Training Collections
Course Contents
Lesson
Sample Lesson
4 topics, 14 min.
Lesson
Palpable Lumps
5 topics, 16 min.
53-year-old woman with palpable lump in right breast
3Â m.25-year-old woman with bilateral breast implants and palpable lump in right breast
2Â m.78-year-old woman with palpable lump in right upper outer breast
5Â m.54-year-old woman with palpable lump in left breast
5Â m.38-year-old woman with palpable lump in right upper breast
5Â m.Lesson
Breast Pain
3 topics, 7 min.
Lesson
Nipple Discharge
3 topics, 8 min.
Lesson
Skin Changes/Inflammation
10 topics, 23 min.
Skin Changes and Mastitis Overview
2Â m.39-year-old woman with fever and cellulitis of the right breast, recently stopped breastfeeding
3Â m.18-year-old woman with painful palpable lump in left breast
2Â m.Granulomatous Mastitis Overview
2Â m.29-year-old with palpable mass in left breast
2Â m.31-year-old woman with palpable lump and skin redness in left breast
5Â m.Inflammatory Breast Cancer Overview
2Â m.55-year-old woman with skin thickening and redness in right breast
4Â m.68-year-old woman with skin thickening and palpable lump in left breast
4Â m.43-year-old woman with diffuse left breast pain and palpable lump. Family history of breast cancer
4Â m.Lesson
Recall from Screening
29 topics, 1 hr. 7 min.
Asymmetry Overview
6Â m.47-year-old woman recalled for asymmetry in left breast
4Â m.59-year-old woman recalled for focal asymmetry in left breast
3Â m.69-year-old woman recalled for developing asymmetry in right breast
4Â m.46-year-old woman recalled for developing asymmetry in right breast
4Â m.64-year-old woman recalled for calcifications and developing asymmetry
4Â m.51-year-old woman recalled for developing asymmetry in right breast
3Â m.79-year-old woman recalled for developing asymmetry in anterior right breast
4Â m.Breast Mass Overview
2Â m.43-year-old woman recalled for mass in left upper outer breast
3Â m.40-year-old woman recalled for 12 mm mass in right breast
2Â m.62-year-old woman recalled for mass in right upper outer breast
2Â m.80-year-old woman with remote history of right mastectomy, recalled for mass in left breast
3Â m.41-year-old woman recalled for mass in right breast
3Â m.Architectural Distortion Overview
2Â m.69-year-old woman recalled for architectural distortion in left breast
4Â m.74-year-old woman recalled for architectural distortion in left breast
3Â m.54-year-old woman recalled for distortion in left anterior breast
3Â m.62-year-old woman recalled for distortion in left breast
3Â m.Calcification Overview
1Â m.54-year-old woman recalled for calcifications in left upper outer breast
2Â m.57-year-old woman recalled for calcifications in left breast
2Â m.51-year-old woman recalled for calcifications in right upper outer breast
2Â m.60-year-old woman recalled for calcification in right breast
2Â m.53-year-old woman recalled for calcifications in left breast
2Â m.Large Axillary Lymph Node Overview
2Â m.53-year-old woman recalled for large left axillary lymph node
3Â m.80-year-old woman with history of breast cancer treatment recalled for large lymph nodes in left axilla
2Â m.49-year-old woman recalled for asymmetry in left breast and large left axillary lymph node
3Â m.Lesson
Surveillance After Breast Cancer Treatment
5 topics, 16 min.
Annual Surveillance after Breast Cancer Treatment Overview
4Â m.57-year-old woman with history of right breast cancer 10 years ago. Annual follow up
3Â m.62-year-old woman with history of left breast cancer 4 years ago. Annual follow up
4Â m.61-year-old woman with history of left breast DCIS 10 years ago. Annual follow up
3Â m.65-year-old woman with history of left breast cancer 12 years ago. Annual follow up
4Â m.Lesson
Follow Up Probably Benign Findings - BI-RADS 3
5 topics, 16 min.
