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Mammography

Mammography. Spring 2011. Mammography Facts. ____ in _____ women who live to _____ will develop breast cancer Most common malignancy in women, only lung cancer kills more women _______________________________________________

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Mammography

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  1. Mammography Spring 2011

  2. Mammography Facts • ____ in _____ women who live to _____ will develop breast cancer • Most common malignancy in women, only lung cancer kills more women • _______________________________________________ • Before Mammo fewer than_____ of pt’s survived ___years after diagnosis with a ________recurrence • With a radical mastectomy survival increased to______ with a _______________recurrence

  3. Goal of Mammography • Detect cancer before it is ________________ • Early detection, __________________ and treatment is the key to a favorable ________________

  4. How would your family feel with you missing from the family picture?

  5. How would you feel about your father, brother or mother missing from the family picture?

  6. Anatomy of the Breast • Vary in ________________ • Cone shaped with the post surface (base) overlying the _______& _______ muscles • Axillaries tail extends from ________ to ____________ • Tapers ant. from the base ending in ______________ surrounded by areola

  7. Female Breast • Consists of _______ lobes • Divide into several lobules • Lobules contain _____ draining ducts and ______________ • By _______________ years each breast contains hundreds of lobules

  8. Lymph Nodes • Lymphatic vessels of the breast drain laterally and medially • ______ into the axillary lymph nodes (C & D) • ______drain toward axilla • _________ into the mammary lymph nodes • _______toward mammary chain (F)

  9. Quadrants of the Breast

  10. 3 Tissue Types

  11. Breast Changes with Age

  12. Breast Classifications

  13. Fibro-glandular Breast • Fibro-glandular • Dense with very little fat • Females ___________ years of age • Or ______ years or older without children • __________________

  14. Fibro-fatty Breast • ________________ • Average density • _______ fat & _______fibro-glandular • Women ________years of age • Or women with ________ or more children

  15. Fatty Breast • Fatty • ____________ density • Women __________________ (postmenopausal), men and children

  16. Positioning

  17. Ouch! Why Compression? • Two Reasons: • Decrease __________ of breast tissue • Reduce ____________

  18. Cranio- caudad :CC

  19. Diagram of Proper CC Positioning

  20. CC Images

  21. Medio-lateral Oblique:MLO

  22. MLO Diagram for Proper Positioning

  23. MLO Properly Positioned

  24. Bilateral MLO

  25. Breast ImplantsAre they worth it?

  26. Complication with Breast Augmentation • Mammography has a__________ true positive rate for detecting breast cancer in those women without implants • Decreases to _________with implants • Because__________________ of breast tissue is obscured • More images are needed than the standard two projections • There is a risk of ______________________ the implant

  27. Elkland Method for Imaging with Breast Implants

  28. Image ComparisonWhich is the Push back (Elkland)?

  29. Male Mammography and Cancer

  30. Male Mammography • ___________ men get breast cancer per year • __________die • Most are _________________ years or older • Nearly all are primary tumors • Symptoms include: • ___________________ • ___________________ • ___________________ • ___________________

  31. _______________________________ • Benign excessive development of male mammary gland • Occurs in ___________________ of male cancer pt’s • Survival rates with treatment are_______ for ___years

  32. Cone Magnification

  33. Cone magnification

  34. Digital vs. Film

  35. Localization ofNon-palpable Lesions

  36. Localization

  37. __________________________________

  38. __________________________

  39. __________________________

  40. __________________________________

  41. Advantages of Stereotactic • Procedure done in __________________________ • Approx. 1 hour long • ___________________________inch long incision • No _______________________________ needed • No general anesthesia • Less _____________________________ scarring • No recovery time

  42. Contraindications • _________________________ near area of biopsy. • Breast lesion ____________________to chest wall. • Patient is on blood thinners such as ___________, ______, ________ which can result in hemorrhage . • Patient has medical condition in which they cannot lie prone for an hour or so.

  43. __________________________________

  44. Breast Specimen Radiography _______________ ______________________

  45. Other Invasive Breast Procedures

  46. __________________________________

  47. Galactography / Ductography

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