AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Morris, E. A.
Right arrow Articles by Dershaw, D. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Morris, E. A.
Right arrow Articles by Dershaw, D. D.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

MRI of Occult Breast Carcinoma in a High-Risk Population

Elizabeth A. Morris1, Laura Liberman1, Douglas J. Ballon2, Mark Robson3, Andrea F. Abramson1, Alexandra Heerdt4 and D. David Dershaw1

1 Breast Imaging Section, Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021.
2 Medical Physics Section, Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
3 Clinical Genetics Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
4 Breast Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.



View larger version (80K):

[in a new window]
  		Fig. 1. —49-year-old woman who underwent left lumpectomy 5 years earlier for infiltrating ductal carcinoma and ductal carcinoma in situ (DCIS). Mammogram (not shown) revealed heterogeneously dense breasts with no suspicious findings. Sagittal contrast-enhanced T1-weighted image of left breast shows linear and ductal irregular enhancement measuring 1.7 cm (arrow) in left upper outer quadrant. MRI-guided needle localization revealed DCIS, flat type, with high nuclear grade and minimal necrosis.

 


View larger version (112K):

[in a new window]
  		Fig. 2. —48-year-old woman with family history of breast cancer who underwent left upper inner quadrant lumpectomy 3 years previously for infiltrating ductal carcinoma and ductal carcinoma in situ (DCIS). Mammogram (not shown) revealed heterogeneously dense breasts with postsurgical changes on left and no suspicious findings. Sagittal contrast-enhanced T1-weighted subtraction image of left breast shows clumped linear and ductal enhancement spanning 2.9 cm (arrow) in left upper inner quadrant. MRI-guided localization revealed DCIS, papillary and cribriform type.

 


View larger version (90K):

[in a new window]
  		Fig. 3A. —42-year-old woman with family history of breast cancer who underwent right lumpectomy 1 year earlier for infiltrating ductal carcinoma and ductal carcinoma in situ (DCIS). Mammogram (not shown) revealed extremely dense breasts with no suspicious findings. Sagittal contrast-enhanced T1-weighted image of left breast shows irregularly marginated and irregularly shaped heterogeneously enhancing 0.5-cm mass (arrow) in left upper outer quadrant.

 


View larger version (73K):

[in a new window]
  		Fig. 3B. —42-year-old woman with family history of breast cancer who underwent right lumpectomy 1 year earlier for infiltrating ductal carcinoma and ductal carcinoma in situ (DCIS). Mammogram (not shown) revealed extremely dense breasts with no suspicious findings. Sagittal contrast-enhanced T1-weighted delayed image of left breast shows progressive enhancement of normal parenchyma (open arrows) and washout of contrast material from mass (solid arrow). Mass was not seen on sonography.

 


View larger version (78K):

[in a new window]
  		Fig. 3C. —42-year-old woman with family history of breast cancer who underwent right lumpectomy 1 year earlier for infiltrating ductal carcinoma and ductal carcinoma in situ (DCIS). Mammogram (not shown) revealed extremely dense breasts with no suspicious findings. Quantitative curve shows mass has washout kinetics. MRI-guided localization and surgical excision revealed invasive ductal carcinoma, pure tubular type, measuring 0.3 cm, and DCIS. Sentinel nodes were free of tumor.

 


View larger version (68K):

[in a new window]
  		Fig. 4A. —53-year-old woman with family history of breast cancer and remote history of bilateral breast reduction who had undergone right upper outer quadrant lumpectomy for infiltrating lobular carcinoma 2 years previously. Mammogram (not shown) revealed heterogeneously dense breasts with postsurgical changes and no suspicious findings. Sagittal contrast-enhanced T1-weighted image of right breast shows change resulting from prior surgery (open arrow) and spiculated, irregularly shaped, heterogeneously enhancing mass (solid arrow) in retroareolar region measuring 0.8 cm.

 


View larger version (132K):

[in a new window]
  		Fig. 4B. —53-year-old woman with family history of breast cancer and remote history of bilateral breast reduction who had undergone right upper outer quadrant lumpectomy for infiltrating lobular carcinoma 2 years previously. Mammogram (not shown) revealed heterogeneously dense breasts with postsurgical changes and no suspicious findings. Sonogram of right breast shows irregular, hypoechoic, solid mass (arrow) measuring 0.5 cm and corresponding to MRI-detected lesion. Sonographically guided core biopsy yielded infiltrating ductal and infiltrating lobular carcinoma.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2003 by the American Roentgen Ray Society.