Breast Flashcards
Minimum size of breast ca that can be felt on PE
1.5-2 cm
Only imaging modality that has been proven to reduce breast CA mortality
Mammography
Most important characteristics to be assessed
Margins of Mass
Breast abscess commonly seen in
Subareolar areas in lactating women
Halo sign
Benign
Mc well defined solid mass seen on mammography
Fibroadenoma
Mc primary cancer to produce breast metastasis
Melanoma
Lipomas and oil cysts are
Benign
Lucent with surounding capsule
Oil cyst
Lipomas
Result of trauma
Oil cyst
Mixed fat and water density mass
Hamartoma
Long and thick calcifications that radiate toward the nipple
Secretory calcifications
Fine linear branching calcifications
Malignant
Multiple bilateral clusters of clacification
Benign or malignant
Benign
Malignant calcifications are generally less than
0.5 mm
Increase in breast density with skin thickening
Inflammatory carcinoma
Benign calcifications
With lucent center
Located in skin
Curvilinear or linear shape
Clustered, pleimorphic microcalcifications
Breast CA
Need additional imaging
BI RADS 0
Negative
No significant findings on mammograms
BI RADS 1
Benign finding
BI RADS
BI RADS 2
Probably benign
Birad
BI RADS 3
Short ff up
6 mos
Suspicious abnormality
BI RADS 4
Biopsy should be done
Highly suggestive of malignancy
Spiculated masses and pleomorphic cluster
Birads
BI RADS 5
BIRADS 6
Known malignancy