Difficulties in the Differential Diagnosis of Late Posttraumatic Changes In Breast: a Clinical Case
Abstract
This clinical case demonstrating the difficulties of differential diagnosis of fat necrosis in a patient with a history of breast trauma. After digital mammography with the function of tomosynthesis in the «combo» mode, were found the changes, that were suspicious of breast cancer (BI-RADS 4b), but no direct signs of malignancy were detected by ultrasound (BI-RADS 3). Additionally, dual-energy contrast spectral mammography was performed, the results were categorized as BI-RADS 3. To exclude oncopathology, a core-biopsy under stereotactic guidance was performed. A morphological picture of the inflammatory-regenerative (fat necrosis) was obtained.
About the Authors
L. I. Kasatkina
Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department
Russian Federation
Russian Federation
D. A. Lezhnev
Moscow State Medical University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
A. B. Abduraimov
Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department
Russian Federation
Russian Federation
T. G. Kaletskaya
Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department
Russian Federation
Russian Federation
I. M. Telezhnikova
Loginov Moscow Clinical Scientific Center, Moscow Healthcare Department
Russian Federation
Russian Federation
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Review
For citations:
Kasatkina L.I., Lezhnev D.A., Abduraimov A.B., Kaletskaya T.G., Telezhnikova I.M. Difficulties in the Differential Diagnosis of Late Posttraumatic Changes In Breast: a Clinical Case. Radiology - Practice. 2020;(1):87-95. (In Russ.)
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