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Breast Carcinoma
Matthew B. Morgan, MD, MS; Wendie A. Berg, MD, PhD, FACR, FSBI
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7

OVERVIEW

  • General Comments

    • Classification

      PATHOLOGY

      • Routes of Spread

        • General Features

          IMAGING FINDINGS

          • Detection

            • Staging

              • Restaging

                CLINICAL ISSUES

                • Presentation

                  • Cancer Natural History & Prognosis

                    • Treatment Options

                      REPORTING CHECKLIST

                      • Staging Considerations

                        • T Staging

                          • N Staging

                            • M Staging

                              Selected References

                              1. Mann RM et al: Contrast-enhanced MRI for breast cancer screening. J Magn Reson Imaging. 50(2):377-90, 2019
                              2. Waks AG et al: Breast cancer treatment: a review. JAMA. 321(3):288-300, 2019
                              3. Goldberg M et al: Systemic effects of radiotherapy in ductal carcinoma in situ. JAMA Netw Open. 1(4):e181102, 2018
                              4. Amin MB et al: AJCC Cancer Staging Manual. 8th Ed. Springer New York, 2017
                              5. Chen SQ et al: Application of abbreviated protocol of magnetic resonance imaging for breast cancer screening in dense breast tissue. Acad Radiol. 24(3):316-20, 2017
                              6. Giuliano AE et al: Effect of axillary dissection vs no axillary dissection on 10-year overall survival among women with invasive breast cancer and sentinel node metastasis: the ACOSOG Z0011 (Alliance) Randomized Clinical Trial. JAMA. 318(10):918-26, 2017
                              7. Lehman CD et al: National Performance benchmarks for modern screening digital mammography: update from the Breast Cancer Surveillance Consortium. Radiology. 283(1):49-58, 2017
                              8. van Bodegraven EA et al: Guidelines and recommendations for MRI in breast cancer follow-up: a review. Eur J Obstet Gynecol Reprod Biol. 218:5-11, 2017
                              9. Allison KH et al: Trends in breast biopsy pathology diagnoses among women undergoing mammography in the United States: a report from the Breast Cancer Surveillance Consortium. Cancer. 121(9):1369-78, 2015
                              10. Oeffinger KC et al: Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. JAMA. 314(15):1599-614, 2015
                              11. Groheux D et al: Performance of FDG PET/CT in the clinical management of breast cancer. Radiology. 266(2):388-405, 2013
                              12. Lee B et al: The efficacy of axillary ultrasound in the detection of nodal metastasis in breast cancer. AJR Am J Roentgenol. Mar;200(3):W314-20, 2013
                              13. Weissenbacher TM et al: Multicentric and multifocal versus unifocal breast cancer: is the tumor-node-metastasis classification justified? Breast Cancer Res Treat. 122(1):27-34, 2010
                              14. Basu S et al: Comparison of triple-negative and estrogen receptor-positive/progesterone receptor-positive/HER2-negative breast carcinoma using quantitative fluorine-18 fluorodeoxyglucose/positron emission tomography imaging parameters: a potentially useful method for disease characterization. Cancer. 112(5):995-1000, 2008
                              15. DeMartini W et al: Breast MRI for cancer detection and characterization: a review of evidence-based clinical applications. Acad Radiol. 15(4):408-16, 2008
                              16. Vieira CC et al: Microinvasive ductal carcinoma in situ: clinical presentation, imaging features, pathologic findings, and outcome. Eur J Radiol. 73(1): 102-7, 2008
                              17. Luciani A et al: Simultaneous bilateral breast and high-resolution axillary MRI of patients with breast cancer: preliminary results. AJR Am J Roentgenol. 182(4):1059-67, 2004
                              18. Michaelson JS et al: Gauging the impact of breast carcinoma screening in terms of tumor size and death rate. Cancer. 98(10):2114-24, 2003
                              19. Key TJ et al: Epidemiology of breast cancer. Lancet Oncol. 2(3):133-40, 2001
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              OVERVIEW

