Foreign Body Granuloma and Breast Cancer in the Augmented Breast: Mammography, US, MRI, and FDG-PET.
10.3348/jkrs.2003.49.5.437
- Author:
Hyo Cheol KIM
1
;
Woo Kyung MOON
;
Joo Hee CHA
;
Dong Young NOH
;
June Key CHUNG
;
Kyung Hyun DO
;
Hak Hee KIM
;
Jeong Seok YEO
;
Sun Yang CHUNG
;
Young Jun KIM
;
Min Hoan MOON
;
Jung Gi IM
Author Information
1. Department of Radiology and the Institute of Radiation Medicine, SNUMRC.
- Publication Type:Case Report
- MeSH:
Acoustics;
Breast Neoplasms*;
Breast*;
Foreign Bodies*;
Granuloma, Foreign-Body*;
Magnetic Resonance Imaging*;
Mammography*;
Sensitivity and Specificity;
Shadowing (Histology);
Silicones;
Ultrasonography
- From:Journal of the Korean Radiological Society
2003;49(5):437-446
- CountryRepublic of Korea
- Language:English
-
Abstract:
The mammographic or physical evaluation of breast parenchymal abnormalities in the presence of radiopaque implants or silicone injections is difficult; mammography often fails to discriminate between breast cancer and a radiopaque dense breast. Although the sonographic evaluation of a palpable mass in an augmented breast may be impaired by the presence of posterior acoustic shadowing, the modality may be helpful in evaluating such masses, and dynamic contrast-enhanced MR imaging facilitates differentiation. FDG-PET is a possible alternative diagnostic tool for the evaluation of parenchymal lesions under these circumstances, but its drawbacks are its high cost and limited availability. The sensitivity and specificity of both FDG-PET and MRI can be improved by correlating their findings with those of radiological studies, and through an awareness of potential false-negative and false-positive causes.
