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DR (MRS) AUGUSTINA BADU-PEPRAH
MB Ch B, FWACSRADIOLOGIST
KATH
Breast cancer
04/21/23GMA CPD 2009
2
MAMMOGRAMDUCTOGRAPHYMRIULTRASOUND
Ultrasound equipment
Linear probeFreq of 7.5-9MHZ
ULTRASONOGRAPHY
RT/LT RADIAL/ANTIRADIAL DISTANCE FROM NIPPLE;CM FN1.Breast composition2.Symmetry3.Focal masses4.?Calcification5.Axillary LN
Screening Guidelines for the Early Detection of
Breast Cancer, American Cancer Society
04/21/23GMA CPD 2009
6
Yearly mammograms are recommended starting at age 40.
A clinical breast exam should be part of a periodic health examination, about every 3 years for women in their 20s and 30s. Asymptomatic women aged 40 and older should continue to undergo a clinical breast exam, preferably annually*.
Beginning in their early 20s, women should be told about the benefits and limitations of breast-self examination. Women should know how their breasts normally feel and report any breast changes promptly to their health care providers.
__________ * Beginning at age 40 years, annual CBE should be performed prior to mammography
Usg preferred below 30yrsDue to breast compositionCarcinogenic nature of x-rays
BENIGN FEATURES
MASS1.Well defined2.Smooth margins3.Fatty content
CALCIFICATION1.Tramline and tortuous; arterial2.Smooth and round with lucent centre3.Thick rod-like 4.Egg-shell5.Pop corn6.Large calcific opacity
MALIGNANT FEATURES
MASS1.Spiculated margins2.Ill defined3.?Architectural distortion4.Skin thickening5.?Nipple retraction6.?Retraction of pectorialis muscle
CALCIFICATION1.Micro calcification2.Mixture of sizes and shapes3.Cluster 4.Haphazard arrangement5.Linear branching patterns
BI-RADS
Category 0 (needs additional imaging evaluation)
Category 1 (negative- nothing to comment on) Category 2 (Benign finding) Category 3 (Probably benign finding) Category 4 (Suspicious abnormality) Category 5 (Highly suggestive of malignancy)Category 6(histologically known malignancy)
BENIGN
Ultrasound features of malignancy
04/21/23GMA CPD 2009
18
Inflammatory breast disease
SUBTLE CHANGES THAT CAN BE MALIGNANT
Group of calcification
THANK YOU