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22 Cards in this Set

  • Front
  • Back
Magnification Views:
Dose
Contrast
Exposure
Mag views have higher dose and exposure time.

Contrast is same.
Tubular Carinoma:
Who?
Tubular carcinoma is most common in women aged 40–60 years
Tubular Carcinoma:
Prognosis?
The prognosis for pure tubular carcinoma is excellent
Tubular Carcinoma:
Mammogram findings?
Like a radial scar...

-translucent, oval or circular areas at the center of the radiating structure
-long, thin spicules and clumped spicules
Inflammatory Breast Carcinoma:
Who?

How Common?

Where?
Women, avg age 52.

1-4% of cancers.

Left breast more common.
Inflammatory Breast Carcinoma:
Prognosis?
Poor
Inflammatory Breast Carcinoma:
Mammogram Findings?
Mass
Calcifications
Increased Density
Stromal and skin thickening
Lobular Carcinoma:


How Common?

Where?
5-10 % of breast cancers


often multifocal and bilatera.
Lobular Carcinoma:
Histology?
linear arrays of cells

extraductal
Lobular Carcinoma:
Mammogram Findings:
architectural distortion

asymetric density

Microcalcifications are RARE
Medullary Breast Cancer:
Frequency

Age?
5%


Younger women
Medullary Breast Cancer:
Mammographic Findings
Round or Oval mass

Lobulations/Serrations at Margin

Noncalcified
Focal asymetric density
It is visible as asymmetry of tissue density with similar shape on two views, but completely lacking borders and the conspicuity of a true mass
Architectural distortion
Distorted with no definite mass visible.

Includes:

Spiculations radiating from a point

Focal retraction or distortion of the edge of the parenchyma
Eggshell / Rim Calcifications
thin calcified capsules of spherical BENIGN lesions in the breast.

-usually cysts, but fibroadenomas may sometimes calcify in a fine, rim like fashion.

-delicate, lace-like

-may compromise ultrasound
MILK OF CALCIUM
-precipitated, amorphous calcium particles, floating within small cysts

-tea cup appearance
DYSTROPHIC
irregular, dense, sometimes inhomogeneous, appear in post-irradiated breast or following trauma, including surgery.
PUNCTATE CA++
-small, less than 5 mm.
-regular, dense, pinpoint, round or oval deposits.
-represent involuting breast structures
-BIRADS II
AMORPHOUS or INDISTINCT CA++
-Round, flake-shaped, small and hazy, calcifications that do not change position
-may be innumerable small particles glued together on mag views
-Intracystic calcifications v adenosis v cancer
BIRADS III or IV
HETEROGENEOUS or PLEOMORPHIC CA++
-granular, comma-shaped, pointed, fine linear interrupted or branching types, which can be irregular in shape and of different size
-BIRADS IV or V
CASTING CA++
-distinctive fine, linear, branching pattern
-formed by necrotic tissue in duct
-BIRADS V
Architectural distortion without calcification or mass
Invasive lobular carcinoma