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DR (MRS) AUGUSTINA BADU-PEPRAH MB Ch B, FWACS RADIOLOGIST KATH

DR (MRS) AUGUSTINA BADU-PEPRAH MB Ch B, FWACS RADIOLOGIST KATH. Breast cancer . MAMMOGRAM DUCTOGRAPHY MRI ULTRASOUND. Ultrasound equipment. Linear probe Freq of 7.5-9MHZ. ULTRASONOGRAPHY. RT/LT RADIAL/ANTIRADIAL DISTANCE FROM NIPPLE;CM FN Breast composition Symmetry Focal masses

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DR (MRS) AUGUSTINA BADU-PEPRAH MB Ch B, FWACS RADIOLOGIST KATH

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  1. DR (MRS) AUGUSTINA BADU-PEPRAH MB Ch B, FWACSRADIOLOGISTKATH

  2. Breast cancer • MAMMOGRAM • DUCTOGRAPHY • MRI • ULTRASOUND GMA CPD 2009

  3. Ultrasound equipment

  4. Linear probe • Freq of 7.5-9MHZ

  5. ULTRASONOGRAPHY • RT/LT • RADIAL/ANTIRADIAL • DISTANCE FROM NIPPLE;CM FN • Breast composition • Symmetry • Focal masses • ?Calcification • Axillary LN

  6. Screening Guidelines for the Early Detection of Breast Cancer, American Cancer Society • 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 GMA CPD 2009

  7. Usg preferred below 30yrs • Due to breast composition • Carcinogenic nature of x-rays

  8. BENIGN FEATURES • MASS • Well defined • Smooth margins • Fatty content • CALCIFICATION • Tramline and tortuous; arterial • Smooth and round with lucent centre • Thick rod-like • Egg-shell • Pop corn • Large calcific opacity

  9. MALIGNANT FEATURES • MASS • Spiculated margins • Ill defined • ?Architectural distortion • Skin thickening • ?Nipple retraction • ?Retraction of pectorialis muscle

  10. CALCIFICATION • Micro calcification • Mixture of sizes and shapes • Cluster • Haphazard arrangement • Linear branching patterns

  11. 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)

  12. BENIGN

  13. Ultrasound features of malignancy GMA CPD 2009

  14. Inflammatory breast disease

  15. SUBTLE CHANGES THAT CAN BE MALIGNANT

  16. Group of calcification

  17. THANK YOU

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