitary)
Stereotactic core biopsy
compression > 3cm, must see calcs, not too superficial or deep, pt must tolerate lying prone
Excisional biopsy
ADH, radial scar, cyst with colid component, possible phylloides or papillary lesion with atypical features, noninvasive CA, incongruency between rad and path
Neoadjuvant chemotherapy
>2cm mass or area of calcs, inflammatory CA, axillary nodal mets or distant mets
MRI
implant rupture, dense breasts, known multicentric lesions, search for occult primary, assess response to chemotherapy; CA enhances rapidly
Breast CA risk factors
age (#1), family hx (1st degree relative) or personal hx (1%/yr for 2nd breast CA), ADH (15%), LCIS (30%), XRT, BRCA gene carrier, early menarche, late menopause, nulliparity, age at 1st pregnancy >30
Mammo views
MLO, CC, 90 degree lateral, spot compression, magnification, XCCL, FB, CV, TAN, rolled view, LMO, ID
Triangulation
MLO to 90 degree lateral – medial up, lateral down; line up ML, MLO, CC using nipple as horizontal reference point and draw line through lesion
BI-RADS 3
cluster of tiny round or oval calcs; noncalcified solid nonpalpable mass with round oval or gently lobular contour and circumscribed margins; nonpalpable focal asymmetric density; miscellaneous focal findings including single dilated duct without associated spontaneous nipple discharge and subtle area of architectural distortion at known biopsy site; multiple similar lesions (either tiny calcs or circumscribed masses) randomly distributed in both breasts