By Dr. Dr. Marton Lanyi (auth.)

Mammography may be regarded as a (sub)macroscopic "shadow pathology" - convinced prognosis necessitates finished wisdom of breast pathology. the conventional ideas of thumb, for instance common, rounded shadow potential a benign lesion, a radiating constitution represents a malignant tumor, and microcalcification shows biopsy, not carry real. This quantity goals to give an explanation for smooth breast pathology to physicians training mammography. The over six hundred person illustrations and greater than 1,000 references aid the reader comprehend breast morphology. The ebook is rounded off by means of an in depth description of the medical signs and a precious precis of the supplementary diagnostic strategies and the chances for treatment.

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Extra info for Mammography: Diagnosis and Pathological Analysis

Example text

This distinguishes them from the predominantly monomorphic, uniform calcifications that are seen in microcystic (blunt duct) adenosis. The microcalcifications in sclerosing adenosis may be punctate, rounded, “faceted” (because they are located in still-intact microcysts) as well as linear, comma-shaped, V-shaped, or wavy (Figs. 20). Fortunately, though, the configuration of the 3 – 8-mm-large clusters usually remains rounded or rosette-like (when several adjacent lobules are affected), so in most cases the shape of the clusters serves to distinguish the lesion from an intraductal process or intraductal carcinoma (Fig.

A, b Close-up mammogram and corresponding diagram: approximately 30 rounded, faint microcalcifications, some of them faceted, are contained within a rounded cluster 8 mm in size. The individual calcifications are separated by fine lines, creating a morula-like pattern. c Histology: microcystic adenosis with numerous psammomatous bodies. The narrow spaces between the cysts correlate with the “septa” on the mammogram a c 33 34 Chapter 2 Lesions of the Terminal Ducts and Lobules Fig. 7. Diffusely scattered, monomorphic, rounded, punctate microcalcifications of the same approximate size, most numerous in the boxed area.

Leinster SJ, Whitehouse GH (1986) The mammographic breast pattern and oral contraception . Br J Radiol 59: 237–239 40. Lendvai-Viragh K, Ritzkowsky D (1994) Änderungen des Drüsenkörpers der Mammae nach Hormontherapie. Akt Radiol 4: 264–267 41. McNicholas MMJ, Heneghan JP, Milner MH et al. (1994) Pain and increased mammographic density in women receiving hormone replacement therapy: a prospective study. AJR 163: 311–315 42. Mendell L, Rosenbloom M, Naimark A (1977) Are breast patterns a risk index for breast cancer?

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