Ductal Carcinoma In situ , Clearly Visible by Digital Infrared Analysis (IRDCIs)

Good Evening , Is Ductal Carcinoma In Situ   of The Breast Visible under the infrared Spectrum ?
Just authorized by the patient to publish her images?Ready?

40 Year Old Female , Never Pregnant , no Family History for Breast Cancer. 

Now we will start backwards:
Digital Infrared Analysis First ok?

Basal Anterior View or Frontal . Total Breast areas are included. Assymetry is focused mainly towards The Left Breast Upper and Outer Quadrant.

Basal ( Previous to Cold Challenge) Right Oblique View  and Left Oblique View

Arrow points toward the "highest" Infrared Radiation Area. Difficult to see and detect for the "untrained" eye. 

Physiologic or Functional (After Cold Stress Test or Challenge ) . Now a Clearly Defined area is EASILY detected (Arrow) and correponds to the Highest Metabolical Active Area of BOTH BREASTS. 

Would You Lke to See the Ultrasound and Xray Images?

Keep Posted......

Here are the Ultrasound Images:

 IRRELEVANT ULTRASOUND IMAGES , SIMPLE CYST AT MOST

Now here comes our Cornerstone in Detection :

Left superior and External SUSPICIOUS MICROCALCIFICATIONS.

With slightly dense surrounding tissue. 

BIRADS IV you all will agree. (I hope)

NOW REMEBER THE INFRARED SERIES PREVIOUS TO BIOPSY:

Go back to see larger details.......

Finally patient was Biopsied under Radiological Guide :

Mammography strength also rely in the ability to locate EXACTLY the anatomic position of the detected "abnormality".....

YET , although it may seem improbable or unbelievable , this latter kind of radiological maneuver is NOT present or available in MOST countries.

All efforts are stablished to OFFER radiological diagnosis and assitance for surgical or biopsy procedures. 

BUT Real clinical environments , and surrounding complex cultural and economical parameters make XRay detection and diagnosis of breast cancer highly unlikely to occur.

But then again WHO cares for women with no access to mammography or those who do not have access to a good radiologist or cannot AFFORD a guided Biopsy or even a simple Biopsy?

MMmmmmmm. Makes me wonder..........

But , back to our patient.

Final Pathological Report:

Ductal Carcinoma In Situ.

Patient chosed a Quadrantectomy which was reconstructed with autologous Latissimus Dorsi Myocutaneous Flap.

 Plus adjuvant therapy and now she is having Tamoxifen 20 mg a day.

2 Years Later , undercontrol She is doing fine and well as the vast majority of Ductal Carcinoma in Situ patients are.

Comment: Some In Situ Lesions might be clearly visible under the infrared spectrum (IRDCis), prospective controlled clinical trials could define which early lesions are clearly defined.

It is not to fight Mammography , it has never been the issue. IR analysis reintroduced in expert trained Breast Specialist could help against Breast Cancer.

I know what you might say or think , there is nothing done different from what is usually done. 

You are absolutely right , IR image could be thought as USELESS or TIME consuming etc....

Yet it has a meaning at could actually HELP.

One final question :

 My patient is doing well BECAUSE Mammography Detected an Early Breast Cancer Stage 0?

Or

Is she doing fine BECAUSE the Kind of Cancer That we found was never going to do any harm ?

pffffffff : I do not Know , I guess somewhere in Between.....

Can we Reduce OVERDIAGNOSIS and OVERTREATMENT?

Have a great day.........