Clinicoradiological Approach to Sonomammographic Spectrum of Breast Disorders

ABSTRACT The current cancerophobic climates surrounding breast disease affect the sequence of imaging modalities and follow-up. Neither the physician nor the patient can be sure that the palpable lump is an actual mass or an unexceptional variant and, here is the active/decisive role of a radiologist to evaluate sonomammographic appearances as per Breast Imaging Reporting and Data System Lexicon, and then assuring the patient for its benignity or asserting the necessity of further intervention. This study reviews key sonomammographic features of common and unusual benign breast disease, infections, and systemic disorders affecting breast in the female patient. How to cite this article Ahluwalia VV, Saharan PS, Chauhan A. Clinicoradiological Approach to Sonomammographic Spectrum of Breast Disorders. Donald School J Ultrasound Obstet Gynecol 2017;11(2):126-134.

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The role of E2/P ratio in the etiology benign breast disease and mastopathy

Endocrine Abstracts ◽

10.1530/endoabs.70.ep399 ◽

2020 ◽

Author(s):

Milena Brkic ◽

Svetlana Vujovic

Keyword(s):

Benign Breast Disease ◽

Breast Disease

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The role of the IAC Yokohama System for Reporting Breast Fine‐Needle Aspiration Biopsy and the ACR Breast Imaging‐Reporting and Data System in the evaluation of breast lesions.

Cytopathology ◽

10.1111/cyt.13085 ◽

2021 ◽

Author(s):

Preethi Muthusamy Sundar ◽

Sakthisankari Shanmugasundaram ◽

Elango Nagappan

Keyword(s):

Fine Needle Aspiration ◽

Breast Imaging ◽

Fine Needle Aspiration Biopsy ◽

Needle Aspiration ◽

Data System ◽

Aspiration Biopsy ◽

Breast Lesions ◽

Fine Needle ◽

Needle Aspiration Biopsy

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The value of mammography in women with focal breast complaints in addition to initial targeted ultrasound

Breast Cancer Research and Treatment ◽

10.1007/s10549-020-05943-5 ◽

2020 ◽

Author(s):

L. Appelman ◽

P. T. M. Appelman ◽

C. C. N. Siebers ◽

P. Bult ◽

H. L. S. Go ◽

...

Keyword(s):

Breast Cancer ◽

Breast Imaging ◽

Digital Breast Tomosynthesis ◽

Breast Disease ◽

Added Value ◽

Breast Tomosynthesis ◽

Targeted Ultrasound ◽

Symptomatic Breast Cancer ◽

Symptomatic Breast

Abstract Purpose To determine the added value of mammography in women with focal breast complaints and the utility of initial targeted ultrasound in this setting. Methods Women with symptomatic breast disease who were evaluated by breast imaging (mammography/digital breast tomosynthesis and ultrasound) between January 2016 and December 2016 in the Radboud University Medical Centre were included. We retrospectively collected the following data: date of birth, indication of imaging, visibility on mammography/ultrasound, whether biopsy was taken, additional findings, BI-RADS-classification, pathology and follow-up results. Results A total of 494 women were included (mean age 46.5, range 30 to 93). In 49 women (9.9%), symptomatic breast cancer was diagnosed, all visible during targeted ultrasound. The negative predictive value of targeted ultrasound was very high (99.8%). Additional findings on mammography were significantly more often malignant when the symptomatic lesion was also malignant (3.8% vs 70%, P < 0.05). In only one patient with symptoms caused by a benign finding, an incidental malignancy was detected on mammography outside the area of complaint (detection rate 2.2/1000 examinations). Conclusions The contribution of mammography for cancer detection in women with focal breast complaints is very low when targeted ultrasound is performed. Additional findings are most common in patients with symptomatic breast cancer. Our results suggest that initial targeted ultrasound is a more appropriate initial tool for the evaluation of focal breast complaints. Mammography could be performed on indication only.

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Role of contrast-enhanced spectral mammography in the post biopsy management of B3 lesions: Preliminary results

Tumori Journal ◽

10.1177/0300891618816212 ◽

2018 ◽

Vol 105 (5) ◽

pp. 378-387 ◽

Cited By ~ 5

Author(s):

Giulia Bicchierai ◽

Jacopo Nori ◽

Diego De Benedetto ◽

Cecilia Boeri ◽

Ermanno Vanzi ◽

...

Keyword(s):

Breast Imaging ◽

Surgical Excision ◽

Surgical Biopsy ◽

Predictive Values ◽

Contrast Enhanced ◽

B3 Lesions ◽

Malignant Lesions ◽

Sensitivity Specificity

PurposeTo evaluate the role of contrast-enhanced spectral mammography (CESM) in the post biopsy management of breast lesions classified as lesions of uncertain malignant potential (B3) by core needle biopsy and vacuum-assisted biopsy (VAB).MethodsThe local ethics committee approved this retrospective study and for this type of study formal consent is not required. A total of 42 B3 lesions in 40 women aged 41–77 years were included in our study. All patients underwent CESM 2–3 weeks after the biopsy procedure and surgical excision was subsequently performed within 60 days of the CESM procedure. Three radiologists reviewed the images independently. The results were then compared with histologic findings.ResultsThe sensitivity, specificity, and positive and negative predictive values for confirmed demonstration of malignancy at CESM were 33.3%, 87.2%, 16.7%, and 94.4% for reader 1; 66.7%, 76.9%, 18.2%, and 96.7% for reader 2; 66.7%, 74.4%, 16.7%, and 96.7% for reader 3. Overall agreement on detection of malignant lesions using CESM among readers ranged from moderate to substantial (κ = .451–.696), for categorization of BPE from moderate to substantial (κ = .562–.711), and for evaluation of lesion intensity enhancement from fair to moderate (κ = .346–.459).ConclusionIn cases of Breast Imaging Reporting and Data System (BI-RADS) 1, BI-RADS 2, or BI-RADS 3 results at CESM, follow-up or VAB rather than surgical biopsy might be performed.

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Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review

Case Reports in Surgery ◽

10.1155/2020/6410790 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Eltaib Saad ◽

Lauren O’Connell ◽

Anne M. Browne ◽

W. Khan ◽

R. Waldron ◽

...

Keyword(s):

Rare Complication ◽

Rare Event ◽

Decisive Role ◽

Postoperative Monitoring ◽

Refractory Hypotension ◽

Life Threatening ◽

The Right ◽

Tomography Scan

We report on a 59-year-old female with symptomatic cholelithiasis on a background of morbid obesity who underwent an elective LC with an uncomplicated intraoperative course; however, she experienced a refractory hypotension within one hour postoperatively with an acute haemoglobin drop requiring fluid resuscitation and blood transfusion. A triphasic computed tomography scan revealed a large intrahepatic subcapsular haematoma (ISH) measuring 21 cm × 3.1 cm × 17 cm surrounding the lateral surface of the right hepatic lobe without active bleeding. She was managed conservatively with serial monitoring of haemoglobin and haematoma size. A follow-up ultrasound scan after eight weeks confirmed complete resolution of the haematoma. Giant ISH is a fairly rare, but life-threatening complication following LC which merits special attention. This case demonstrates the necessity of close postoperative monitoring of patients undergoing LC and considering the possibility of ISH, although being rare event, in those who experience a refractory postoperative hypotension. It also highlights the decisive role of diagnostic imaging in securing a timely and accurate diagnosis of post LC-ISH.

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