Breast diseases a vital modality Sunil Bajaj MD Karmanos Cancer - PowerPoint PPT Presentation

Aug 21, 2023 •358 likes •1.9k views

Ultrasound in Breast diseases a vital modality Sunil Bajaj MD Karmanos Cancer Hospital Epidemiology of breast cancer Leading cause of death after lung cancer 210,000 new cases of breast cancer/year 35,000 new cases of DCIS/year

Galactocele
Breast abscess
Breast abscess with doppler
Phylloides tumor
Phylloides tumor
High probability for Malignancy � Irregular mass � Spiculated or angular margins � Marked hypo-echogenicity � Taller than wide � Presence of calcification � Duct extension
Malignant masses
Breast Carcinoma with Doppler
Breast Carcinoma
Breast Implant
Breast Ultrasound
Snow storm appearance
Role of ultrasound in Breast implant
Linguine sign
Ultrasound staging of the Breast CA: Features of benign lymph nodes 1. Kidney shaped 2. Less than 1cm in short axis 3. Smooth rim like cortex less than 3mm 4. Fatty hilum 5. Hilar flow
Features of malignancy � Cortical thickness � Cortical bulging � Round shape � Loss of fatty hilum � Loss of hilar flow
Benign lymph node on US
Normal hilar flow
Metastatic node
Metastatic node
Ultrasound guided needle localization
Role of USG � Secondary screening process � Further characterization of mammographic or MR findings � Diagnostic for implant rupture � Diagnostic for cyst vs solid mass � Benign vs malignant masses � Follow up for probably benign masses � First line for palpable masses under 30 years � Follow up for assessment of treatment response in benign or malignant etiologies.
Role of USG � Therapeutic aspiration of symptomatic cysts � Therapeutic aspiration of breast abscess � Ultrasound guided wire localization � Ultrasound guided biopsies � Ultrasound guided placement of fiducial markers for radiation
Case 1: Mass in the inferomedial left breast
Spots
CAD
USG
Case 2: 42 F with palpable findings

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