Transcript Mammography

MAMMOGRAPHY
Spring 2011
MAMMOGRAPHY FACTS
 ____
in _____ women who live to _____ will develop
breast cancer
 Most
common malignancy in women, only lung
cancer kills more women

_______________________________________________
 Before
Mammo fewer than_____ of pt’s survived
___years after diagnosis with a ________recurrence

With a radical mastectomy survival increased to______
with a _______________recurrence
GOAL OF MAMMOGRAPHY


Detect cancer before it is ________________
Early detection, __________________ and treatment is
the key to a favorable ________________
HOW WOULD YOUR FAMILY FEEL
WITH YOU MISSING FROM THE
FAMILY PICTURE?
HOW WOULD YOU FEEL ABOUT
YOUR FATHER, BROTHER OR
MOTHER MISSING FROM THE
FAMILY PICTURE?
ANATOMY OF THE BREAST




Vary in ________________
Cone shaped with the post
surface (base) overlying the
_______& _______ muscles
Axillaries tail extends from
________ to ____________
Tapers ant. from the base
ending in ______________
surrounded by areola
FEMALE BREAST
 Consists
of _______
lobes



Divide into several
lobules
Lobules contain
_____ draining ducts
and ______________
By _______________
years each breast
contains hundreds of
lobules
LYMPH NODES
 Lymphatic
vessels of
the breast drain
laterally and
medially

______ into the axillary

_________ into the
mammary lymph
nodes
lymph nodes (C & D)
 ______drain toward
axilla

_______toward
mammary chain (F)
QUADRANTS OF THE BREAST
3 TISSUE TYPES
BREAST CHANGES WITH AGE
BREAST CLASSIFICATIONS
FIBRO-GLANDULAR BREAST
 Fibro-glandular
Dense with very little
fat
 Females ___________
years of age



Or ______ years or older
without children
__________________
FIBRO-FATTY BREAST
 ________________

Average density
_______ fat &
_______fibro-glandular
 Women ________years of
age


Or women with ________
or more children
FATTY BREAST
 Fatty


____________ density
Women
__________________
(postmenopausal),
men and children
POSITIONING
OUCH! WHY COMPRESSION?
 Two
Reasons:

Decrease __________
of breast tissue

Reduce ____________
CRANIO- CAUDAD :CC
DIAGRAM OF PROPER CC
POSITIONING
CC IMAGES
MEDIO-LATERAL
OBLIQUE:
MLO
MLO DIAGRAM FOR
PROPER POSITIONING
MLO PROPERLY POSITIONED
BILATERAL MLO
BREAST IMPLANTS
ARE THEY WORTH IT?
COMPLICATION WITH BREAST
AUGMENTATION

Mammography has a__________ true positive rate for
detecting breast cancer in those women without
implants

Decreases to _________with implants



Because__________________ of breast tissue is obscured
More images are needed than the standard two
projections
There is a risk of ______________________ the implant
ELKLAND METHOD FOR IMAGING
WITH BREAST IMPLANTS
IMAGE COMPARISON
WHICH IS THE PUSH BACK
(ELKLAND)?
MALE MAMMOGRAPHY AND
CANCER
MALE MAMMOGRAPHY

___________ men get breast cancer per year

__________die
Most are _________________ years or older
 Nearly all are primary tumors
 Symptoms include:





___________________
___________________
___________________
___________________
_______________________________
Benign excessive development of male mammary
gland
 Occurs in ___________________ of male cancer pt’s
 Survival rates with treatment are_______ for ___years

CONE MAGNIFICATION
CONE MAGNIFICATION
DIGITAL VS. FILM
LOCALIZATION OF
NON-PALPABLE LESIONS
LOCALIZATION
__________________________________
__________________________
__________________________
__________________________________
ADVANTAGES OF STEREOTACTIC

Procedure done in __________________________

Approx. 1 hour long

___________________________inch long incision

No _______________________________ needed

No general anesthesia

Less _____________________________ scarring

No recovery time
CONTRAINDICATIONS

_________________________ near area of biopsy.

Breast lesion ____________________to chest wall.

Patient is on blood thinners such as ___________,
______, ________ which can result in hemorrhage
.

Patient has medical condition in which they
cannot lie prone for an hour or so.
__________________________________
BREAST SPECIMEN RADIOGRAPHY
_______________
______________________
OTHER INVASIVE BREAST
PROCEDURES
__________________________________
GALACTOGRAPHY / DUCTOGRAPHY
INDICATIONS OF GALACTOGRAPHY
Nipple
Discharge

______, ________, __________, _________&___________

Can be considered benign or malignant

Approx ________________bloody discharges = cancer

Other causes can be a ______________________ (shows as a
filling defect on film)

_________________discharge more worrisome than if
discharge must be expressed manually
______________________________________
 ____________
 Could
defect
be an
indication of
________________
OTHER IMAGING MODALITIES
__________________________________
BREAST ___________________
MRI VS MAMMO
MRI VS. MAMMO
DIGITAL VS. CONVENTIONAL
DIGITAL VS. CONVENTIONAL