IRM Cases

IRM Cases

Catherine BALU-MAESTRO NICE

case 1case 1

44 years young woman (a maternal history of breast cancer)HDM: consults for recent induration of the upper quadrants of the left breast .No prior mammogram

Left breast ultrasonography External Q

MRI MRI

early substraction

T2

T 1

DG

Multi planar reconstructions MIP

Left Breastsagittal

coronal

R L

Segmental enhancement=>Biopsy : DCIS=>mastectomy + prothesis left breast symetrization : prothesis right breast

2 years after Mammography Eklund technique right breast

faceprofil

IEQ : segmental enhancement

normal USnormal US Biopsy radioguided

• Results : mastosis= NO SPECIFICITYResults : mastosis= NO SPECIFICITY

Follow up IRM (3 mois) or biopsy /MRI Follow up IRM (3 mois) or biopsy /MRI

Epithélial Hyperplasia simpleFollow up (MG+MRI)

+3mth

56 years postmenopausal

Conservative Trt 1995 left breast: T1 (14mm tubular carcinoma) N0

December 2007: local inflammatory clinical ex

CASE 2

CC ML

T1

T1

T1 SAT FAT

T2 SAT FAT

TI +IV 1MN30

T1 + IV 7MN

SUBSTRACTION

MACROBIOPSY CYTOSTEATONECROSIS ORGANIZED

MLO

Followed at 1 yearDisappearance of clinical inflammationMammogram : stable

MLO 08. 2009 CC

ML 01.2008 08.09

T1

T2 FP and FN : atypical cytostéatonécrosis

T1

T2 FS

+ IV précoce

+ IV tardif

T1+IV

T1 précoce tardif

Cytology : CSN

FN : RECURRENCE

T1+IV