Breast imaging Flashcards
Survival of breast cancer correlates to __ of tumor and __ involvement
__ dx is important
BC found by clinical/self breast exam typically __ to __ cm and more likely to have spread to ____
Thus, tx of node positive BC is more ___
size, nodal
early
2-2.5cm, axillary LN
aggressivw
Mammography benefits
Reduce \_\_\_ Less \_\_\_ from tx Less extensive \_\_\_ less freq \_\_ and \_\_\_ less aggressive
Goal of screening
find it __ and __
mortality morbidity surgery chemo/radiation chemo
early/small
Screening mammogram
Performed in women wout __/__ of BC
only opportunity to detect ___
only screening test to reduce mortality from __ in women
Annual mammogram starts at __ in avg risk women
Node negative cancers lead to better ___ and less ___
signs/sx
clinically occult BC
BC
40
survival, tx
___ view shows the greatest amount of breast tissue
this includes the ___ which is not seen in CC view
May fail to show deep tissue in __ aspect of breast
CC view should show as much __ as possible, with emphasis on ___
MLO
axillary tail
medial
breast tissue, medial tissue
BIRADS
descriptors designed to predict __ and __ dz
eliminate ___
allow __
Facilitate ___ w clinicians
Reports organized for
B
Description of __
Decision based ___
0 1 2 3 4 5 6 indication
benign/malignant
ambiguity
data collection
communication
breast density
findings
assessment
incomplete neg benign probably benign suspicious high suggestion for malig known cancer
0 indicates need for ___
1/2 indicates ___
if 0, patient will be scheduled for ___ and/or ___
Coarse, popcorn like morphology indicate
this is __
oil cyst is ___
further imaging
routine screening
dx mammogram, breast US
fibroadenoma
benign
benign
Dx mammography pts called back from screening for detected abnormality: A M M A
Pt who presents w \_\_ and \_\_\_ of BC such as P A F N
Views
S
M
90 degree __
assymetry
mass
microCa
architectural distortion
sx/signs
palpable mass
area of thickening
focal pain
nipple discharge
spot compression
magnification
lateral view
Spot compression used to determine if finding is __ or ___
greater reduction in ___ of localized area, improves ___
Performed in projection that ___
superimposition should
Magnification uses
helps to provide addtl info on ___ of definite mass
Fine, linear branching calcifications may be seen w
real, superimposition
thickenss, separation
best shows lesion
disappear
full paddle/spot compression
margins
DCIS
Indications for breast US
female less than ___
During ___ or ___
Eval masses p
seen on __ or __ for 2nd look
Guide ___
Evaluate ___
Eval __ for LN mets
30
preg, lactation
palpable
MRI, mammo
interventional procedures
implants
axilla
Mass margin of US
C Noncircumscribed I A M S
judge by
Fibroadenoma appears as
circumscribed indistinct angular microlobulated spiculated
worst feature
simple cyst
Dx mammogram for pt >__
w P
F
N
usually followed w
30yrs
palpable mass
focal pain
nipple discharge
breast US
