top of page
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

Case 10

Contributed by Jordana Phillips MD

Updated December 2021

52-year-old woman with new diagnosis of right breast invasive ductal cancer presents for CEM for extent of disease. MRI couldn't be performed.

Instruction: Look at the images below and answer the question that follows.

Diagnostic CEM

To see RECOMBINED IMAGES: Click the recombined buttons

To MAGNIFY: Click         or press Control + Wheel Scroll

Picture1.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
Picture26_edited.png
Picture1.jpg
Picture26_edited.png
Picture1.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

le rcc pre_edited.jpg
le rcc pre_edited.jpg
le rcc pre_edited.jpg

>> Click for Diagnostic Ultrasound

There is an enhancing mass in the upper outer right breast corresponding to the known malignancy. A smaller enhancing mass is noted in the right axilla. Targeted ultrasound was performed revealing a small concerning mass. Biopsy revealed a metastatic node.

Left 11.jpg
Left 11.jpg
Left 11.jpg

Question

How did CEM help stage this patient?

Determine size of tumor

Full evaluation of lymph node basins

Only enhancing areas reflect clinically significant cancer

CEM features predict tumor subtype

bottom of page