Cargando…
Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer
Axillary lymph node metastases of occult breast cancer (CUPAx) is an unusual condition that represents both a diagnostic and therapeutic challenge. The first steps in the diagnostic work-up of patients with CUPAx are the histological analysis of the lymph node metastasis and the execution of basic b...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8225076/ https://www.ncbi.nlm.nih.gov/pubmed/34070278 http://dx.doi.org/10.3390/jpm11060465 |
_version_ | 1783712017432969216 |
---|---|
author | Costantini, Melania Montella, Rino Aldo Fadda, Maria Paola Garganese, Giorgia Di Leone, Alba Sanchez, Alejandro Martin Franceschini, Gianluca Rinaldi, Pierluigi Maria |
author_facet | Costantini, Melania Montella, Rino Aldo Fadda, Maria Paola Garganese, Giorgia Di Leone, Alba Sanchez, Alejandro Martin Franceschini, Gianluca Rinaldi, Pierluigi Maria |
author_sort | Costantini, Melania |
collection | PubMed |
description | Axillary lymph node metastases of occult breast cancer (CUPAx) is an unusual condition that represents both a diagnostic and therapeutic challenge. The first steps in the diagnostic work-up of patients with CUPAx are the histological analysis of the lymph node metastasis and the execution of basic breast diagnostic imaging (mammography and ultrasound). In the case of occult breast cancer, breast Magnetic Resonance (MR) must be performed. Breast MR identifies a suspicious lesion in many patients and second-look ultrasound detects a corresponding ultrasound alteration in about half of cases, allowing the performance of a US-guided biopsy. In the case of an MR-only lesion, MR-guided biopsy is mandatory. We present a case of CUPAx in which contrast-enhanced spectral mammography (CESM) is used to help the detection of occult breast cancer and to guide stereotactic vacuum breast biopsy (VABB). CESM is a new breast imaging technique that is proving to have good performance in breast cancer detection and that is showing potential in the identification of occult breast cancer in a CUPAx setting. The use of an innovative and personalized breast imaging approach in breast cancer patients improves diagnostic possibilities and promises to become the focus in decision strategies. |
format | Online Article Text |
id | pubmed-8225076 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82250762021-06-25 Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer Costantini, Melania Montella, Rino Aldo Fadda, Maria Paola Garganese, Giorgia Di Leone, Alba Sanchez, Alejandro Martin Franceschini, Gianluca Rinaldi, Pierluigi Maria J Pers Med Case Report Axillary lymph node metastases of occult breast cancer (CUPAx) is an unusual condition that represents both a diagnostic and therapeutic challenge. The first steps in the diagnostic work-up of patients with CUPAx are the histological analysis of the lymph node metastasis and the execution of basic breast diagnostic imaging (mammography and ultrasound). In the case of occult breast cancer, breast Magnetic Resonance (MR) must be performed. Breast MR identifies a suspicious lesion in many patients and second-look ultrasound detects a corresponding ultrasound alteration in about half of cases, allowing the performance of a US-guided biopsy. In the case of an MR-only lesion, MR-guided biopsy is mandatory. We present a case of CUPAx in which contrast-enhanced spectral mammography (CESM) is used to help the detection of occult breast cancer and to guide stereotactic vacuum breast biopsy (VABB). CESM is a new breast imaging technique that is proving to have good performance in breast cancer detection and that is showing potential in the identification of occult breast cancer in a CUPAx setting. The use of an innovative and personalized breast imaging approach in breast cancer patients improves diagnostic possibilities and promises to become the focus in decision strategies. MDPI 2021-05-25 /pmc/articles/PMC8225076/ /pubmed/34070278 http://dx.doi.org/10.3390/jpm11060465 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Costantini, Melania Montella, Rino Aldo Fadda, Maria Paola Garganese, Giorgia Di Leone, Alba Sanchez, Alejandro Martin Franceschini, Gianluca Rinaldi, Pierluigi Maria Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer |
title | Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer |
title_full | Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer |
title_fullStr | Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer |
title_full_unstemmed | Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer |
title_short | Axillary Nodal Metastases from Carcinoma of Unknown Primary (CUPAx): Role of Contrast-Enhanced Spectral Mammography (CESM) in Detecting Occult Breast Cancer |
title_sort | axillary nodal metastases from carcinoma of unknown primary (cupax): role of contrast-enhanced spectral mammography (cesm) in detecting occult breast cancer |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8225076/ https://www.ncbi.nlm.nih.gov/pubmed/34070278 http://dx.doi.org/10.3390/jpm11060465 |
work_keys_str_mv | AT costantinimelania axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer AT montellarinoaldo axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer AT faddamariapaola axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer AT garganesegiorgia axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer AT dileonealba axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer AT sanchezalejandromartin axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer AT franceschinigianluca axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer AT rinaldipierluigimaria axillarynodalmetastasesfromcarcinomaofunknownprimarycupaxroleofcontrastenhancedspectralmammographycesmindetectingoccultbreastcancer |