Breast Imaging of the Pregnant and Lactating Patient: Imaging Modalities and Pregnancy-Associated Breast Cancer

Vashi, Reena; Hooley, Regina J.; Butler, Reni; Geisel, Jaime; Philpotts, Liane E.

doi:10.2214/ajr.12.9814

Cited by 113 publications

(97 citation statements)

References 34 publications

(48 reference statements)

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“…In breastfeeding and pregnancy, the routine screening mammogram is not recommended. In women older than 40 years, screening mammography is best avoided until 3 months after lactation, till the breast parenchyma returns to its original state (23).…”

Section: Mammographymentioning

confidence: 99%

Pregnancy-associated Breast Cancer: A Review of Imaging Modalities

et al. 2018

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Context: The most common cancer and cause of cancer-related death in pregnant and breastfeeding patients is breast cancer. In the world, the incidence of pregnancy-associated breast cancer (P.A.B.C) is increasing, which is due to the fact that women delay their pregnancy up to the middle ages. According to the definition of P.A.B.C, a pregnancy-associated breast cancer is a case of breast cancer that occurs during pregnancy or up to 1 year after delivery. The aim of this paper is to review the clinical findings and novel imaging methods and findings, which help to diagnose pregnancy-associated breast cancer early. Evidence Acquisition: We reviewed the papers with subjects of PABC and imaging modalities in PABC by searching the medical and health databases such as PubMed, Google Scholar, as well as clinical trials. Results: The most frequent manifestation is a painless mass sensation. The most prevalent pathology of PABC is high-grade ductal carcinoma. The first diagnostic tool and most sensitive modality of imaging in this disease is ultrasound. Mammography during pregnancy and lactation is a safe method, which performs in symptomatic patients or in patients with positive ultrasound findings. MRI is not recommended during pregnancy, but it is completely harmless in breastfeeding patients and it is usually used as the complementary modality. Conclusions: Timely diagnosis of PABC requires complete knowledge of clinical symptoms and accurate interpreting of the images in different diagnostic modalities including mammography, ultrasound, and MRI. It should be noted that delay in diagnosis of PABC is the most common cause of low survival rate and bad prognosis.

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Section: Mammographymentioning

confidence: 99%

Pregnancy-associated Breast Cancer: A Review of Imaging Modalities

et al. 2018

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“…However, if a suspicious lesion is observed on ultrasound, mammography, which is considered a safe method, should be performed (4,20,31-33) , as should ultrasound-guided biopsy (34) . In mammography and ultrasound, the imaging rarely differs significantly from that of cancer in non-pregnant women (2,4) .…”

Section: Pregnancy-associated Breast Cancermentioning

confidence: 99%

“…In mammography and ultrasound, the imaging rarely differs significantly from that of cancer in non-pregnant women (2,4) . If the lesion is considered highly suspect or if the biopsy is positive, the ipsilateral axilla should also be assessed (34) .…”

Section: Pregnancy-associated Breast Cancermentioning

confidence: 99%

Ultrasound findings of the physiological changes and most common breast diseases during pregnancy and lactation

et al. 2016

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Because of the physiological changes that occur during pregnancy and lactation, diagnostic ultrasound of the breast during these periods is a challenge for physicians. Therefore, a comprehensive understanding of imaging, anatomy, and physiology of the breast is important to effectively diagnosing diseases that can arise in women who are pregnancy or lactating. The aim of this article was to review the physiological changes that occur in the breasts during pregnancy and lactation, as well as to describe the main features of the breast diseases that occur most frequently during these periods.

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“…If a patient has a high level of concern, ''pump and dump'' for a short duration is always an option. 16 Breast MRI is not for everyone, as there are some contraindications to consider. Contraindicated or possibly contraindicated implantable devices include metallic foreign body, external pulse generators, intra-aortic balloon pump, ventricular assist device, pacemakers, implantable cardioverter defibrillator, retained/fractured pacer leads, cochlear implants, vascular clips, and aortic stent grafts.…”

Section: Detection and Diagnosis Of Palpable Breast Masses 341mentioning

confidence: 99%

Advancements in Imaging Technology for Detection and Diagnosis of Palpable Breast Masses

Jaeger

Hong

Letter

et al. 2016

Clinical Obstetrics &Amp; Gynecology

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Breast cancer is the most commonly diagnosed cancer among women worldwide and the most common cause of cancer death in women. The most common presentation of breast cancer is the presence of a palpable mass, whether noted by the patient during breast self-examination or noted during clinical breast examination. There are a variety of imaging modalities now available for the evaluation of a palpable abnormality. A thorough understanding of the indications, risks, and benefits can help the clinician guide the patient through an appropriate, comprehensive imaging work up.

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Breast Imaging of the Pregnant and Lactating Patient: Imaging Modalities and Pregnancy-Associated Breast Cancer

Abstract: Successful detection of pregnancy-associated breast cancer requires knowledge of key clinical and imaging features of pregnancy-associated breast carcinoma and selection of the appropriate imaging workup and intervention.

Cited by 113 publications

References 34 publications

Pregnancy-associated Breast Cancer: A Review of Imaging Modalities

Pregnancy-associated Breast Cancer: A Review of Imaging Modalities

Ultrasound findings of the physiological changes and most common breast diseases during pregnancy and lactation

Advancements in Imaging Technology for Detection and Diagnosis of Palpable Breast Masses

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