                              • General Comments

                                • Classification

                                  PATHOLOGY

                                  • Routes of Spread

                                    • General Features

                                      IMAGING FINDINGS

                                      • Detection

                                        • Staging

                                          • Restaging

                                            CLINICAL ISSUES

                                            • Presentation

                                              • Cancer Natural History & Prognosis

                                                • Treatment Options

                                                  REPORTING CHECKLIST

                                                  • Staging Considerations

                                                    • T Staging

                                                      • N Staging

                                                        • M Staging

                                                          Selected References

                                                          1. Mann RM et al: Contrast-enhanced MRI for breast cancer screening. J Magn Reson Imaging. 50(2):377-90, 2019
                                                          2. Waks AG et al: Breast cancer treatment: a review. JAMA. 321(3):288-300, 2019
                                                          3. Goldberg M et al: Systemic effects of radiotherapy in ductal carcinoma in situ. JAMA Netw Open. 1(4):e181102, 2018
                                                          4. Amin MB et al: AJCC Cancer Staging Manual. 8th Ed. Springer New York, 2017
                                                          5. Chen SQ et al: Application of abbreviated protocol of magnetic resonance imaging for breast cancer screening in dense breast tissue. Acad Radiol. 24(3):316-20, 2017
                                                          6. Giuliano AE et al: Effect of axillary dissection vs no axillary dissection on 10-year overall survival among women with invasive breast cancer and sentinel node metastasis: the ACOSOG Z0011 (Alliance) Randomized Clinical Trial. JAMA. 318(10):918-26, 2017
                                                          7. Lehman CD et al: National Performance benchmarks for modern screening digital mammography: update from the Breast Cancer Surveillance Consortium. Radiology. 283(1):49-58, 2017
                                                          8. van Bodegraven EA et al: Guidelines and recommendations for MRI in breast cancer follow-up: a review. Eur J Obstet Gynecol Reprod Biol. 218:5-11, 2017
                                                          9. Allison KH et al: Trends in breast biopsy pathology diagnoses among women undergoing mammography in the United States: a report from the Breast Cancer Surveillance Consortium. Cancer. 121(9):1369-78, 2015
                                                          10. Oeffinger KC et al: Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society. JAMA. 314(15):1599-614, 2015
                                                          11. Groheux D et al: Performance of FDG PET/CT in the clinical management of breast cancer. Radiology. 266(2):388-405, 2013
                                                          12. Lee B et al: The efficacy of axillary ultrasound in the detection of nodal metastasis in breast cancer. AJR Am J Roentgenol. Mar;200(3):W314-20, 2013
                                                          13. Weissenbacher TM et al: Multicentric and multifocal versus unifocal breast cancer: is the tumor-node-metastasis classification justified? Breast Cancer Res Treat. 122(1):27-34, 2010
                                                          14. Basu S et al: Comparison of triple-negative and estrogen receptor-positive/progesterone receptor-positive/HER2-negative breast carcinoma using quantitative fluorine-18 fluorodeoxyglucose/positron emission tomography imaging parameters: a potentially useful method for disease characterization. Cancer. 112(5):995-1000, 2008
                                                          15. DeMartini W et al: Breast MRI for cancer detection and characterization: a review of evidence-based clinical applications. Acad Radiol. 15(4):408-16, 2008
                                                          16. Vieira CC et al: Microinvasive ductal carcinoma in situ: clinical presentation, imaging features, pathologic findings, and outcome. Eur J Radiol. 73(1): 102-7, 2008
                                                          17. Luciani A et al: Simultaneous bilateral breast and high-resolution axillary MRI of patients with breast cancer: preliminary results. AJR Am J Roentgenol. 182(4):1059-67, 2004
                                                          18. Michaelson JS et al: Gauging the impact of breast carcinoma screening in terms of tumor size and death rate. Cancer. 98(10):2114-24, 2003
                                                          19. Key TJ et al: Epidemiology of breast cancer. Lancet Oncol. 2(3):133-40, 2001