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Flashcards in AB-Breast and prostate Deck (28)
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1

normal prostate measurements

2x4x3

2

What is a common abnormality that they undergo?

BPH; Benign prostate hypertrophy

3

what lab test is done ... and if it's elevated, what does that usually mean?

PSA (blood test) An Increased # of prostate cells that increased over 50% from normal amount can result in cancer.

4

malignant cells usually lie in what lobe?

periphery

5

What is the functional portion of breast? ..and how many lobes are there?

The mammary/glandular layer includes the functional portion of the breast. Functional portion is made up of 15 to 20 lobes, which contain that milk producing glands, and the ductal system, which carries milk to the nipple.

6

Echogenicity of retromammary region

similar in echogenicity and echotexture to the subcutaneous layer. fatty tissue appears hypoechoic, and the ducts, glands, and supporting ligaments appear echogenic

7

Characteristics of a papilloma

benign, arise from lining of breast ducts, retroareolar area most common, blood discharge. Sonographic findings- tiny papilloma may not be detected, may cause dilation of a single duct. Intracystic papillomas- soft tissue mass growing into lumen of cystic lesion.

8

Arterial supply to the breast

main arterial supply to the breast comes from the internal mammary and the lateral thoracic arteries

9

What are structures in the breast, called the fibrous skeleton, that help maintain the shape made up of?

Cooper's ligaments pg. 551

10

As a woman ages, glandular tissue in the breast is replaced by ___.

Fatty tissue pg. 553

11

What are the characteristics of Cooper's ligaments?

Sonographic characteristics are echogenic and are dispersed in a linear pattern. Best identified when beam strikes the ligaments at a perpendicular angle. pg 552

12

If a woman comes to you, and she has lumpy, bumpy, painful, tender breasts, what does she have?

fibrocystic breasts

13

What is the most common benign tumor of the breast?

Fibroadenoma , they occur primarily in young women pg. 575

14

What is the most common malignant tumor of the breast?

Scirrhous Carcinoma pg. 581 Invasive Ductal Carcinoma (IDC) Per Beth's power point....

15

Skin dimpling is a sign of ___.

breast cancer pg 571

16

What is the primary purpose of breast screening?

The detection and diagnosis of breast cancer in its earliest and most curable stage pg. 559

17

The American Cancer Society states women should have a mammogram by age ___.

40 pg. 559

18

What is it called when a male has big breasts?

Gynecomastia pg. 556

19

What are the sonographic signs of breast cancer?

1. Margins indistinct fuzzy and spiculate 2.Grow through tissue without compressing adjacent tissue and may cause retraction of nipple or skin dimpling 3. Shape sharp, angular microlobulations 4 .Orientation taller than wide, radial growth suspicious for intraductal lesions 5. Echo pattern hypoechoic, weak internal echoes, clustered microcalcifications 6. Strong attenuating 7. Mobility firmly fixed 8. Compressibility rigid noncompressible 9. Hypervascular, feeder vessel may be identified pg 571

20

When mammography sees microcalcifications, ultrasound does not identify them. This is not a reason to do a biopsy.

~

21

What are some good reasons to do a breast ultrasound?

1. Further characterization of mammogram mass (cystic or solid) 2. Eval of a palpable breast lump 3. Pregnant or lactating pt 4.Pt with breast augmentation 5. Difficult or compromised mammogram 6. Imaged guided procedure 7. young women pg 568

22

Benign lesions

SMOOTH, ROUNDED MARGINS • GROW HORIZONTALLY WITHIN TISSUE
PLANES • PARALLEL TO CHEST WALL • ROUND OR OVAL SHAPE • “WIDER THAN THEY ARE TALL”• ISOECHIC WITH BREAST TISSUE • EXHIBIT POSTERIOR ENHANCEMENT • ARE MOBILE AND COMPRESSIBLE • DO NOT HAVE INCREASED BLOOD

23

Malignant Lesions

• HAVE FINGER-LIKE PROJECTIONS CALLED SPICULATIONS
• SHARP, ANGULAR BORDERS
• CAUSE SKIN DIMPLING OR NIPPLE RETRACTION
• “TALLER THAN THEY ARE WIDE”• HYPOECHOIC • HAVE POSTERIOR SHADOWING BEHIND
LESION • RIGID & NONCOMPRESSIBLE • HAVE INCREASED VASCULARITY WITH
FEEDER VESSEL

24

Simple cyst vs Complex cyst

Simple cyst: oval or round, anechoic, imperceptible capsule, posterior acoustic enhancement, edge refraction shadowing, often compressible
Complex cyst: irregular or thickened wall, mural nodule, fluid level, debris, particulate echoes, variable degrees of shadowing

25

What are the 3 layers of the breast?

1.Subcutaneous layer- usually quite thin and consist of fat surrounded by connective tissue septa 2.Mammary (glandular) layer- includes the functional portion of the breast and the surrounding supportive (stromal) tissue 3.Retromammary layer- same as subcutaneous layer. All three of these layers are located between the skin and the pectoralis major muscle on the anterior of the chest wall. pg. 550

26

Abnormality/normal finding, normal breast tissue goes into the axial region-what is it called?

Tail of Spence

27

Advantages of breast ultrasound over breast mammography

Ultrasound young, dense breast because it is difficult to penetrate by mammography to evaluate palpable masses and to image the deep juxtathoracic tissue that are not visible by mammography. Ultrasound is also useful in differentiating structures within uniformly dense breast tissue in which mammography is limited (differentiating solid, round masses from fluid-filled cysts and in visualizing tissue adjacent to implants) p 559

28

Breast cancer screening

Breast self-examination- monthly beginning at age 20
Clinical breast examination by a health care provider- ages 20-39, every 3 years. ages 40 on, yearly
Screening mammography-yearly starting at age 40