Learning objectives
The aim of thisposter is to:
- Review the various breast diseases arising in patients with chronic renal failure.
- Explain the utility of imaging in the diagnosis of affecting the breast lesions of patients with chronic renal failure.
Background
Patients with chronic renal failure could have various breast diseases.
However,
not much is known about the diseases that include benign or malignant lesions.
It is important for radiologists to recognize the breast disease entities with chronic renal failure to ensure appropriate patient care.
Mammography is typically used for first-line imaging.
If necessary,
it is followed by ultrasound (US)or magnetic resonance imaging (MRI) for the evaluation and characterization of breast lesions.
Screening mammography is recommended in the general population in order to reduce the mortality...
Findings and procedure details
Screening mammography for diaylsis patients
Screening mammograms are not recommended as routine procedures for dialysis patients.
For indivisual patients,
the effectiveness of screening mammograms will depend on transplant status,
personal cancer risk factors,
and expected survival.
However,
incidences of malignancy-associated calcification and hence biopsy recommendation rate were slightly greater for dialysis patients.
Contents
Breast diseases occurring in patients with chronic renal failure are:
1.
Immunosuppressant drug (cyclosporin A) related breast disease
- Benign: fibroadenoma
- Malignant: invasive ductal carcinoma (IDC),
ductal carcinoma in situ (DCIS)...
Conclusion
Patients with chronic renal failure could have various breast diseases that include benign or malignant lesions.
The knowledge of breast disease spectrum associated with chronic renal failure would be helpful for the differential diagnosis.
Screening mammograms are not recommended as routine procedures for dialysis patients.
However,
in addition to these knowledge,
correlation with patient history and presentation would be useful for improving diagnostic accuracy and considering whether to recommend biopsy or not.
References
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Venous congestion of the breast mimicking inflammatory breast cancer: case report and review of literature.
Breast J 2008;14:97-101
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Cao MM,
Hoyt AC,
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Mammographic signs of systemic disease.
Radiographics 2011;31:1085-1100
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Ely KA,
Tse G,
Simpson JF,
Clarfeld R,
Page DL.
Diabetic mastopathy.
A clinicopathologic review.
Am J Clin Pathol 2000;113:541-545
4.
Goo DE,
Kim YJ,
Choi DL,
Kwon KH,
Yang SB.
Bilateral breast enlargement: an unusual presentation of superior vena cava obstruction in a hemodialysis patient with...