Paget's disease of the breast other imaging findings: Difference between revisions

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==Other Imaging Findings==
==Other Imaging Findings==
===Mammogram===
===Mammogram===
Recommended tests are a [[mammogram]] and a [[biopsy]] to confirm the diagnosis, and cytology may also be helpful.
In clinical suspicion of Paget's disease of the breast, mammography can help to detect the underlying malignancy. Mammography findings include:<ref name="GaspariRicci2013">{{cite journal|last1=Gaspari|first1=Eleonora|last2=Ricci|first2=Aurora|last3=Liberto|first3=Valeria|last4=Scarano|first4=Angela Lia|last5=Fornari|first5=Maria|last6=Simonetti|first6=Giovanni|title=An Unusual Case of Mammary Paget’s Disease Diagnosed Using Dynamic Contrast-Enhanced MRI|journal=Case Reports in Radiology|volume=2013|year=2013|pages=1–5|issn=2090-6862|doi=10.1155/2013/206235}}</ref>
In clinical suspicion, mammography can help to detect the underlying malignancy. Mammography findings include:<ref name="GaspariRicci2013">{{cite journal|last1=Gaspari|first1=Eleonora|last2=Ricci|first2=Aurora|last3=Liberto|first3=Valeria|last4=Scarano|first4=Angela Lia|last5=Fornari|first5=Maria|last6=Simonetti|first6=Giovanni|title=An Unusual Case of Mammary Paget’s Disease Diagnosed Using Dynamic Contrast-Enhanced MRI|journal=Case Reports in Radiology|volume=2013|year=2013|pages=1–5|issn=2090-6862|doi=10.1155/2013/206235}}</ref>
*Skin thickening
*Skin thickening
*Malignant [[calcification]]
*Malignant [[calcification]]
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*Nipple retraction
*Nipple retraction


However, the literature reports that the mammography can be negative in 22%–50% of patients. As underlying carcinoma is common even in women with a benign mammogram and no palpable mass, the breast US and MRI may be useful in detecting the lesion. US can be considered a part of initial evaluation and helpful for increasing sensitivity of mammography.
However, the literature reports that the mammography can be negative in 22%–50% of patients. As underlying carcinoma is common even in women with a benign mammogram and no palpable mass, the breast ultrasound and MRI may be useful in detecting the lesion. Ultrasound can be considered a part of initial evaluation and helpful for increasing sensitivity of mammography.


==References==
==References==

Revision as of 20:06, 14 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Other Imaging Findings

Mammogram

In clinical suspicion of Paget's disease of the breast, mammography can help to detect the underlying malignancy. Mammography findings include:[1]

  • Skin thickening
  • Malignant calcification
  • Masses at the level of the nipple
  • Architectural distortion
  • Nipple retraction

However, the literature reports that the mammography can be negative in 22%–50% of patients. As underlying carcinoma is common even in women with a benign mammogram and no palpable mass, the breast ultrasound and MRI may be useful in detecting the lesion. Ultrasound can be considered a part of initial evaluation and helpful for increasing sensitivity of mammography.

References

  1. Gaspari, Eleonora; Ricci, Aurora; Liberto, Valeria; Scarano, Angela Lia; Fornari, Maria; Simonetti, Giovanni (2013). "An Unusual Case of Mammary Paget's Disease Diagnosed Using Dynamic Contrast-Enhanced MRI". Case Reports in Radiology. 2013: 1–5. doi:10.1155/2013/206235. ISSN 2090-6862.

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