Digital Breast Tomosynthesis in Breast Cancer Diagnosis of the Patient with Extremely Breast Density (The Clinical Example)
Aleksandr Yu. Vasil'ev,
Tamara V. Pavlova,
Ol'ga O. Manuylova,
Larisa I. Kasatkina,
Daniil L. Rotin,
Elizaveta R. Eremeeva 
Abstract
The clinical example demonstrating the diagnostic possibilities of digital breast tomosynthesis of the patient with dense breast is presented. According to the full-field digital mammography, the patient had an extremely dense breast. A region of focal asymmetry was determined in the lower part of the left breast, category BI-RADS 3. The examination was supplemented with the digital breast tomosynthesis technique, according to which the node with characteristic of BI-RADS 5 was visualized in the left breast. Changes in the left breast tissue have been confirmed by ultrasound examination in B-mode (BI-RADS 4). After that, a stereotaxic core biopsy of the abnormal area was performed, followed by morphological verification, according to which the patient was verified with breast cancer (BI-RADS 6).
About the Authors
Aleksandr Yu. Vasil'ev
Central Research Institute of Radiation Diagnostics
Russian Federation
Russian Federation
M. D. Med., Corresponding Member of the Russian Academy of Sciences
Tamara V. Pavlova
Moscow Clinical Research Center named after A. S. Loginov, Moscow Healthcare Department
Russian Federation
Russian Federation
Ph. D. Med., Head of Department of Radiology № 2
Ol'ga O. Manuylova
Moscow Clinical Research Center named after A. S. Loginov, Moscow Healthcare Department.
Russian Federation
Russian Federation
Radiologist of Department of Radiology № 2
Larisa I. Kasatkina
Moscow Clinical Research Center named after A. S. Loginov, Moscow Healthcare Department
Russian Federation
Russian Federation
Head of Department of Oncology № 2
Daniil L. Rotin
Moscow Clinical Research Center named after A. S. Loginov, Moscow Healthcare Department
Russian Federation
Russian Federation
M. D. Med., Leading Researcher of Laboratory of Pathomorphology
Elizaveta R. Eremeeva
Moscow State Medical University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Clinical Resident at the Department of Pathological Anatomy
References
1. Vasil'ev A. Yu., Pavlova T. V., Kasatkina L. I., Manuylova O. O., Rotin D. L. The difficulties of diagnosis of non-palpable breast neoplasm in outpatient practice. Radiologiya — praktika. 2016. No. 5 (59). P. 47–52 (in Russian).
2. Vasil'ev A. Yu., Manuylova O. O. Stereocsopic mammography. An alternative method for the breast cancer early diagnosis. Radiologiya — praktika. 2017. No. 1 (61). P. 6–14 (in Russian).
3. Korzhenkova G. P. A Massive mammographic examination of the female population to breast cancer detect. Radiation diagnostics and therapy. 2015. No. 2 (6). P. 101–107 (in Russian).
4. Destounis S., Johnston L., Highnam R. et al. Using volumetric breast density to quantify the potential masking risk of mammographic density // Am. J. of Roentg. 2017. V. 208. P. 222–227.
5. Hardesty L. A. Issues to Consider Before Implementing Digital Breast Tomosynthesis Into a Breast Imaging Practice // Am. J. of Roentg. 2015. V. 204. P. 681–684.
6. Hack C. C., Stoll M. J., Jud S. M. et al. Correlation of mammographic density and serum calcium levels in patients with primary breast cancer // Cancer Med. 2017. DOI: 10.1002/cam4.1066 [Epub ahead of print].
7. Johnson M. M. Full-Field digital mammography and digital breast tomosynthesis // Radiol. Technol. 2017. V. 88. № 3. P. 299–319.
8. Yang L., Li J., Zhou C. W. Value of digital breast tomosynthesis in the diagnosis of breast lesions // Zhong. Zh. Liu Za Zhi. 2017. V. 39. № 1. P. 33–38. DOI: 10.3760/cma.j.issn.0253-3766. 2017. 01.007. 2017. V. 39. No. 1. P. 33–38. DOI: 10.3760/cma.j.issn.0253-3766. 2017.01.007.
Review
For citations:
Vasil'ev A., Pavlova T., Manuylova O., Kasatkina L., Rotin D., Eremeeva E. Digital Breast Tomosynthesis in Breast Cancer Diagnosis of the Patient with Extremely Breast Density (The Clinical Example). Radiology - Practice. 2017;(5):38-44. (In Russ.)
Views:
125
Email this article 