Danke u wel. This is very informative for the leman. Unfortunately, I went trough breast cancer last year and it was my auxiliary lymph node that prompted me to get the tests. It hurt, had been hurting for over a month. I got a diagnostic mammogram and ultrasound. During the ultrasound, I requested the tech to scan my auxiliary lymph node. I recall it looking off, and like a comet but I don’t recall the details. Biopsy done, single radical mastectomy later, I ended up having 1.5 inches of cancer. I am a VERY small breasted woman! AAA Please make sure to scan that node. Thank you again. Ing
Hi,u had enlarged swollen axillary lymph nodes?? I hve it now both armpit and it hurt.im so scared to death.do u have lumps on breast or only swollen lymph nodes axillary?? When u get ultrasound do ever it mentioned axillary with fatty hilum??and only one side or both? Kindly if u can reply me
@@marsitamashat I had a lump in my breast that I discovered because of my pain in the axillary. Everyone is different and make sure to mention ALL concerns you have. They should check everything out. I wish you well!
@@ing3666 u had pain in axillary in both side or only one side? Pain in breast as well? What type breast cancer u had? And during diagnosis at what stage are u?
I have masses that were diagnosed Bi-rads 3 and come back in six months. But the more I learn the more I doubt that. While they are both oval and circumscribed, they are hypoechoic, both with posterior shadowing. One is antiparallel. One has “suspicious calcifications”. I’m 43. Starting to worry. Should have gotten the biopsy but the radiologist made me feel like that was completely unnecessary. So confused. 😢
@@robinsmithuis both pathology findings (apocrine papillary metaplasia, PAM as intracystic papillary lesions, IPL) present as intracystic mural nodule. BUT while IPLs are assessed as BR 4a and should be biopsied, PAM as a part of usually fibrocystic changes is too common and "too benign" to be biopsied every time it is found and therefore should be categorized as BR 2 or BR 3. Stavros writes in his book "Breast ultrasound": "Avoiding biopsies of mural nodules caused by FCC and PAM would be preferable. Fortunately, there are subtle differences between the appearances of mural nodules caused by intracystic papillomas and carcinomas and those caused by papillary apocrine metaplasia that aid us in distinguishing between them. (Although PAM is a benign proliferative disorder that can indicate a slightly increased risk for later development of malignancy, the risk is generalized, and removal of the lesion does not alter this underlying risk. Thus, removal of all lesions containing PAM is not warranted.)". So, my question was, what BR category would be preferable for cystic lesions with intracystic mural nodule, that apears benign and not to be an IPL: BR 2 or rather BR 3?
I had calcifications had mammogram every 6 months for 2 years 2015 -17 was cleared for regular mammogram 2018-2020 no changes I missed my mammogram last year This last week where the calcifications were now a 5mm mass upper outer left breast was found I had to have an ultrasound done and a possible hyperechoic/ aneechoic focus was found deep lateral left breast that does not correlate with the the mass found on mammogram they used verbiage like possible or probably not the radiologist suggested coming back in 6 months to see if anything changes ummm duh 🙄 it’s already changed!!!! I called my surgeon and got a referral for a consult for biopsy hoping to get appointment Next week what do you all think Dr what do you think
Hello that's the case not similar to my case initially I was treated as fibroadenoma and all ultrasound criteria match with benign , I was not feeling well at that time all symptoms except my age and ultrasound meet cancer criteria and the mass of 3 cm grows up to 10 cm and I biopsied ND FINDING COME to end In triple negative intraductal carcinoma grade 3
Shouldn't the technician be talking about this. Your not an xray or ultrasound technician. Abd your not a Dr so who are you to be giving women any insight. Oh and your not a woman
Thank you for sharing your knowledge in such a condensed and logicall way. Please upload "part 3" if possible :)
Thank you for such academic presentation.
ITHANK YOU SO MUCH!! Please do upload part 3 🙏🏼🙏🏼🙏🏼🙏🏼
Thank you , amazingly well presented best talk on Breast US .
when will you post a part 3?
Danke u wel. This is very informative for the leman. Unfortunately, I went trough breast cancer last year and it was my auxiliary lymph node that prompted me to get the tests. It hurt, had been hurting for over a month. I got a diagnostic mammogram and ultrasound. During the ultrasound, I requested the tech to scan my auxiliary lymph node. I recall it looking off, and like a comet but I don’t recall the details. Biopsy done, single radical mastectomy later, I ended up having 1.5 inches of cancer. I am a VERY small breasted woman! AAA
Please make sure to scan that node.
Thank you again.
