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Mammography By Dr. Ruba Khasawneh And Dr. Arwa Al- kinani

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Mammography By Dr. Ruba Khasawneh And Dr. Arwa Al- kinani

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    1. 46 1 ??? ???? ?????? ?????? Mammography By Dr. Ruba Khasawneh And Dr. Arwa Al- kinani

    2. 46 2 BREAST ANATOMY

    3. 46 3 BREAST ANATOMY

    4. 46 4 MAMMOGRAM What is a mammogram? A mammogram is an x-ray of the breast, consisting of two pictures.

    5. 46 5 MAMMOGRAM TWO RECENT ENHANCEMENT: 1- DIGITAL MAMMOGRAPHY 2- COMPUTER AIDED DETECTION (CAD)

    6. 46 6 WHAT ARE THE BENEFITS VS. THE RISKS? THE BENEFIT OF AN ACCURATE DIAGNOSIS FAR OUTWEIGHS THE RISK.

    7. 46 7 MAMMOGRAM 1- SCREENING MAMMOGRAM Recommended every year for women beginning at age of 40. 2- DIAGNOSTIC MAMMOGRAM

    8. 46 8 VIEWS OF MAMMOGRAM Main views: 1- Mediolateral oblique. 2- Craniocaudal. Additional views: 1- Compression view for areas of suspicious masses or asymmetric breast tissue. 2- Magnification view for suspicious calcifications.

    9. 46 9 Views of mammogram

    10. 46 10

    11. 46 11 L

    12. 46 12 CC

    13. 46 13 Compression view

    14. 46 14 Magnification

    15. 46 15 NORMAL MAMMOGRAM CC OBL

    16. 46 16 NORMAL Tow views

    17. 46 17 In general terms, what are you looking for? We're looking for small breast cancers, which appear on the mammogram as a mass or a lump.

    18. 46 18 What sorts of things are described on the mammogram report BIRADS CODING CATEGORY 0 Incomplete ; needs further evaluation. CATEGORY 1 Negative mammogram CATEGORY 2 Bening findings. CATEGORY 3 Probably benign finding- short interval f/u is suggested. CATEGORY 4 Suspicious abnormality- Biopsy should be considered. CATEGORY 5 Highly suggestive of malignancy –Appropriate action should be taken CATEGORY 6 Proven malignancy

    19. 46 19 Are denser breasts harder to screen? The sensitivity of the mammogram is in the 90% range. Cancers missed by mammography are in the range of 10-30%. Causes include: 1- Observer error. 2- Dense tissue. 3- Lobular cancer ( growth patterns indistinguishable from normal breast tissue).

    20. 46 20 BENIGN CALCIFICATIONS 1-Skin or dermal calcifications. 2- Vascular calcifications. 3-Lucent-centered calcifications ( Fat necrosis ). 4- Egg-shell or rim calcifications( Fat necrosis or calcification in cyst wall). 5- Coarse or popcorn calcification( Fibroadenoma). 6-Large rod like calcifications or secretory calcifications. 7- Round or punctate calcification ( less than 0.5mm). 8-Milk of calcium. 9-Suture calcification. 10-Dystrophic calcifications (Trauma, surgery and irradiation).

    21. 46 21 Dermal calcifications

    22. 46 22 Vascular calcifications

    23. 46 23 Lucent-Centered calcifications

    24. 46 24 Egg-shell or rim calcifications

    25. 46 25 Pop corn calcifications

    26. 46 26 Secretory calcifications

    27. 46 27 Punctate calcifications

    28. 46 28 Milk of calcium

    29. 46 29 Suture calcifications

    30. 46 30 Dystrophic calcifications

    31. 46 31 Breast cyst

    32. 46 32 Fibroadenoma well-circumscrib-ed oval shaped mass with calcification

    33. 46 33 FEATURES OF MALIGNANCY 1- Speculated mass 2- Architectural distortion 3- Asymmetry of breast tissue 4- Micro calcification 5- Dense mass 6- Skin thickening 7- Pathological lymph nodes

    34. 46 34 Speculated mass

    35. 46 35 Speculated mass Magnification

    36. 46 36 Architectural distortion A focal area of breast tissue appears distorted with no definable central mass. -Causes: A- Malignancy. B- Benign lesions as in cases of prior breast injury or surgery or radial scar. -Benign lesions don’t change overtime.

    37. 46 37 Architectural distortion

    38. 46 38 ASYMMETRY OF BREAST TISSUE Greater volume or density of breast tissue in one breast than corresponding area in the contralateral breast.

    39. 46 39 ASYMMETRY OF BREAST TISSUE

    40. 46 40 Linear and branching micro calcification

    41. 46 41 Cluster of calcifications

    42. 46 42

    43. 46 43 Dense mass CC

    44. 46 44 Dense mass OBL

    45. 46 45 diffuse skin thickening (arrowheads), trabecular coarsening, and a speculated mass (arrows) 5.5 cm in longest diameter and dilated lymphatic channels (arrows) that are typical of the breast edema pattern.

    46. 46 46

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