By Dr. med Marton Lanyi (auth.)
Very thorough wisdom of breast pathology is a sine qua non for interpretation of breast motion pictures ... growth in X-ray analysis may well purely be made via cautious comparability of the movie with the particular specimen. H.INGLEBY Multiplication of a similar e"oneous prognosis doesn't make that analysis co"ect. J.G.AzZOPARDI mockingly adequate, our area of expertise considers the radiologist who mis takes a dermis fibroma or the calcifications in a sponge kidney for a child ney stone to lack uncomplicated wisdom, whereas the radiologist who imme diately demands the health practitioner due to a number of white spots on a mammogram is assumed to be appearing in line with the principles of clinical perform. Misunderstandings and confusion in regards to breast pathology in addition to the cozy philosophy that superfluous biopsies are the associated fee we need to pay for the early detection of carcinomas have in lots of locations resulted in a lack of self belief in mammography. but it is a meth od with which carcinomas should be detected just before with the other imaging technique.
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Extra resources for Diagnosis and Differential Diagnosis of Breast Calcifications
96 b) - a pattern commonly seen in sialography. 8). If the contours of the visualized ducts are outlined as in Fig. 5, a roughly triangular pattern is obtained which has wavy contours and one or more "swallowtail" notches posteriorly. 2 Pathology and Radiography of Calcifications of Lobular Origin Calcifications of the lobular region can occur in several pathologic conditions: 1) cystic breast disease 2) lobular neoplasia (LCIS or lobular precancer) 3) "true," infiltrative lobular carcinoma 37 Microcystic (Blunt Duct) Adenosis :=====a~ ~====~b ~===~ :=====~d ~=====~ 06 L -_ _ _ _ ~ L -_ _ _ _---' L -_ _ _ _---''-----_ _ __ Gogo d O .
1966; HOEFFKEN and LANYI 1973). Sclerosing adenosis has no clinical significance as long as the sclerosing process - fibromyoepithelial proliferation - does not cross the lobular boundaries and form a palpable mass through pseudoinfiltration. This tumorlike form of sclerosing adenosis is quite difficult to diagnose and is easily mistaken for carcinoma microscopically, especially on frozen sections. 23). The microcalcifications of sclerosing adenosis show considerable polymorphism compared with the uniformly punctate calcifications of microcystic (blunt duct) adenosis.
24. Detail of mammogram (4 x): numerous oval, amorphous, partly coalescent clusters of predominantly rounded, punctate, occasionally polymorphous mkrocalcifications. Similar but less pronounced changes were visible in the opposite breast. 3%). 3). 1 In the classification commonly used in Germany for describing the risk of malignant transformation - similar to the classifications of KIAER (1954) and INGLEBY and GERSHON-COHEN (1960) type 1 is cystic disease without epithelial proliferation, type 2 with epithelial proliferation but without atypia, and type 3 proliferation with moderate atypia.
Diagnosis and Differential Diagnosis of Breast Calcifications by Dr. med Marton Lanyi (auth.)