Follow Up Probably Benign Findings- BI-RADS 3 - Overview
8Â m.60-year-old woman for 6 month follow up of probably benign calcifications in right breast
3Â m.52-year-old woman for 12 month follow up of probably benign 5 mm oval mass in right breast
3Â m.16-year-old girl for 6 month follow up of probably benign mass in right breast
3Â m.56-year-old woman for follow up of probably benign clustered microcysts in right breast
4Â m.Lesson
Follow up Benign Biopsy
3 topics, 5 min.
Lesson
Pregnant and Lactating Women
8 topics, 20 min.
Pregnant and Lactating Women Overview
6Â m.26-year-old woman, 20 weeks pregnant, with left breast pain
2Â m.32-year-old woman, 21 weeks pregnant, with palpable lump left breast
4Â m.33-year-old lactating woman with palpable lump left breast
3Â m.32-year-old woman, 1 year postpartum, breastfeeding, with palpable lump left breast
3Â m.34-year-old woman, currently lactating, with palpable lump left breast
4Â m.28-year-old woman, 1 year postpartum, with palpable lumps right breast
2Â m.25-year-old woman, 1 month postpartum, breastfeeding, with palpable lump right breast
2Â m.Lesson
Male Patients
5 topics, 12 min.
Symptomatic Male Patient Overview
4Â m.65-year-old man with pain and palpable lump behind the left nipple for a few months
2Â m.59-year-old man with enlarging and painful left breast over 6 months
3Â m.77-year-old man with painful palpable lump in right subareolar breast
3Â m.75-year-old man, BRCA2 carrier, with palpable lump in right breast
3Â m.0:00
So our next topic is inflammatory breast cancer
0:04
which can sometimes be difficult to
0:06
distinguish from, um, mastitis or some
0:10
of these more chronic forms of mastitis.
0:12
So in inflammatory breast cancer,
0:14
there are rapid changes in the skin overlying
0:16
the affected breast with erythema, edema,
0:19
or "peau d'orange," orange peel kind of skin.
0:24
And that develops usually over
0:26
the course of about 3 to 6 months.
0:28
The skin changes usually affect
0:30
at least a third of the breast.
0:32
There should be pathologic evidence of
0:34
invasive breast cancer in order to prevent it,
0:37
called inflammatory breast cancer.
0:39
And this represents 2% to 4%
0:41
of all breast cancers.
0:43
And the histopathology shows scattered
0:45
tumor emboli and dermal lymphatic invasion.
0:48
There's a higher rate of HER2
0:51
and triple-negative subtypes.
0:53
Those skin changes can be mistaken for
0:55
mastitis, so this can be a delayed diagnosis.
0:59
And diagnostic clues include a little
1:02
bit older age, age over 50,
1:05
diffuse erythema, and no systemic symptoms.
1:08
So these patients often have all these
1:12
changes, but it's relatively painless
1:15
without the symptoms of fever and chills.
Inflammatory Breast Cancer Overview
HIDEInteractive Transcript
0:00
So our next topic is inflammatory breast cancer
0:04
which can sometimes be difficult to
0:06
distinguish from, um, mastitis or some
0:10
of these more chronic forms of mastitis.
0:12
So in inflammatory breast cancer,
0:14
there are rapid changes in the skin overlying
0:16
the affected breast with erythema, edema,
0:19
or "peau d'orange," orange peel kind of skin.
0:24
And that develops usually over
0:26
the course of about 3 to 6 months.
0:28
The skin changes usually affect
0:30
at least a third of the breast.
0:32
There should be pathologic evidence of
0:34
invasive breast cancer in order to prevent it,
0:37
called inflammatory breast cancer.
0:39
And this represents 2% to 4%
0:41
of all breast cancers.
0:43
And the histopathology shows scattered
0:45
tumor emboli and dermal lymphatic invasion.
0:48
There's a higher rate of HER2
0:51
and triple-negative subtypes.
0:53
Those skin changes can be mistaken for
0:55
mastitis, so this can be a delayed diagnosis.
0:59
And diagnostic clues include a little
1:02
bit older age, age over 50,
1:05
diffuse erythema, and no systemic symptoms.
1:08
So these patients often have all these
1:12
changes, but it's relatively painless
1:15
without the symptoms of fever and chills.
Report
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
Ultrasound
Tomosynthesis
Neoplastic
Mammography
Breast
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