{"id":5452,"date":"2012-06-27T12:59:51","date_gmt":"2012-06-27T11:59:51","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5452"},"modified":"2012-07-01T20:27:32","modified_gmt":"2012-07-01T19:27:32","slug":"when-mammograms-are-not-enough","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/when-mammograms-are-not-enough","title":{"rendered":"When mammograms are not enough"},"content":{"rendered":"

\"\"<\/a> A suspected nodule seen on IRM (5 mm) is not visible on mammo neither echographie. Can a PET\/Ct give a better localisation and diagnostique before a chirurgical biopsie?
\nThe surgerist cannot perfomr a biopsie because the lesion is not localised with mammo-echo.<\/p>\n

(Sv. \u00f6vrs.) ”En misst\u00e4nkt kn\u00f6l har setts p\u00e5 IRM (5 mm) och \u00e4r inte synlig p\u00e5 mammografi eller ultraljud. Kan en PET\/CT ge b\u00e4ttre lokalisering och diagnos innan kirurgisk biopsi? Kirurgen kan inte g\u00f6ra en biopsi eftersom lesionen inte kan lokaliseras med mammografi eller ultraljud”.<\/span><\/p>\n

\"MR-br\u00f6st<\/a>

MR-br\u00f6st<\/p><\/div>\n

\"\" In case of doubt with regard to mammography and ulj it is MRI breast (MRM<\/em>) that apply. If you have a chance at some centers, you can make the puncture in the MRI. Those who do not have that option instead make a follow-up MRI breast after about 4 months to see if the change has possibly increased.<\/p>\n

PET-CT can only ”see” changes over 5 mm, but it gives no further information than MRI breast. One can not receive any diagnosis with PET-CT, which only indicates that there is one. PET-CT is a tool to check and localize for dissemination of metastases to other sites in the body.
\nLocation and propagation of a local change in the breast be much better with the MR than PET CT. The MRI including contrast can also measure the signal curve to differentiate benign from malignant\u00a0 disease.<\/p>\n

(Sv. \u00f6vrs.) ”Vid tveksamheter vad g\u00e4ller mammo och ulj s\u00e5 \u00e4r det MR br\u00f6st (MRM<\/em>) som g\u00e4ller. Om man har m\u00f6jlighet vid vissa centra s\u00e5 kan man g\u00f6ra punktion i MR. De som inte har den m\u00f6jligheten g\u00f6r ist\u00e4llet en uppf\u00f6ljande MR-br\u00f6st efter cirka 4 m\u00e5n f\u00f6r att se om f\u00f6r\u00e4ndringen har ev \u00f6kat.<\/span>
\nPET-CT kan bara ”se” f\u00f6r\u00e4ndringar \u00f6ver 5 mm men det ger ju ingen ytterligare information \u00e4n MR-br\u00f6st. Man f\u00e5r ingen som helst diagnos med PET-CT som endast visar att d\u00e4r finns n\u00e5got. PET-CT \u00e4r s\u00e5ledes mer ett redskap f\u00f6r att kontrollera och lokalisera ev. spridning av metastaser till andra st\u00e4llen i kroppen.<\/span>
\nLokalisation och utbredning av en lokal f\u00f6r\u00e4ndring i br\u00f6stet ses mycket b\u00e4ttre med MR \u00e4n med PET-CT. Med MR inklusive kontrast kan man \u00e4ven m\u00e4ta signalkurvor f\u00f6r att differentiera benign fr\u00e5n malign sjukdom”.<\/span><\/p>\n

\"\" K.T. rtgssk
\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"

A suspected nodule seen on IRM (5 mm) is not visible on mammo […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[92],"tags":[74,147],"class_list":["post-5452","post","type-post","status-publish","format-standard","hentry","category-mammografi","tag-cancer","tag-mammografi"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=5452"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5452\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5452"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}