Digital Breast Tomosynthesis and Contrast Enhanced Mammography - Case 11 - USA

Case number 12, a 52 year old lady with no symptoms, very dense breasts and the only finding on mammography were some tiny microcalcifications on the left breast. We detected the micro calcifications and a lot of cysts. You can see the micro calcifications are very clearly detected on tomosynthesis suspicious micro calcifications into ductal calcifications and it was not very clear if there was something irregular, a possible irregular mass very close to the microcalcifications. Enhanced mammography we detected an uptake of contrast in the mass that was not detected on the conventional mammography, the micro classifications only on conventional and the mass the enhancing mass close to the micro classifications. So this patient had two cancers, 1 intraductal cancer that was the area of the microcalcifications missing in five millimetres and an invasive ductal cancer, A12 millimetre cancer in the irregular mass. So it is important to know that contrast enhancing mammography can detect additional masses, additional cancers not detected on conventional mammography. But on the opposite, some tiny introductory cancers do not enhance on contrast mammography.

13 cima Case 12 Digital Breast Tomosynthesis and Contrast Enhanced Mammography Prof. Dr. Luis Pina VNIVERSITAS ENSIS Breast Imaging Department (Radiología mamaria) Clínica Clínica Universidad de Navarra Universidad Pamplona, Spain de Navarra Administrator SIEMENS R_Case_12, Pina * 1/1/1965 F Reading_2018 Series MG Breast Add Study MG Reading MG, 9/12/2017 Bilateral Mamo(prime) First Step Next ReportFlow step [CTRL F] CC Image to Reset TOMO LCC 4 Findings Tools INSIGHT 2D RCC TOMO RCC 9:17 AM Hide Prof. Pina CEM Clinical information 52-year-old lady Asymptomatic points MG Previous Lock Quadrant Technical LMLO LCC Q + mage to Server: VIASRV Hide Lines OMO RCC image to Next Ultrasound XV P 44mm PRC 12/2/1 PRS PST 2 PRC 12/2/1 PRS 4 DR. PINA 2.95 Cm PST DBT Pathology Mass: 12mm invasive ductal carcinoma Pure Her 2 (Ki 67 60%, Estrogen & Progesterone 0%, c-erb 2 +++) sentinel node Calcs: 5mm DCIS Negative CIS hance Learnings A small DCIS did not enhance on TiCEM Siemens Healthineers AG, 2024 Please note: This learning material is for training purposes only. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country, Due to regulatory requirements, the availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be llable for damages. The statements by customers of Siemens Healthineers described herein are based on results that were achieved in the customer's unique setting. Because there is no "typical" hospital or laboratory and many variables exist (e.g ., hospital size, samples mix, case mix, level of IT and/or automation adoption) there can be no guarantee that other customers will achieve the same results. The speakers and/or their employer receive financial support from Siemens Healthineers for collaborations. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Healt Healthineers