This atlas provides radiologists with essential information for the differential diagnosis of breast diseases on the basis of clinical presentation, mammography, and ultrasound. It begins with chapters on tumor biology, prognostic factors, and histology. The authors then provide a thorough evaluation of various methods for early detection and accurate diagnosis, including analog and digital mammography, ultrasound, MR imaging, PET/CT, and interventional procedures. They discuss in detail the strengths and limitations of each imaging modality, aspects of quality control, test intervals, peri- and postoperative management principles, and follow-up care.
Highlights:
- Presentation of difficult cases that effectively demonstrate the diagnostic hurdles and forensic pitfalls in breast diagnosis
- Special sections on breast cancer in men and young women, with discussion of women who are pregnant or lactating
- Color-coded practical tips and clinical notes for optimal comprehension of the material
- Extensive Q&A sections for self-testing in two major chapters
- More than 1,700 high-quality illustrations, including clinical color photographs, ultrasound images, and mammograms
Autorentext
Professor, Institute for Breast Diagnosis, Esslingen, Germany
Klappentext
The Concept: Clinical presentation, sonography, and mammography are the three pillars upon which the concept of this atlas is based. The strengths and weaknesses of these three pillars are fully explored, and it is shown how all three can be optimally integrated and supplemented to yield a confident and efficient diagnosis. Coverage includes digital mammography, positron emission tomography, and sentinel node biopsy. More than 1700 illustrations with clinical photographs, ultrasound images, and mammograms document our approach to establishing an accurate diagnosis for the various forms of breast cancer. The Contents: Aspects of Tumor Biology - Causes, Growth Factors, Endocrine and Exocrine Influences - Hormone Replacement Therapy in Menopause - Predisposing Genetic Factors - Case-Control Study Prognostic Factors - Growth Rate, Tumor Size, Lymph Node Involvement, and Prognosis Histology, Radiography, and Ultrasound - Anatomy - Terminal Duct-Lobular Unit - Atypical Ductal Hyperplasia (ADH) and Noninvasive Carcinoma (DCIS, LCIS) - Invasive Carcinoma - Histologic Classification, Staging, and Grading of Invasive Carcinoma Early Detection - Diagnostic Options - Inspection and Palpation - Digital and Analog Mammography - Accreditation Test Questions - Possibilities and Limitations of Screening - Sonography - Axillary Structures on Mammograms and Sonograms - Magnetic Resonance Imaging - Positron Emission Tomography - Capabilities, Limitations, and Risks of Interventions - Possibilities and Limitations of Complementary Investigations - Breast Cancer in Younger Women - Male Breast Cancer - Perioperative Management - Postoperative Changes, Gynecomastia, and Follow-Up Care
Inhalt
1 Introduction; 2 Aspects of Tumor Biology; 3 Prognostic Factors; 4 Histology, Radiography, and Sonography; 5 Early Detection; 6 Summary.