scholarly journals Bilateral Breast Edema: Case Report and Review of the Literature

Reports ◽  
2020 ◽  
Vol 3 (3) ◽  
pp. 18
Author(s):  
Andriani D. Vouxinou ◽  
Georgios M. Iatrakis ◽  
Stefanos Zervoudis ◽  
Anastasia Bothou ◽  
Sofia Tsitsiou ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Orange Peel ◽  
Breast Ultrasound ◽  
Unknown Etiology ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Total Recovery ◽  
Breast Unit ◽  
End Of Treatment

Both benign and malignant conditions related to regional or systemic disorders could be included in the differential diagnosis of bilateral breast edema. Some of them are often unilateral, including stromal infiltration and lymphatic obstruction presented in “peau d’ orange”, which is the usual presentation of breast cancer. However, the term “idiopathic” could be included in the spectrum of diagnoses. Here, we present a woman of 78 years old who came into our breast unit with a bilateral, painless edema of the breasts (appeared one month ago). Clinical examination revealed that both breasts were swollen with widespread erythema and the appearance of an orange peel/“peau d’ orange”. On palpation, the breasts were not sensitive, and no tumor was palpable. However, clinically palpable lymph nodes were found in both axillas. Her temperature was normal. The breast edema could not be explained from her medical history nor the medications taken. Breast ultrasound, Mammography and Magnetic Resonance Imaging were non-conclusive (BI-RADS 0) and bilateral core biopsy was negative for cancer. Anti-inflammatory plus antibiotic therapy was prescribed for 10 days and at the end of treatment, regional redness and edema were disappeared and reduced, respectively. Total recovery was found one month after the initial findings. It can be concluded that bilateral breast edema is correlated to regional or systemic conditions or it is presented as an “idiopathic” disorder of unknown etiology.

scholarly journals Pectoralis muscle metastases from breast cancer in a young patient detected by automated breast ultrasound

2019 ◽  
Vol 21 (2) ◽  
pp. 200
Author(s):  
Anca Ileana Ciurea ◽  
Ioana Boca ◽  
Liliana Rogojan ◽  
Larisa Dorina Ciule ◽  
Cristiana Augusta Ciortea
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Rare Condition ◽  
Left Breast ◽  
Breast Ultrasound ◽  
Pectoralis Muscle ◽  
Resonance Imaging ◽  
Ultrasound Guided ◽  
Screening Ultrasound ◽  
Automated Breast Ultrasound

Metastases to the skeletal muscle from breast cancer represent an unusual and rare condition. We present the case of a 27-year-old female with left breast cancer (IDC NST G3) who underwent neoadjuvant chemotherapy followed by conservativesurgery (sectorectomy and lymphadenectomy) and radiation therapy. Two months after the end of radiotherapy she presented with a 2 mm skin lesion and she was referred for a screening ultrasound. The screening automated breast ultrasound (ABUS) revealed local recurrence and pectoralis metastases, lesions evaluated also by magnetic resonance imaging. The diagnosis was confirmed by the ultrasound-guided biopsy.

scholarly journals Magnetic resonance imaging in the diagnosis of nonpalpable breast cancer

2017 ◽  
Vol 98 (1) ◽  
pp. 34-37
Author(s):  
S S Vatankha ◽  
S A Saryev
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Breast Ultrasound ◽  
Resonance Imaging ◽  
Old Patients ◽  
Nonpalpable Lesions ◽  
Nonpalpable Breast Cancer ◽  
Magnetic Resonance Imaging Mri ◽  
Sensitivity Specificity

Aim. To analyze sensitivity of magnetic resonance imaging (MRI) in the diagnosis of breast cancer when used after mammography and breast ultrasound.Methods. The study included 70 patients with nonpalpable breast lesions who had changes of breast tissue found at previous studies (mammography and breast ultrasound). MRI was performed with the use of Siemens Magnetom Avanto with magnetic field 1.5 Tl.Results. Most frequently nonpalpable lesions were diagnosed in 45 to 60-year old patients (60%), a little rarer - in 39 to 45-year old patients (22.9%), in patients at the age of 61 to 69 - in 10.0% (7 patients). 7.1% patients were over 70. All first detected nonpalpable lesions of breast were biopsied for morphological verification. With the combined use of mammography, sonography, MRI and stereotactic biopsy the diagnosis was made in 100% patients. MRI with contract enhancement showed no relation between sensitivity, specificity and reliability and density of breast tissues.Conclusions. MRI is considered a highly sensitive method of diagnosis and identification of changes found at mammography and breast ultrasound.

