Case Study #3

Comparison Between Conventional Mammography and CTLM 3D Images

Click To Review Case Studies

1Case Study #1

Pathology – Microcalcification

2Case Study #2

Pathology – Sub-areolar vascularity

4Case Study #4

Pathology – Benign calcification

Case Study: #3 Pathology: – Infiltrating ductal carcinoma grade III of III Conclusion: This lesion was called BIRADS 2 by one reader and BIRADS 4 by another. Prior biopsy was negative. In view of the frank neovascularization this case needs to be rebiopsied. Click To Enlarge Images
Cranio-caudal mammogram showing a new (since one year ago), minute nodule (4-5mm in diameter) outlined by radiopaque surface markers. The remainder of the breast is unchanged since one year ago but the physician now noticed some skin dimpling medially.	Lateral CTLM image (standard MIP reconstruction) which shows a large spherical volume of tumor neovascularity (red arrows) and an area of extreme vascularity which we believe is caused by multiple small new vessels coming from the chest wall (blue arrows). Compare the surface rendered view.

Cranio-caudal CTLM view of the right breast. Standard MIP reconstruction shows a normal vessel (yellow arrows), tubular in shape and in normal anatomical location. The red arrows outline a large area of neovascularity, spherical in shape (non-anatomical), and extending across the breast to involve the skin. Original mammographic lesion was only 4.0 mm in size.	The same cranio-caudal view with FTB (surface rendering) reconstruction demonstrates the neovascular area more clearly, (red arrows). In particular, a mass of what appears to be individual vessels is seen entering the tumor area from the chest wall (blue arrows). Pathology: Infiltrating ductal carcinoma grade III of III.