Ing
Hi,u had enlarged swollen axillary lymph nodes?? I hve it now both armpit and it hurt.im so scared to death.do u have lumps on breast or only swollen lymph nodes axillary?? When u get ultrasound do ever it mentioned axillary with fatty hilum??and only one side or both? Kindly if u can reply me
@@marsitamashat I had a lump in my breast that I discovered because of my pain in the axillary. Everyone is different and make sure to mention ALL concerns you have. They should check everything out. I wish you well!
@@ing3666 u had pain in axillary in both side or only one side? Pain in breast as well? What type breast cancer u had? And during diagnosis at what stage are u?
ty very much, youre leaving a strong legacy of knowledge that future students and doctors perform better diagnostics and help to save many lives
very informative and concise, Thank you
waiting for next videos
Great lecture..you did a great job here...thank you so much sir
Wonderful presentation
Excellent presentation ,It would be great helpful in diagnosing breast masses
Great presentation 👍 need part 3
great, very informative, waiting for the next video....thank you
thanks for great presentation,where is part 3/next video?
Thank you. God bless you
WELL DONE THANKS VERY MUCH
Good presentation ! Is there also part 3 anywhere in your list ?
I have masses that were diagnosed Bi-rads 3 and come back in six months. But the more I learn the more I doubt that. While they are both oval and circumscribed, they are hypoechoic, both with posterior shadowing. One is antiparallel. One has “suspicious calcifications”. I’m 43. Starting to worry. Should have gotten the biopsy but the radiologist made me feel like that was completely unnecessary. So confused. 😢
Great video! What is a name of lecturer?
Where is video 3 ? In which u were going to explain lipoma and other lesions
Great great summary
A verschiedenen nice lecture Witz impotent Information.
Thank you very much,,
where is vedio no. 3 plz?
Part 3 and part 4 of this series is missing
A question of curiosity:
what BIRADS category is apropriate for cystic lesions with signs of apocrine papillary metapalsy - BR 2 or BR3?
Hi...BIRADS is based on imaging features and not on pathology findings.
@@robinsmithuis both pathology findings (apocrine papillary metaplasia, PAM as intracystic papillary lesions, IPL) present as intracystic mural nodule.
BUT while IPLs are assessed as BR 4a and should be biopsied, PAM as a part of usually fibrocystic changes is too common and "too benign" to be biopsied every time it is found and therefore should be categorized as BR 2 or BR 3. Stavros writes in his book "Breast ultrasound": "Avoiding biopsies of mural nodules caused by FCC and PAM would be preferable. Fortunately, there are subtle differences between the appearances of mural nodules caused by intracystic papillomas and carcinomas and those caused by papillary apocrine metaplasia that aid us in distinguishing between them. (Although PAM is a benign proliferative disorder that can indicate a slightly increased risk for later development of malignancy, the risk is generalized, and removal of the lesion does not alter this underlying risk. Thus, removal of all lesions containing PAM is not warranted.)".
So, my question was, what BR category would be preferable for cystic lesions with intracystic mural nodule, that apears benign and not to be an IPL: BR 2 or rather BR 3?
thank you
Thanks a lot waiting for more 👏🏼👌🏽
Thanks Dr
I had calcifications had mammogram every 6 months for 2 years 2015 -17 was cleared for regular mammogram 2018-2020 no changes I missed my mammogram last year
This last week where the calcifications were now a 5mm mass upper outer left breast was found I had to have an ultrasound done and a possible hyperechoic/ aneechoic focus was found deep lateral left breast that does not correlate with the the mass found on mammogram they used verbiage like possible or probably not the radiologist suggested coming back in 6 months to see if anything changes ummm duh 🙄 it’s already changed!!!!
I called my surgeon and got a referral for a consult for biopsy hoping to get appointment Next week what do you all think Dr what do you think
Hi Sharon my name is Sheena just curious on your updated exam and results. Please share if you don’t mind. Thanks
awesome content! keep em coming doctor!
Thank you, great!
Great lecture , very nicely explain every aspect of breat mass ,we can differentiate benign Vs malignant masses
Great ,thank you
Thank you, very helpfull, 👍
Thanks
please show fibroadenosis
Possible de traduire en français svp
Hello that's the case not similar to my case initially I was treated as fibroadenoma and all ultrasound criteria match with benign , I was not feeling well at that time all symptoms except my age and ultrasound meet cancer criteria and the mass of 3 cm grows up to 10 cm and I biopsied ND FINDING COME to end In triple negative intraductal carcinoma grade 3
Kindly shear it again
Im 23 years old and i have 3lumps in my breast....well its moving when im touching it..😢😢i hope its not cancer😭😭😭
I hope not. It's worrying though
😍
Shouldn't the technician be talking about this. Your not an xray or ultrasound technician. Abd your not a Dr so who are you to be giving women any insight. Oh and your not a woman
Thank you