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Mammodiagnostic basic examinations, screening

Mammodiagnostic basic examinations, screening. MUDR. Daniel Zoubek Klinika zobrazovacích metod FN Motol. Mammodignostic basic examinations. History. 1913 Salomon - x-ray of specimen 1930 Waren 1966 Gros. Mammodignostic basic examinations. Examination method. mammography

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Mammodiagnostic basic examinations, screening

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  1. Mammodiagnosticbasic examinations, screening MUDR. Daniel Zoubek Klinika zobrazovacích metod FN Motol

  2. Mammodignostic basic examinations History 1913 Salomon - x-ray of specimen 1930 Waren 1966 Gros

  3. Mammodignostic basic examinations Examination method mammography sonography magnetic rezonance computer tomography

  4. Mammodignostic basic examinations

  5. Mammodignostic basic examinations Technics – x-ray tube Soft technics 25 – 35 kV Anode molybden wolfram Primary filtration molybden f. rhodium f.

  6. Mammodignostic basic examinations Technics - compresion Pressure 7-15 kg Contrast Reduction of summation exposure motion artefact

  7. Mammodignostic basic examinations Technics – cassette, exp. automat Special cassette 18x24, 24x30 cm Single intensifying screen Single emulsion film

  8. Mammodignostic basic examinations Technics – viewing box

  9. Mammodignostic basic examinations Technics – projection craniocaudal (CC) mediolateral oblique (MLO) magnification spot compresion mediolateral (ML) …

  10. Mammodignostic basic examinations Anatomy

  11. Tabár I. Tabar parenchymal patterm Tabár V. Mammodignostic basic examinations Tabár III. Tabár II. Tabár IV.

  12. Mammodignostic basic examinations Typical finding - Masses Shape Margins Density Calcification

  13. Mammodignostic basic examinations Typical finding - Calcifications Morphology Distribution Number

  14. Mammodignostic basic examinations Typical finding – Assymetrical pattern

  15. Mammodignostic basic examinations Sonography - technics Linear transducer Hihg-frequency tranducer 7,5 – 10 – 13 MHz

  16. Mammodignosticbasic examinations Sonographic findings Masses Cysts / solid masses Size Contour Echostrukture Acoustis absorption Architectural distortion

  17. Mammodignosticbasic examinations Breast interventions TrueCut / CoreCut biopsy Presurgical localization – dye marking, localization wires US guided navigation Stereotactic mammography navigation

  18. Mammodignostic basic examinations True Cut biopsy

  19. Mammodignostic basic examinations US-guided True Cut biopsy

  20. Mammodignosticbasic examinations

  21. Mammodignosticbasic examinations

  22. Mammodignostic basic examinations Benign Disorders Cysts Fibroadenoma Papiloma Lipoma …

  23. Mammodignostic basic examinations Cysts 39 y., palpable masses

  24. Mammodignostic basic examinations Fibroadenoma 28-29 let Palpable masses in left breast After 12 month increase

  25. Mammodignostic basic examinations Carcinoma in situ / invasive Ductal Lobular Tubular Medullary Mucinous Paget carcinoma,…

  26. Mammodignostic basic examinations Carcinoma 59 y. Without palp. Assymetry DC + Inf.DC

  27. Mammodignostic basic examinations Carcinoma 47 let Palpable masses in HZQ sin. Stp. Ca mammae dx. T1N0M0 2,5 year back DC + meta LU

  28. Mammodignostic basic examinations

  29. Mammodignostic basic examinations The male breast Gynecomastia Pseudogynecomastia Carcinoma

  30. Mammodignostic basic examinations Screening Primary prevention – prevention of development Secondary prevention – early detection Efficient treatment

  31. Mammodignostic basic examinations Screening NOT lower incidence LOWER mortality smallagresivtreatment betterprognosis

  32. Mammodignostic basic examinations Screening – Czech republic 57 screening centers (1/180tis. ob.) 45 – 69 let, asymptomatic Two year interval

  33. Mammodignostic basic examinations Screening – Czech republic

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