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11 Cards in this Set
- Front
- Back
Benign Lesions with Typical Appearances
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Lipoma
Fibroadenoma Intramammary Lymph Node Lipid Cyst |
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Single wellfefined soft Tissue Opacit
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Benign Cyst
fibroadenoma Intrammamary lymph node skin lesion Papilloma galactocele hamartoma nipple not in prophile Malignant Cystosarcoma phylloides carcinoma |
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Multiple Well Defined Soft Tissue opacities
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cysts
fibroadenomas skin lesions silicone injections Intramammary lymph nodes Mets |
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Large > 5cm well Defined Opacity
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giant cyst
giant fibroadenoma sebaceous cyst cystosarcoma phylloides |
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Benigh Conditions that Mimic Malignancy
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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 |
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Carcinoma
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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 |
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Edematous Breast
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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 |
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Ultrasound in Breast Disease
Uses and indication |
Dense parechyma
breast tenderness breat implant equivical mamography biopsy, localization guidance |
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Ultrasound in Breast Disease
Typical appearances of Carcinoma |
poorly reflective mass
ill defined mass heterogenous internal pattern absent 'far wall' echo posterior acoustic shadowing |
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Ultrasound in Breast Disease
Typical appearances of Cysts |
round, oval in shape
well defined anechoic posterior wall enhancement posterior acoustic enhancement |
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Ultrasound in Breast Disease
Typical appearances of Fibroadenoma |
Rounded or Oval (may be lobulated)
poorly reflective homogenous wcho pattern variable posterior echo pattern |