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Atlas of breast cancer early detection

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Case number:141
Age:47
Clinical presentation:Premenopausal woman with increased risk of developing breast cancer in view of family history of breast carcinoma, presented for mammography screening. Examination did not reveal any lump or palpable lesion.


Mammography:





Mammography assessment:

Mammography features:
Breast composition:
 ‣ Location of the lesion:
   • Laterality:
   • Quadrant:
   • O'clock:  01:  02:  03:  04:  05:  06:
 07:  08:  09:  10:  11:  12:
 Central zone:
   • Zone:
 ‣ Mass:
   • Number:
   • Size:
   • Shape:
   • Margins:
   • Density:
 ‣ Calcifications:
   • Typically benign:
      ⁃ Skin:
      ⁃ Vascular:
      ⁃ Coarse or “popcorn-like”:
      ⁃ Large rod-like:
      ⁃ Round:
      ⁃ Rim:
      ⁃ Dystrophic:
      ⁃ Milk of calcium:
      ⁃ Suture:
   • Suspicious:
      ⁃ Amorphous:
      ⁃ Coarse heterogeneous:
      ⁃ Fine pleomorphic:
      ⁃ Fine linear or fine-linear branching:
   • Distribution:
      ⁃ Diffuse or scattered:
      ⁃ Regional:
      ⁃ Grouped or clustered:
      ⁃ Linear:
      ⁃ Segmental:
 ‣ Architectural distortion:
 ‣ Asymmetry:
 ‣ Intramammary node:
 ‣ Skin lesion:
 ‣ Solitary dilated duct:
 ‣ Associated features:
   • Skin retraction:
   • Post-operative skin retraction:
   • Skin thickening:
   • Nipple retraction:
   • Trabecular thickening:
   • Architectural distortion:
   • Calcifications:
   • Axillary lymphadenopathy:



Ultrasound:




Ultrasound assessment:

 ‣ Location of the lesion:
   • Laterality:
   • Quadrant:
   • O'clock:  01:  02:  03:  04:  05:  06:
 07:  08:  09:  10:  11:  12:
 ‣ Mass:
   • Number:
   • Size:
   • Shape:
   • Orientation:
 ‣ Margins:
   • Circumscribed:
   • Indistinct:
   • Angular:
   • Microlobulated:
   • Spiculated:
   • None:
 ‣ Echo pattern:
 ‣ Posterior features:
 ‣ Calcifications:
 ‣ Associated features:
   • Architectural distortion:
   • Duct changes:
   • Skin changes:
      ⁃ Skin thickening:
      ⁃ Skin retraction:
   • Oedema:
   • Vascularity:
      ⁃ Internal vascularity:
      ⁃ Vessels in rim:
 ‣ Special case:



Case summary:



BI-RADS:


Further assessment advised:




        
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