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8.3 breast triple assessment (TNM staging (Tis (carcinoma in situ), T1 (≤…
8.3 breast triple assessment
lumpy breasts: ultrasound + mammogram (CC, MLO)
high density
BI-RADS 0: inadequate
microcalcifications
BI-RADS 1: negative
spiculated mass: invasion
BI-RADS 2: benign
architectural distortion (tent sign)
BI-RADS 3: benign probably
BI-RADS 4: suspicous, biopsy
BI-RADS 5: highly suggestive of malignancy
BI-RADS 6: malignancy
dense breasts: ultrasound
consistency
hypoechoeic with echogenic halo
border
irregular border
MRI
high risk: BRCA
yearly 5-10 years before close relative's age of onset
excisional biopsy/lumpectomy
wide-local excision
CT/MRI wire localization
incisional biopsy
FNAC
C5
malignancy
C4
highly suggestive malignancy
C3
x normal, benign
C2
v normal
C1
inadequate
core biopsy
hormonal status
ER
PR
HER2
TNM staging
Tis
carcinoma in situ
T1
≤ 0.2 cm
T2
≤ 0.5 cm
T3
.> 0.5 cm
T4
chest wall, through out skin, both, inflammatory