scholarly journals Effect of Magnetic Resonance Imaging on Breast Conservation Therapy versus Mastectomy: A Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Thomas J. Painter ◽  
Peter J. DiPasco ◽  
Subhasis Misra ◽  
Eli Avisar
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Breast Tissue ◽  
Imaging Modality ◽  
Breast Conservation ◽  
Breast Conservation Therapy ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Patient Groups ◽  
Insight Into

The utilization of MRI in the workup of breast cancer has played a controversial role in the surgical treatment of this disease. With the higher resolution of breast tissue afforded, additional lesions are being identified that often warrant additional procedures, subsequently affecting the decision to proceed with breast conservation therapy versus mastectomy. In this paper, a literature review is presented to help illuminate some of the benefits and pitfalls of employing MRI as a diagnostic tool in the care of breast cancer, while additionally providing insight into the management alterations this imaging modality can engender. Though further research is required in a randomized prospective form to fully answer this question, evidence for and against its use continues to mount, especially for select patient groups.

scholarly journals Breast Magnetic Resonance Imaging and Its Impact on the Surgical Treatment of Breast Cancer

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Georgia Tsina ◽  
Philippe Simon
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Breast Magnetic Resonance Imaging ◽  
Treatment Decision ◽  
Breast Mri ◽  
Breast Ultrasound ◽  
Newly Diagnosed ◽  
Resonance Imaging ◽  
Unilateral Breast Cancer ◽  
Breast Magnetic Resonance

Breast MRI focuses on the detection of multifocality, multicentricity, and bilaterality of newly diagnosed breast cancer. A retrospective study was carried out on 833 patients that were diagnosed and treated for breast cancer between January 2002 and December 2011. Patients were divided into two groups: those that had a presurgery breast MRI and those that did not. The two groups were compared on the basis of the several parameters. The aim of the study was to determine whether the use of MRI in breast cancer screening changes the initial treatment decision. In 18% of the patients, MRI revealed a multifocal or a multicentric unilateral breast cancer, a bilateral tumour, or a larger cancer than initially diagnosed. Most of these patients underwent a second-look breast ultrasound, with or without an additional biopsy. The percentage of mastectomies did not increase as a result of an MRI exam. Neoadjuvant chemotherapy was used more often and the percentage of reoperations decreased when an MRI was performed.

Mammography, Breast Ultrasound, and Magnetic Resonance Imaging for Surveillance of Women at High Familial Risk for Breast Cancer

2005 ◽  
Vol 23 (33) ◽  
pp. 8469-8476 ◽  
Author(s):  
Christiane K. Kuhl ◽  
Simone Schrading ◽  
Claudia C. Leutner ◽  
Nuschin Morakkabati-Spitz ◽  
Eva Wardelmann ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Familial Risk ◽  
Interval Cancer ◽  
Breast Ultrasound ◽  
Breast Cancer Susceptibility Gene ◽  
Breast Cancers ◽  
Resonance Imaging ◽  
Higher Sensitivity

Purpose To compare the effectiveness of mammography, breast ultrasound, and magnetic resonance imaging (MRI) for surveillance of women at increased familial risk for breast cancer (lifetime risk of 20% or more). Patients and Methods We conducted a surveillance cohort study of 529 asymptomatic women who, based on their family history and/or mutational analysis, were suspected or proven to carry a breast cancer susceptibility gene (BRCA). A total of 1,542 annual surveillance rounds were completed with a mean follow-up of 5.3 years. Diagnostic accuracies of the three imaging modalities used alone or in different combinations were compared. Results Forty-three breast cancers were identified in the total cohort (34 invasive, nine ductal carcinoma-in-situ). Overall sensitivity of diagnostic imaging was 93% (40 of 43 breast cancers); overall node-positive rate was 16%, and one interval cancer occurred (one of 43 cancers, or 2%). In the analysis by modality, sensitivity was low for mammography (33%) and ultrasound (40%) or the combination of both (49%). MRI offered a significantly higher sensitivity (91%). The sensitivity of mammography in the higher risk groups was 25%, compared with 100% for MRI. Specificity of MRI (97.2%) was equivalent to that of mammography (96.8%). Conclusion Mammography alone, and also mammography combined with breast ultrasound, seems insufficient for early diagnosis of breast cancer in women who are at increased familial risk with or without documented BRCA mutation. If MRI is used for surveillance, diagnosis of intraductal and invasive familial or hereditary cancer is achieved with a significantly higher sensitivity and at a more favorable stage.

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