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Kawita bapat lumps and bumps breast
1.
LUMPS&&&BUMPS&IN&THE&BREAST& Indore& 465th&August&2018&
2.
Current&imaging&modaliFes&& - Mammography Digital-CRbased -FullFieldDigitalMammography (FFDM) -Ultrasound Elastography - MRI/PETMRI - PETCT–NOROLE
3.
• ?Mammogram • ?Ultrasound • ?MRI Guidelinesfor breastimaging
4.
GeneralProtocol • USG<30yrs • USG+Mammogram:30– 50Yrs • Mammogram>50yrs/and USGifindicated • MRI–Unequivocal Mammogram/USGfindings
5.
Breast&lumps&in&the&adolescent&
6.
&&&&&&&&&&&&&&&&&&&CASE&1& • 26#year#old#single#girl.# • Presented#with#a#hard#painful#rapidly# growing#lump#in#her#breast,#for#the#past# 3#months.## • On&ExaminaFon:#A##hard,#tender,# mobile#lump#in#the#supero<lateral# quadrant#of#the#le>#breast.# • Right#breast#normal# • No#nipple#discharge##
7.
Generalprotocol • USG<30yrs • USG+Mammogram:30–50Yrs. • Mammogram>50yrs/andUSGifindicated. • MRI–UnequivocalMammogram/USGfindings
8.
FIBRO& ADENOMA&
9.
Simplecyst Anechoic& Wellcircumscribed Thinechogenicwall Enhancedthrough transmission Thinedgeshadow
10.
#############Complicated&&cysts& • Masses#with#homogenous#low# level#internal#echoes#which# otherwise#meet#the#criteria#for# a#simple#cyst.# • May#shi>#slowly#with#changes# in#the#paDent’s#posiDon.#
11.
• Misnomer:Shouldbe calledcomplexcystic andsolid. • Itischaracterisedbya solidfixedimmobile muralnodule. • Itshouldbeassigned BIRADScategory4A. • FNACisamust. Complexcysts
12.
&&&&&&&&&CASE&&2# 27#year#old#married#girl#presented#with#a#lump#of#6# months#duraDon,#increasing#gradually#in#size.# APRIL&2017&AUGUST&2017& METAPLASTIC&CARCINOMA&
13.
&&&&&&&&&&&&&&&&&&&&&CASE&3& • 35#year#old#nulliparous#lady.## • NoDced#a#lump#in#her#right#breast#3# weeks#ago.# • On&ExaminaFon:&& • The#lump#was#non#tender#&#had#a#vague# outline.## • It#had#a#so>#feel#but#had#irregular# margins.# • The#le>#breast#was#normal.# • No#nipple#discharge.# • No#family#history#of#breast#cancer.#
14.
FNAC-Medullarycarcinoma
15.
#######################CASE&4& • 30#year#old#lactaDng#woman#presented#with#a#painful#lump# in#the#breast.#There#was#not##red#nor#hot#/##no#fever##
16.
#########LactaFonal&changes& • ProliferaDon#in#size#and# number#of#TDLUs!glandular# predominance# • Acini#secrete!#Lumen#filled# with#secreDons.# # • Asymmetry#of#secreDons!# Adenoma# • Lobular#obstrucDon#!# Galactocoele#
17.
• Anechoic# • Hyperechoic### • FaWy#milk#degradaDon## #products# • Layering# • Mobility#of#contents+/<# # GALACTOCOELE&
18.
CASE&5& 35#year#old#lady#28#weeks#pregnant# presented#with#bloody#nipple#discharge#le>## breast.#
19.
&&&Management&recommendaFons& #1.Simple&cyst<Leave#it#alone#unless#it#is#extremely#painful.# In#that#case#it#can#be#aspirated#under&USS&& • 2.Solitary&fibroadenomas#<#5cm<FNAC#/Biopsy## • ############################################>5cm<Excision.# • 3.MulFple&fibroadenomas#<6#monthly#follow#up#USG# • 4.Galactocoele#–Non<infected#<AspiraDon# #############################<Infected<Incision#and#drainage.#
20.
&&&&Management&recommendaFons# • 5.Nipple&discharge:# • Single#duct,#spontaneous,#serous#/bloody<cytology#/# USG#guided#FNAC.#In#case#of#intraductal#mass< microdochectomy.# • MulDple#ducts,#milky#/#dirty#brown<Only#follow#up.#
21.
