Aims and objectives
We know that US has the tendency to underestimate the size of breast malignancies ( Fig. 1 ),
particularly in the case of: lobular tumors “vertical” lesions (back shadow) retroareolar lesions spiculated lesions non mass-like lesions lesions with large in situ components. Back-shadowing is present in 35% of breast cancers,
is not specific for malignancy,
and correlates with the desmoplastic reaction ( Fig. 2 ).
The hyperechoic peritumoral halo may be thick or thin and is due to the tumor...
Methods and materials
Our study was: Monocentric (National Cancer Institute) Prospective Not randomized Correlated with MRI Standard: pathology. Both nodular and infiltrating lesions were considered,
even if multiple (plurifocal). Inclusion criteria were the followings: patients scheduled for breast surgery BI-RADS 5 and 6 (malignant breast lesions confirmed at preoperative cytology – suspected breast cancer confirmed at postoperative histology) absence of any contraindication to contrast-enhanced breast MRI...
We enrolled 22 pts.
not consecutive undergoing radical mastectomy,
or wedge resection.
Two cases were excluded for incompleteness or inadequacy of the preoperative data and one case was excluded because the suspicion of malignancy was not confirmed at final pathology.
The final study group consisted of 23 malignant lesions (1-4/pt.,
mean 1.2) in 19 patients (26-88 years old,
mean 56). The location was: 10 central 8 retro-parareolar 5 peripheral. The morphological pattern was:...
It is known that all imaging modalities may have difficulties in accurately measuring breast cancer ( Fig. 24 ).
A recent article has evaluated the potential application of elastography to measure breast cancer ( Fig. 25 ).
There was no significant advantage of elastography,
although a tendency was apparent.
Elastography had a lower interobserver variability in comparison with US.
did not considered however MRI and included benign lesions too.
In a small study US was...
MD, Dept of Radiology I, National Cancer Institute,
Italy firstname.lastname@example.org Roberta Fusco,
BiomedicalEngineer, Dept of Radiology I, National Cancer Institute,
Italy MaurizioDi Bonito,MD, Dept of Pathology, National Cancer Institute,
MD, Dep of Radiology,
Private Institute, Naples,
Italy Vittoria Nunziata, L'Aquila University, L'Aquila,
Italy SalvatoreFilice,MD, Dept of...
1. BalleyguierC,Ciolovan L,Ammari S,Canale S,Sethom S,Al Rouhbane R,Vielh P,Dromain C.
Breastelastography: the technicalprocessand its applications.
Diagn IntervImaging.2013 May;94(5):503-13.
EFSUMBguidelines and recommendations on the clinical...