Περιγραφή
Praise for this book:This book should be required reading for the multidisciplinary team of physicians and health care professionals who use mammography for breast cancer detection and treatment…a landmark volume in the field of mammography.–Radiology
Internationally renowned breast cancer imagers, Laszlo Tabar and Peter B. Dean, and the eminent breast pathologist, Tibor Tot, distill decades of clinical expertise in this new volume covering the most frequently occurring malignant type of calcifications: the pleomorphic, crushed stone-like calcifications.
The book presents a systematic approach to using mammographic features to distinguish different subtypes of breast diseases originating within the terminal ductal lobular unit (TDLU). More than 800 images demonstrate abnormal findings with superb clarity, providing a state-of-the-art visual reference for interpreting mammograms in the clinical setting.
Features:
- Concise descriptions of mammographic and MRI findings correlated with high-quality histopathologic images to provide a reliable guide for accurate diagnosis and differential diagnosis, as well as prognostic classification
- Extensive coverage of all aspects of the benign differential diagnostic counterparts of pleomorphic calcifications, including fibrocystic change, fibroadenoma, and papilloma
- Straightforward discussion of terminology based on a thorough analysis of subgross anatomy, 3D histologic features, and long-term disease outcomes
- 3D viewing glasses enclosed in the book for perceiving specially marked images in their true three-dimensional form
This book is ideal for all breast imagers and breast pathologists, as well as for surgeons and oncologists specializing in breast diseases. For the radiologist, this book is an indispensable reference for harnessing the power of mammography to detect breast cancer at the earliest stages possible.
Περιεχόμενα
Chapter 1 The Diagnostic Approach to Malignant Type Calcifications on the Mammogram 1
Overview of the Diagnostic and Management
Problems Encountered When Malignant Type
Calcifications Are Detected on the Mammogram ….. 3
Relative Frequency of Calcification Occurrence ….. 4
Distribution of All Histologically Verified
Malignant Type Calcifications ………………. 4
Malignancy Ratio of Casting Type Calcification
Cases …………………………………… 5
Malignancy Ratio of Crushed
Stone–like / Pleomorphic Calcification Cases ….. 6
Malignancy Ratio of Powdery Calcification Cases . 7
Crushed Stone–like and Powdery / Cotton
Ball–like Calcifications on the Mammogram ….. 8
Cluster Calcifications in Necrotic Malignant
Tissue ………………………………….. 14
Classification of Crushed Stone–like Calcifications
Produced by Malignant Processes ………………. 18
Group 1 . …………………………………. 18
Group 2 . …………………………………. 19
Chapter 2 Group 1: One or Two Clusters of Crushed Stone–like Calcifications
of the Mammogram Produced by Malignant Processes 21
Group 1A: The Mammographic Finding Represents
the Main Histological Finding ………………….. 24
The Long-term Outcome of Cases in Group 1A ….. 42
Group 1B: Contiguous and Extensive Disease on
Histology …………………………………… 46
The Long-term Outcome of Cases in Group 1B ….. 76
Chapter 3 Multiple Clusters of Crushed Stone–like Calcifications on the Mammogram
Produced by Malignant Processes 93
Group 2A: Multiple Foci on Histology with
Intervening Normal Tissue …………………….. 94
Group 2B: Contiguous and Extensive Disease on
Histology …………………………………… 157
Chapter 4 Differential Diagnosis of Breast Diseases Producing Clustered, Discernible
Calcifications 211
Introduction ………………………………… 212
Fibrocystic Change: Pathophysiology, Imaging,
and Differential Diagnosis …………………….. 213
Explanatory Illustration of the Pathophysiological
Process Leading to the Formation of Teacup–like
Calcifications in Fibrocystic Change …………. 218
Comparative Mammographic–Histological
Demonstration of the Sediment Resulting
in Teacup–like Calcifications ……………….. 220
Comparative Galactographic–Subgross 3D
Histological Demonstration of Fibrocystic
Change …………………………………. 222
Demonstration of the Bilateral, Extensive
Fibrocystic Change with Calcifications ……….. 226
Demonstration of the Three Types of
Calcifications Occurring in Fibrocystic Change … 232
Involutional Type Calcifications: Pathophysiology,
Imaging, and Differential Diagnosis ……………… 262
Fibroadenoma ………………………………. 278
Papilloma …………………………………… 294
Chapter 5 The Prognostic Importance of Mammographic Tumor Features 305
References 308
Chapter 1 . ………………………………… 308
Chapter 2 . ………………………………… 308
Chapter 3 . ………………………………… 308
Chapter 4 . ………………………………… 308
Chapter 5 . ………………………………… 308
Subject Index 309
