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Anatomy and lymph node
drainage for breast cancer
Stefan Delorme
ESTRO Course From Imaging to Margins
21.05.14 |
StefanDelorme
Division ofRadiology
Outline
•
Types of breast cancer
•
Imaging methods and features
•
Mammography
•
Ultrasound
•
CT
•
MRI
•
T stages
•
Nodal drainage and N Stages
•
Treated breast cancer
21.05.14 |
StefanDelorme
Division ofRadiology
Outline
•
Types of breast cancer
•
Imaging methods and features
•
Mammography
•
Ultrasound
•
CT
•
MRI
•
T stages
•
Nodal drainage and N Stages
•
Treated breast cancer
21.05.14 |
StefanDelorme
Division ofRadiology
Breast cancer: Classification
Criterion
Types
According to origin
- Ductal
- Lobular
According to invasiveness
- In situ
- Invasive
According to differentiation
- G1 Low-grade
- G2 Intermediate grade
- G3 High-grade
According to receptor status
- Estrogen receptor + / -
- Progesteron receptor + / -
According to mutation status
- Her-2-neu positive
- Her-2-neu negative
21.05.14 |
StefanDelorme
Division ofRadiology
Breast cancer: Growth patterns
•
Ductal carcinoma
•
Intraductal carcinoma in situ
•
Thin extensions
•
Microcalcifications
•
Invasive foci
•
Solitary
•
Multifocal
•
Lobular carcinoma
•
LCIS
•
Lobular invasive carcinoma
•
Single-cell invasion pattern
•
Medullary carcinoma
•
Smooth lump
•
Inflammatory carcinoma
•
Extensive lymphangitic and skin infiltration
21.05.14 |
StefanDelorme
Division ofRadiology
Growth patterns
Solitary solid
Interstitial (esp. in LIC)
DCIS
Multifocal DIC with extensive
intraductal component (EIC)