Dr. Ruud Pijnappel, PhD

Breast
6 vital steps to ensure success in breast screening
Screening for breast cancer works, but it requires a solid infrastructure, consisting of rigorous training and education, monitoring, auditing, and continuous adjustment, Dr. Ruud Pijnappel, PhD, from the Netherlands told delegates on the second day of the Total Radiology conference at Arab Health 2019.
January 29, 2019
2019 01 29 23 28 4154 Pijnappel Ruud 20190129234809
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Images in a 49-year-old patient originally treated for hormone receptor-positive invasive cancer without preoperative MRI who developed bloody nipple discharge two years after surgery. (A) Left mediolateral oblique mammogram shows new grouped pleomorphic calcification (arrow) adjacent to the previous operation site. (B) Transverse ultrasound image shows a 2.3-cm hypoechoic mass (arrows) with calcifications. (C) Axial contrast-enhanced fat-saturated T1-weighted MRI scan shows an irregular, heterogeneously enhancing mass (arrow) in the left breast, adjacent to the operation site. The final pathologic examination confirmed recurrent invasive ductal carcinoma.
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Images in a 49-year-old patient originally treated for hormone receptor-positive invasive cancer without preoperative MRI who developed bloody nipple discharge two years after surgery. (A) Left mediolateral oblique mammogram shows new grouped pleomorphic calcification (arrow) adjacent to the previous operation site. (B) Transverse ultrasound image shows a 2.3-cm hypoechoic mass (arrows) with calcifications. (C) Axial contrast-enhanced fat-saturated T1-weighted MRI scan shows an irregular, heterogeneously enhancing mass (arrow) in the left breast, adjacent to the operation site. The final pathologic examination confirmed recurrent invasive ductal carcinoma.
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