Breast lumps other imaging findings: Difference between revisions
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Normal mammographic features regarding to palpable mass do not rule out malignancy.Therefore; further ultrasound is needed to be performed <ref>William E. Barlow, Constance D. Lehman, Yingye Zheng, Rachel Ballard-Barbash, Bonnie C. Yankaskas, Gary R. Cutter, Patricia A. Carney, Berta M. Geller, Robert Rosenberg, Karla Kerlikowske, Donald L. Weaver, Stephen H. Taplin; Performance of Diagnostic Mammography for Women With Signs or Symptoms of Breast Cancer, JNCI: Journal of the National Cancer Institute, Volume 94, Issue 15, 7 August 2002, Pages 1151–1159, https://doi.org/10.1093/jnci/94.15.1151</ref> | Normal mammographic features regarding to palpable mass do not rule out malignancy.Therefore; further ultrasound is needed to be performed <ref>William E. Barlow, Constance D. Lehman, Yingye Zheng, Rachel Ballard-Barbash, Bonnie C. Yankaskas, Gary R. Cutter, Patricia A. Carney, Berta M. Geller, Robert Rosenberg, Karla Kerlikowske, Donald L. Weaver, Stephen H. Taplin; Performance of Diagnostic Mammography for Women With Signs or Symptoms of Breast Cancer, JNCI: Journal of the National Cancer Institute, Volume 94, Issue 15, 7 August 2002, Pages 1151–1159, https://doi.org/10.1093/jnci/94.15.1151</ref> and only 57% of women with palpable breast lumps and normal mammographic features received further evaluation <ref> | ||
Constance D. Lehman, Amie Y. Lee, and Christoph I. Lee | |||
American Journal of Roentgenology 2014 203:5, 1142-1153 </ref> | |||
==References== | ==References== |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Other Imaging Findings
Mammography
Mammography is considered as the first and mainstay for evaluation of palpable masses in women over 40 years[1] [2]
Diagnostic mammogram contains particular views by focal compression of specific part of breast tissue[3]
Indication of diagnostic mammography:
- Breast symptoms such as palpable masses
- Positive history of breast cancer in last 5 years
- Required additional imaging due to abnormal screening mammogram including(calcification, masses, architectural distortion, asymmetries)
There is standard method for reporting mammographic findings which is called breast imaging reporting and database system(BI-RADS).
Category | Assessment | Follow-up |
---|---|---|
0 | Required additional imaging evaluation | Additional imaging findings are required to classify in specific category |
1 | Negetive | Annual screening mammograms (age>40 years) |
2 | Benign | Annual screening mammograms (age>40 years) |
3 | Probably benign | Every 6 months follow-up (risk of malignancy<2%) |
4 | Suspicious abnormality | Biopsy should be considered (2%-95% risk of malignancy) |
5 | High suggestive of malignancy | Biopsy is required (>95% chance of malignancy) |
6 | Known cancer | Biopsy is required to prove malignancy |
Normal mammographic features regarding to palpable mass do not rule out malignancy.Therefore; further ultrasound is needed to be performed [4] and only 57% of women with palpable breast lumps and normal mammographic features received further evaluation [5]
References
- ↑ Smetherman DH (2013). "Screening, imaging, and image-guided biopsy techniques for breast cancer". Surg Clin North Am. 93 (2): 309–27. doi:10.1016/j.suc.2013.01.004. PMID 23464688.
- ↑ Lehman CD, Lee AY, Lee CI (2014). "Imaging management of palpable breast abnormalities". AJR Am J Roentgenol. 203 (5): 1142–53. doi:10.2214/AJR.14.12725. PMID 25341156.
- ↑ 3.0 3.1 Shikhman R, Keppke AL. Breast, Imaging, Reporting and Data System (BI RADS) [Updated 2018 Oct 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459169/
- ↑ William E. Barlow, Constance D. Lehman, Yingye Zheng, Rachel Ballard-Barbash, Bonnie C. Yankaskas, Gary R. Cutter, Patricia A. Carney, Berta M. Geller, Robert Rosenberg, Karla Kerlikowske, Donald L. Weaver, Stephen H. Taplin; Performance of Diagnostic Mammography for Women With Signs or Symptoms of Breast Cancer, JNCI: Journal of the National Cancer Institute, Volume 94, Issue 15, 7 August 2002, Pages 1151–1159, https://doi.org/10.1093/jnci/94.15.1151
- ↑ Constance D. Lehman, Amie Y. Lee, and Christoph I. Lee American Journal of Roentgenology 2014 203:5, 1142-1153