USS&GUIDANCE&IS&A&MUST&FOR&ALL& FNAC&/&CORE&BIOPSY& EVEN&THE&VERY&LARGE&MASSES&
22.
SONO&MAMMOGRAM& 11614&MHZ&PROBE&& ELASTOGRAPHY&
23.
REPRODUCTIVE&&AGE&GROUP&
24.
Generalprotocol
25.
ACRCategory-Normalparenchymalpattern& ACRPATTERND(4)&ACRPATTERNC(3)& Extremely#Dense(>75%fibroglandular#Dssue)# ACRPATTERNB(2)&ACRPATTERNA(1)& # # ##########Heterogeneously#Dense#Breast#(50<75%)# # ###ScaWered#fibro<faWy#(##25<50%)# ## ############# # ##########Predominantly#faWy#(<25#%)##
26.
## Extremely#Dense## Breast# ## Predominantly# faWy##breast# # Micro#calcificaDon# #
27.
# # # # # # CASE6& & 44#year#old#lady#who#came#for#a#screening# mammogram#with#strong#family#history#of#breast# cancer#(mother#and#sister).##
28.
STAGE&2&MALIGNANCY&
29.
Breastimagingreportinganddata system(BIRADS) • Category&&&&0##<#Needs#addiDonal#imaging##evaluaDon# • Category####1&#<#NegaDve## • ######### • Category&&&&2&#<#Benign#findings# • Category&&&&3##<#Probably#benign#–#needs#follow#up# • Category&&&&4##<#Suspicious<needs#confirmaDon#:#FNAC#/#biopsy#### • ######## • Category&&&&5&&6##Malignant# • Category&&&&6&&6##Biopsy#proven#malignancy# ######################
30.
BIRADScategory######## Category<1#Normal#Category<2##Benign#Finding# #################################Category<3###Probably#benign#finding#<needs#follow#up#
31.
BIRADS&Category& &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&CATEGORY&64&&6SUSPICIOUS& &&&&&&CATEGORY656&MALIGNANT& Pleomorphic&/& Fine&Linear& Branching&& Micro6 calcificaFon& IndisFnct&&margins&& &Spiculated&margins&
32.
GeneralProtocol • USG<30yrs • USG+Mammogram:30–50 Yrs • Mammogram>50yrs/andUSG ifindicated • MRI–Unequivocal Mammogram/USGfindings
33.
LimitationsofBreastUltrasound
34.
Case6 & • 60&year&old&female&presented&with&the&C/O& nodularity&in&the&le[&breast.& & • No&family&H/O&breast&cancer.& & • &No&previous&mammogram&available.& & &
35.
36.
IntracysDc#carcinoma#
37.
& 54&year&old&lady&presented&with&a&rapid&increase&in&&the&size&of&the&breast&over&a&few& weeks&with&discolouraFon&of&&the&overlying&skin.&Clinically&?&MasFFs&??&Inflammatory&& carcinoma.& & On&examinaFon&the&breast&felt&rock&hard&with&diffusely&indurated&&skin&and&marked& Peau&d’Orange&appearance.& & &&& &&&Case&8&
38.
Inflammatory#carcinoma#
39.
Earlydetectioniscrucialto reducethemortalityrate.
40.
Acriticalmessage:Earlydetectionthroughscreening Millions&of&precious&lives&can&be&saved&if&women& follow&this&simple&plan:& & • Breast&self6examinaFon&once&a&month&a[er&the&age& of&20.& &&&& • Clinical&examinaFon&once&a&year&a[er&the&age&of&30.& & • Mammogram&once&in&two&years&a[er&the&age&of&50.& & • Mammogram&once&a&year&a[er&the&age&of&60670& YEARS& &
41.
MAMMOGRAPHY&EVERY&YEAR&FROM&40675& YEARS&&INDIAN&GUIDELINES&STILL&EVOLVING& 6&6& IMAGING&IS&A&MUST&FOR&ALL&LUMPS& & USG&GUIDANCE&IS&A&MUST&FOR&ALL& FNAC&/&BIOPSY& &
42.
BREAST&IS&A&KNOTTY&STRUCTURE&!&