1. M AMMOGRAPHY Spring 2011

2. M AMMOGRAPHY F ACTS ____ 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. G OAL OF M AMMOGRAPHY Detect cancer before it is ________________ Early detection, __________________ and treatment is the key to a favorable ________________

4. H OW WOULD YOUR FAMILY FEEL WITH YOU MISSING FROM THE FAMILY PICTURE ?

5. H OW WOULD YOU FEEL ABOUT YOUR FATHER, BROTHER OR MOTHER MISSING FROM THE FAMILY PICTURE ?

6. A NATOMY OF THE B REAST 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. F EMALE B REAST Consists of _______ lobes Divide into several lobules Lobules contain _____ draining ducts and ______________ By _______________ years each breast contains hundreds of lobules

8. L YMPH N ODES 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. Q UADRANTS OF THE B REAST

10. 3 T ISSUE T YPES

11. B REAST C HANGES WITH A GE

12. B REAST C LASSIFICATIONS

13. F IBRO - GLANDULAR B REAST Fibro-glandular Dense with very little fat Females ___________ years of age Or ______ years or older without children __________________

14. F IBRO - FATTY B REAST ________________ Average density _______ fat & _______fibro-glandular Women ________years of age Or women with ________ or more children

15. F ATTY B REAST Fatty ____________ density Women __________________ (postmenopausal), men and children

16. P OSITIONING

17. O UCH ! W HY C OMPRESSION ? Two Reasons: Decrease __________ of breast tissue Reduce ____________

18. C RANIO - CAUDAD :CC

19. D IAGRAM OF P ROPER CC P OSITIONING

20. CC I MAGES

21. M EDIO - LATERAL O BLIQUE : MLO

22. MLO D IAGRAM FOR P ROPER P OSITIONING

23. MLO P ROPERLY P OSITIONED

24. B ILATERAL MLO

25. B REAST I MPLANTS A RE THEY WORTH IT ?

26. C OMPLICATION WITH B REAST A UGMENTATION 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. E LKLAND M ETHOD FOR I MAGING WITH B REAST I MPLANTS

28. I MAGE C OMPARISON W HICH IS THE P USH BACK (E LKLAND )?

29. M ALE M AMMOGRAPHY AND C ANCER

30. M ALE M AMMOGRAPHY ___________ 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. C ONE M AGNIFICATION

34. D IGITAL VS. F ILM

35. L OCALIZATION OF N ON - PALPABLE L ESIONS

37. L OCALIZATION

39. __________________________________

40. __________________________

42. __________________________________

44. A DVANTAGES OF S TEREOTACTIC Procedure done in __________________________ Approx. 1 hour long ___________________________inch long incision No _______________________________ needed No general anesthesia Less _____________________________ scarring No recovery time

45. C ONTRAINDICATIONS _________________________ 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.

46. __________________________________

47. B REAST S PECIMEN R ADIOGRAPHY ______________________ _______________

48. O THER I NVASIVE B REAST P ROCEDURES

49. __________________________________

50. G ALACTOGRAPHY / D UCTOGRAPHY

51. I NDICATIONS OF G ALACTOGRAPHY Nipple Discharge ______, ________, __________, _________&___________ Can be considered benign or malignant Approx ________________bloody discharges = cancer Other causes can be a ______________________ (shows as a filling defect on film) _________________discharge more worrisome than if discharge must be expressed manually

52. ______________________________________ ____________ defect Could be an indication of ________________

53. O THER I MAGING M ODALITIES

54. __________________________________

55. B REAST ___________________

56. MRI VS M AMMO

57. MRI VS. M AMMO

58. D IGITAL VS. C ONVENTIONAL