D. CHARMAN, M.Ed.,R.T.(R,M)D. CHARMAN, M.Ed.,R.T.(R,M)
MAMMOGRAPHY
RADIOGRAPHIC RADIOGRAPHIC IMAGING OF THE IMAGING OF THE
BREASTBREAST
Man – o - gram
Mammograms don’t look fun
but they can save a life!
A mammogram can find breast cancer when A mammogram can find breast cancer when it is very small -- 2 to 3 years before you it is very small -- 2 to 3 years before you can feel it.can feel it.
No screening tool is 100% effective. Good No screening tool is 100% effective. Good quality mammograms can find 85-90% of quality mammograms can find 85-90% of cancerscancers
Difficulty with Lateral Sternummay need to take 2 laterals – 1 upper, 1 lower
OTHER CHALLENGES TO MAMMOGRAPHY
MAMMOGRAPHY
A little more about…A little more about…
PT 3 255 09 wk 3PT 3 255 09 wk 3
Sentinel Lobe – Nuclear Med
FIBROADENOMA CYST
Pathology? + or -
DCIS– CELLS HAVEN’T BROKEN OUT SO WON’T SPREAD
INFILTRATING DUCTAL CA
DCIS
CLUSTER CALCIFICATIONS
61 year old woman with normal post-op mammogram MRI shows 5mm invasive ductal carcinoma
Spot compression
POSITONING COUNTS!
PATHOLOGYLOOKING OUTSIDE
HOW CAN IT GO THIS FAR?HOW CAN IT GO THIS FAR?
Pagets disease of the nipple
47 yo breast cancer
Abnormal axillary lymph nodes Breast Breast Cancer
normal
male mastectomy
Male breast cancer and gynecomastia
MRI for dense breast tissye
Spot CompressionEspecailly good for dense breast
Surgical scars can mimic characteristics of breast cancer.
Left breast (L) contains an irregular carcinoma that is producing considerable spiculation, nipple retraction (arrow), and skin thickening. Right breast (R) contains
fibroadenoma.
27-year-old woman who stopped breast-feeding 2 months before having this
mammogram.
42-year-old woman with fibrocystic condition
28-year-old woman 4 months postpartum and not breast-feeding.
The right breast contains a large mass (arrow) palpable on physical
examination. The left breast contains two smaller nonpalpable masses (arrows) with microcalcifications. All three lesions were breast cancers.