dr.antonio pio masciotra breast carcinoma chest wall relapse with nodules after simple mastectomy
DESCRIPTION
Here is the presentation of a clinical case of breast cancer relapse on the chest wall 15 years after a simple mastectomy. Topics on the role and information of ultrasound and shear wave elastography are discussed. The file is dowloadable at the site www.masciotra.netTRANSCRIPT
Antonio Pio MasciotraCampobasso – Molise – Italy
Website www.masciotra.net
YouTube Channelhttps://www.youtube.com/channel/UCgCj21nKGAhR997Ia3-QegQ
Breast cancer relapse on the chest wall
Clinical case 85 years old woman 15 years ago left simple mastectomy 2 months ago she felt small nodules mildly
painful on her left chest wall
Nodule n.1 Nodule n.2
Nodule n.3 Nodule n.4
Nodule n.1 Nodule n.2
Nodule n.3 Nodule n.4
• Bidimensional • 3D
On the SWE image are displayed different information on elasticity
(or stiffness) quantification for each ROI selected in the colored box:
• Mean value in kPa or m/s (mean elasticity or stiffness)• Minimum value in kPa or m/s (softest)• Maximum value in kPa or m/s (stiffest)• Standard deviation in kPa or m/s (it is an index of more or less
homogeneity)• Elasticity ratio (if are selected 2 ROIs) < or > than 1• Diameter of the ROI selected in mm
In this case
• Mean values (mean elasticity or stiffness) • Minimum value (softest)• Maximum value (stiffest)• Standard deviation (it is an index of more or less homogeneity)• Elasticity ratio (if are selected 2 ROIs) < or > than 1
Feature 2D Min-Max (kPa) 3D Min-Max (kPa)
Mean stiffness 27 - 240 12 - 153
Minimum stiffness 12 - 159 2 - 146
Maximum stiffness 40 - 300 25 - 163
Standard Deviation 5 - 44 3 - 6
Elasticity Ratio 1 - 5 7 - 12
The great variability in all the values of these parameters observed between the four nodules and inside each nodule is an indication of great inhomogeneity cause
of the simultaneous presence of necrotic, active growth and desmoplastic areas
Antonio Pio MasciotraCampobasso – Molise – Italy
Website www.masciotra.net
YouTube Channelhttps://www.youtube.com/channel/UCgCj21nKGAhR997Ia3-QegQ
Breast cancer relapse on the chest wall