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IRM Cases

IRM Cases. Catherine BALU-MAESTRO NICE. case 1. 44 years young woman (a maternal history of breast cancer) HDM: consults for recent induration of the upper quadrants of the left breast . No prior mammogram. Left breast ultrasonography External Q. MRI. T 1. T2. D. G.

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IRM Cases

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  1. IRM Cases Catherine BALU-MAESTRO NICE

  2. case 1 44 years young woman (a maternal history of breast cancer)HDM: consults for recent induration of the upper quadrants of the left breast .No prior mammogram

  3. Left breast ultrasonography External Q

  4. MRI T 1 T2 D G early substraction

  5. Multi planar reconstructions MIP Left Breast sagittal Segmental enhancement =>Biopsy : DCIS =>mastectomy + prothesis left breast symetrization : prothesis right breast coronal R L

  6. profil face 2 years after Mammography Eklund technique right breast

  7. IEQ : segmental enhancement

  8. normal US Biopsy radioguided • Results : mastosis= NO SPECIFICITY •  Follow up IRM (3 mois) or biopsy /MRI

  9. Epithélial Hyperplasia simple Follow up (MG+MRI) +3mth

  10. CASE 2 56 years postmenopausal Conservative Trt 1995 left breast: T1 (14mm tubular carcinoma) N0 December 2007: local inflammatory clinical ex

  11. CC ML

  12. T1

  13. T1

  14. T1 SAT FAT

  15. T2 SAT FAT

  16. TI +IV 1MN30

  17. T1 + IV 7MN

  18. SUBSTRACTION

  19. MACROBIOPSY CYTOSTEATONECROSIS ORGANIZED MLO Followed at 1 yearDisappearance of clinical inflammation Mammogram : stable

  20. MLO 08. 2009 CC

  21. ML 01.2008 08.09

  22. T1 T1 FP and FN : atypical cytostéatonécrosis T2 T2 FS

  23. T1+IV + IV précoce + IV tardif

  24. T1 précoce tardif T1+IV Cytology : CSN FN : RECURRENCE

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