Carcinoma left breast: temporal evolution

Case contributed by Dr Garth Kruger

Presentation

Mass lesion left breast in 2014

Patient Data

Age: 40 years
Gender: Female
Mammography

Another in the series of time lapse breast images.

 L CC images for comparison 2011, 12 and 14 in chronological order.

Case Discussion

To find subtle changes, use the oldest previous, not the most recent previous for comparison. Check your PACS settings and change them if necessary. Cancers generally (but not always) change with time. Use this fact to best advantage by comparing with the oldest study you have.

If you are reading digital images, use the oldest digital images. If you read analogue, use the oldest analogue images. If you are comparing digital with analogue, good luck.

If you look at 2011 and 2014, the lesion jumps out at you. If you glance 2011 and 12 you may let the change slip by. Read your screening studies in batches in an uninterrupted phoneless environment.

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Case information

rID: 31953
Case created: 7th Nov 2014
Last edited: 8th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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