Selasa, 06 Agustus 2013

Mammogram

Patient Jane had a circumscribed well defined margin mass on mammogram. Regarding circumscribed well defined margin breast lumps:
- circumscribed Breast lumps are always benign

- 5% carcinomas have circumscribed breast lumps

- halo sign reported is unhelpful in determining benignity

- sonar is useful to exclude cyst

- magnification compression views required - showing indistinct or microlobulated margins require biopsy

- solid masses that are well circumscribed on magnification views have a high probability of being benign, follow up in 6/12 months

- please exclude cysts, fibrosis, fibroadenoma, primary breast carcinoma, lymphoma and metastatic disease from malignant melanoma in circumscribed well defined margin breast lumps

- cysts, rare after menopause unless on hormone replacement therapy. US diagnosis required, frequently deformed with gentle pressure, orthogonal views required to rule out irregularities or masses from the cyst walls
- fibrosis, may have ill defined boarders
- fibroadenoma, look for popcorn calcifications, in 20 to 30 year old females, rare post menapause
- primary breast carcinoma, usually infiltrating ductal carcinoma, papillary carcinoma, mucinous carcinoma, medullary carcinoma
- lymphoma and
- metastatic disease, usually from melanoma

DENSITY
- fat is benign
- heterogenous non fatty masses are malignant

Fat density
- oil cysts, thin capsule, some architectural distortion,
- galactoceles during or post lactation from an obstructed milk duct

mixed water and fat density
- probably a hamartoma with a thin capsule, stable for years,
- intramammary lymphnodes - usually in the upper outer quadrant

Skin lesions - halo around one edge only

Multiple masses - represent fibroadenoma, cysts, or multiple papillomas
unifocal multiple masses on mammogram - consider metastasis





2 komentar:

  1. Most prostate cancers are adenocarcinomas, cancers that arise in glandular cells of the prostate’s epithelial tissue. Prostate cancers usually progress slowly and produce no symptoms in the initial stages. Eventually, the tumor may enlarge like mine too, the prostate gland, pressing on the urethra and causing painful or frequent urination and blood in the urine. So I was so uncomfortable with this prostate cancer diseases then I decided to do online search on how to cure cancer because I well have read a lot about herbal medicine, I came across a lot of testimony how Dr Itua cure HIV/herpes then Cancer was listed below the comment.with courage I contacted Dr Itua and he sent me his herbal medicine through Courier service then I was asked to pick it up at my post office which i quickly did. I contacted Dr Itua that I have received my herbal medicine so he instructed me on how to drink it for three weeks and that is how Dr Itua Herbal Medicine cures my prostate Cancer, The treatment takes three weeks and I was cured completely. Dr Itua is a god sent and I thank him every day of my life. Contact him now On: Email:drituaherbalcenter@gmail.com/ Whatsapp:+2348149277967.
    He listed that he can as well cure the following diseases below.... Cerebral Amides. Lung Cancer,Brain cancer,Esophageal cancer,Gallbladder cancer,Gestational trophoblastic disease,Head and neck cancer,Hodgkin lymphoma Intestinal cancer,Kidney cancer,Leukemia,Liver cancer,Melanoma,Mesothelioma,Multiple myeloma,Neuroendocrine tumors,Hodgkin lymphoma,Oral cancer,Ovarian cancer,Sinus cancer,Soft tissue sarcoma,Spinal cancer,Stomach cancer,Meniere's disease , Testicular cancer,Throat cancer,Thyroid Cancer,Uterine cancer,Vaginal cancer,Vulvar cancer. Alzheimer's disease,Autism,measles, tetanus, whooping cough, tuberculosis, polio and diphtheria Adrenocortical carcinoma. Alma, Uterine Cancer, Breast Cancer, Allergic diseases. Kidney cancer, Love Spell, Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Generalized dermatitis,Alzheimer's disease,Brain Tumor,Lupus,Endometrial Cancer, cerebrovascular diseases
    Dementia.Colo rectal cancer, Lottery Spell, Bladder Cancer, Skin Cancer,Ovarian Cancer,Pancreatic Cancer, HIV /Aids,Brain Tumor, Herpes, Non-Hodgkin lymphoma, Inflammatory bowel disease, Copd, Diabetes, Hepatitis

    BalasHapus
  2. Goji Berries... yes... I tried those too.For my health conditions, Those sweet, red berries seemed to help, but only during the time when I consumed them. I don't want to take a drug for the rest of my life, so why would I want to take a natural supplement everyday for the rest of my life (although Goji berries are very tasty and are highly nourishing). To me this was not a cure either (and I'm LOOKING for the CURE).
    Up to that point, I hadn't found a cure. I felt like a young jumbled mess. I continued to have extreme pain, but continued on my path to healing. I started to focus on myself and not everyone else. When I was a young adult, I took on too much responsibility out of a sense of obligation. This was no longer healthy for me, so I resigned from all my projects and groups. Those days to come were the best [and worst] days. I took a lot of time off work, yet begun to feel so extremely exhausted. Many health professionals "diagnosed" me with adrenal fatigue & Hiv,Prostate Cancer so my situation was annoying then I keep searching for permanent cure online that's when I came to know of Dr Itua herbal center hands whom god has blessed with ancestral herbs and a gift to heal people with disease like .Cancers,Alzheimer's disease,HPV,Men & Women Infertility,Melanoma, Mesothelioma, Diabetes, Multiple myeloma, Parkinson's disease,Neuroendocrine tumors,Herpes, Hiv/Aids,Non-Hodgkin's lymphoma,, chronic diarrhea, COPD,Love spell, Hepatitis... So I made a purchase of his herbal medicines and I have been watching my health for 6 years now and I actually confirmed that his herbal medicines are a permanent cure and I'm so happy that I came to know of his herbal healings.You can contact Dr Itua herbal center Email: drituaherbalcenter@gmail.com WhatsApp: +2348149277967. if you went through exactly what I go through in terms of health conditions because to be honest there is more to learn about natural herbs than medical drugs.

    BalasHapus