Images Flashcards
Describe this image
Mediolateral olblique views
obvious spiculate mass in right breast - highly suspicious of malignancy
not possible to tell which quadrant the lump is in without CC (cranial caudal) view - need both views
Describe this image
the lump on the left has an irregular shape, ill defined margine and invades across normal tissue planes - malignant
whereas
the lump on the right has a rounded shape, sharply defined margin and the mass pushs normal tissue planes out of the way - benign
What are these
Montgomerys tubercles - sebaceous glands in the areola around the nipple. Normal finding
may be more pronounced in pregnancy
Describe this image
very dense breasts
fibroglandular tissue appears white on mammogram
breast density is a risk factor for cancer and can make it more difficult to detect any breast cancers that do arise
Describe this image
very fatty breasts
fatty tissue makes up a large proportion of breast
what does this image show
fluid collection within breast inkeeping with an absecess
also skin thickening and surrounding oedema
what does this image show
Inflammatory breast cancer
rare form of breast cancer
in which cancer cells grow along the lymph vessels causing breast to become inflammed and swollen
can mimic mastitis and breast abscess
what does this show
normal lactating breast ducts
what does this show and what should we do now they’ve been seen
microcalcifications (not seen well on US)- small specks of caclium salts in the breast tissue
too small to feel, dont cause pain
common and can devlop naturally as breast ages
can also be seen in association with benign changes, in response to trauma or DCIS
TRIPLE ASSESSMENT NEEDED
describe this image and what is the likely diagnosis
solid mass with an ovoid shape and well defined margin
typical fibroadenoma
triple assessment still needed unless <25 and clinical and US features are benign
what does this show
calcified fibroadenoma
postmenopausal woman
‘popcorn calcification’
describe the image and give probably diagnosis
multiple round masses of varying size in both breasts
well defined with black ‘halo’ - benign feature
in keeping with cysts
US needed for definite diagnosis
which one is a cyst
far right
well defined rounded mass with a black (Anechoic) fluid centre
what is this
Pagets disease
can be a sign of breast cancer
it starts in the nipple and spreads out
red scaly rash often mixed up with eczema or psoriasis
