RESUMO
The Breast Imaging Reporting and Data System (BI-RADS) was first initiated in the late 1980s in order to standardize reporting, improve report organization, and to monitor outcomes for more clear, concise, and uniform communication of breast imaging findings. In the BI-RADS 5th edition, several changes and new additions have been made to the magnetic resonance imaging (MRI) lexicon, reflecting increased utilization and availability of breast MRI in clinical practice. Understanding the role and appropriate utilization of breast MRI and the BI-RADS lexicon could help with interpretation and effective communication of MRI findings as well as preparing for incorporation of more advanced imaging techniques. In this comprehensive review of the changes and new descriptors in the MRI section of the fifth edition of BI-RADS with pictorial examples, the reader would be able to achieve improved understanding of the MRI BI-RADS lexicon and its appropriate applications.
Assuntos
Neoplasias da Mama/diagnóstico por imagem , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Sistemas de Informação em Radiologia , Mama/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética/tendências , GravidezRESUMO
BACKGROUND: Breast cancer is rare in adolescents. In one study, breast carcinoma accounted for 0.02% of breast masses surgically removed in young women. We report a case of breast cancer in a 19-year-old woman who was found to have Li-Fraumeni Syndrome. CASE: The patient presented with a new, hard, nonmobile lump in the right breast which prompted her to seek medical attention. A biopsy identified invasive ductal carcinoma. Genetic testing showed a p53 mutation associated with Li-Fraumeni syndrome. SUMMARY AND CONCLUSION: Although breast masses in young women are mostly benign, one must entertain the possibility of more serious conditions when a breast mass is identified with concerning medical or physical findings. Genetic testing might be informative for such patients.
Assuntos
Neoplasias da Mama/genética , Carcinoma Ductal de Mama/genética , Síndrome de Li-Fraumeni/genética , Proteína Supressora de Tumor p53 , Feminino , Humanos , Adulto JovemRESUMO
This review will discuss changes relevant to breast cancer caregivers in the fifth edition of the Breast Imaging Reporting and Data System.