33 - Advanced calcification analysis - 1B

Advanced calcification analysis lectures

This lecture covers the four different varieties of malignant type calcifications associated with breast cancers originating in the major ducts, cancers which produce new duct-like structures called neoducts. These cancers are often seen together with clustered crushed stone-like, pleomorphic calcifications developing in the terminal ductal lobular unit(s). Correlation of breast imaging with large format histopathology gives us a better understanding of the imaging findings.

These carefully chosen, fully worked-up cases cover the full spectrum of malignant-type calcifications seen at mammography. You will learn how to find faint and subtle calcifications and recognize malignancy by the distribution of the calcifications, even when the individual calcifications appear benign. Our multimodality diagnostic approach benefits from the strengths of magnification mammography, ultrasound and MRI. The imaging findings are correlated in every case with large format thin section (and often thick section) histopathology images to show the underlying structure of the malignancies we see at imaging. Every case has illustrated teaching points reviewing the major findings and commenting on the appropriateness of the management. These lectures improve your skills in perception and diagnosis and give you greater confidence when communicating your findings to your pathologists and surgeons.