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Gilda Cardenosa - Breast Imaging Companion

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Gilda Cardenosa Breast Imaging Companion
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The top-selling title in our Imaging Companion Series is now in its revised, updated Third Edition. Featuring over 1,000 large, clear images accompanied by brief, bulleted key facts, this how-to book provides everything readers need to obtain high-quality scans...correlate radiologic, pathologic, and clinical findings...and communicate the significance of imaging results to referring physicians. This edition has a new chapter on magnetic resonance imaging and new information on the ACR Ultrasound BI-RADS Lexicon; keloids and hypertrophic scars; cutaneous angiosarcoma; subareolar abscess; columnar alteration with prominent apical snouts and secretions (CAPSS); mucocele-like lesions; cat scratch disease; granulomatous mastitis; and granular cell tumor.

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BREAST IMAGING COMPANION THIRD EDITION BREAST IMAGING COMPANION - photo 1

BREAST IMAGING COMPANION

THIRD EDITION BREAST IMAGING COMPANION THIRD EDITION Gilda Cardeosa - photo 2

THIRD EDITION

BREAST IMAGING COMPANION

THIRD EDITION Gilda Cardeosa MD Veronica Donovan Sweeney Professor of - photo 3

THIRD EDITION

Gilda Cardeosa, MD

Veronica Donovan Sweeney Professor of Breast Imaging
Director of Breast Imaging

Department of Radiology

Virginia Commonwealth University Health System
Medical College of Virginia Hospitals
Richmond, Virginia

Acquisitions Editor Lisa McAllister Managing Editor Kerry Barrett Project - photo 4

Acquisitions Editor: Lisa McAllister

Managing Editor: Kerry Barrett

Project Manager: Rosanne Hallowell

Manufacturing Manager: Benjamin Rivera

Marketing Manager: Angela Panetta

Art Director: Risa Clow

Cover Designer: Larry Didona

Production Services: Aptara, Inc.

Third Edition

2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business

530 Walnut Street

Philadelphia, PA 19106

LWW.com

2001 by Lippincott Williams & Wilkins (Second Edition). 1997 by Lippincott-Raven (First Edition).

All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilizing by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews.

Printed in the United States

Library of Congress Cataloging-in-Publication Data

Cardenosa, Gilda.

Breast imaging companion / Gilda Cardenosa. 3rd ed.

p. ; cm.

Includes bibliographical references and index.

ISBN-13: 978-0-7817-6491-9

ISBN-10: 0-7817-6491-2

1. BreastCancerDiagnosis. 2. BreastImaging. I. Title.

[DNLM: 1. Breast DiseasesradiographyHandbooks. 2. Mammography Handbooks. WP 39 C266b 2008]

RC280.B8C366 2008

616.99'449075dc22

2007037067

Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner.

The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.

Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of health care providers to ascertain the FDA status of each drug or device planned for use in their clinical practice.

The publishers have made every effort to trace copyright holders for borrowed material. If they have inadvertently overlooked any, they will be pleased to make the necessary arrangements at the first opportunity.

To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300.

Visit Lippincott Williams & Wilkins on the Internet: at LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6 pm, EST.

10 9 8 7 6 5 4 3 2 1

Picture 5

I dedicate the third edition of this book to

The memory of my mother Gilda Paniza Cardeosa (19232003).

Her unwavering determination to give me every possible opportunity against significant odds, brought unique adventures spanning continents and cultures and now a cache of memories few can rival. She was tenacious in her beliefs that there is nothing like the American Dream, and the unalienable rights afforded citizens in this country, and that it could be ours, if we remained true to ourselves and worked hard. She was right.

We made it beyond our wildest imagination; she was quite a lady.

My father Ricardo Cardeosa Barriga

and

Dr. Regina OBrien

CONTENTS

Why another edition of the Breast Imaging Companion? Why an increase in the number of text pages and images, and yet an ongoing struggle to decide what to include and emphasize and what should wait for another book?

For an introductory breast imaging text, are more images and text better, or is struggling to select one or two images as representative of entities and processes that may have marked variability the preferred option, so as not to confuse or overwhelm the reader? I do not know the answer to this; however, I have opted to include as many images as possible with the firm conviction that this is the most helpful to residents, experienced breast imagers, technologists, and other breast health care providers. At this point, I can only hope that the resulting size of the book does not detract from the message or make this book less useful. As in previous editions, I have tried to pack in as much practical common-sense information as possible such that I even use some of the figure legends to introduce material. Imaging modalities, approaches to patient care, and our knowledge of breast diseases have continued to expand rapidly, dictating the need for expanding the text. To illustrate the concepts, I have added images and replaced many of the images used in previous editions, and I assure the reader that these are new images and not repeats from my other books.

The breast imaging story is truly remarkable. Amid controversy, ongoing skepticism, critical shortages in breast imagers, and the lost leader albatross that continually subverts many of our efforts, this specialty pushes forward with far-reaching contributions to the care and management of patients with breast cancer. It is always helpful to acknowledge where we have been and what has been accomplished, and from this to gather the strength and foresight to overcome the challenges we face.

When confronted with technical and quality issues in mammography, the American College of Radiology stepped forward and took a leadership role in proposing, developing, and implementing the first-of-its-kind voluntary accreditation program for mammographic facilities. This heralded the passage of the Mammography Quality Standards Act in 1992. These efforts resulted in marked improvements in the quality of the mammographic studies and established basic continuing medical education requirements for technologists, physicists, and interpreting physicians. Additional voluntary accreditation programs in breast ultrasound, stereotactically and ultrasoundguided breast biopsies, and, more recently, breast magnetic resonance imaging have since been developed.

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