BIRADS III THERE SHOULD BE NO DOUBT AT ALL .....

Hi again :

Just Now I received an interesting clinical case , which I would Like to SHARE:

1. FEMALE
2. 45 years of age.
3. First Birth at 17
4. Positive Breast Feeding
5. 8 Years with Oral Contraception
6. Last Mammography 18 months.(REPORTED AS NORMAL BIRADS II ) 
7. I week of Left Mastalgia and other minimal symptoms .
8. Non identified Palpable Lesion on either Breast 
9. Axilla : Undetermined 1 cm palpable Lymph Node on the left side. 

REMEMBER : "No radiological exams at all with the following Infrared Images" : 

 I will talk you through them: 

Basal Anterior View : 
Obvious Left Assimetry 
Enhanced Left Vascular Network
Irregular Left Mammary Fold
Single Upper Quadrant (12hrs) Line B on the Left Side.
Slightly Retracted Left Nipple....

Non of the previous findings on the Right...

Oblique View of the Left Breast , notice how entangled is the vascular network....

Physiological or Post  Cold Stress Challenge View:
Normal Right Breast cools down
Abnormal metabolic and Vascular Left Changes are enlightened.
Single Hiperthermia on the Left.

INFRARED ANALYSIS HARBORS :

1. POSITIVE and NEGATIVE PREDICTIVE VALUES FOR DETECTED LESION
2. METABOLIC BEHAVIOUR OF A  DETECTED LESIONS
3. CAN STABLISH A RISK FOR FUTURE CANCER SPECIALLY IN FAMILIAL CASES AS THIS PATIENT IS. 
4. CAN MONITOR EACH BREAST AS AN INTERVAL PROCEDURE.

"For me there is no doubt at all , Digital Infrared Analysis of the Breast holds an evident truth to be rediscovered by Breast specialists , hopefuly radiologists and Oncologists." EMC.

BIRADS III PLUS A POSITIVE METABOLICAL EXAMINATION SHULD PROMPT THE NEED FOR BIOPSY.

(And you can quote me on that)

Keep posted : ANATOMICAL OR MORPHOLOGICAL IMAGES will arrive soon.

My prediction : Positive Case for Breast Carcinoma , Invasive i would say.

"Prediction is often  confused with witchery , specially when the language is UNKNOWN......"

Lets see what happens...................

June 3rd 2013 .
Patient arrived with the following Mammographical and Ultrasound Images:

 Just to point out credibility , done last week and  45 years of age .........

Standard Oblique views , there is a density assimetry in the left breast with a single possibly benign calcification , no architectural distorsion or spiculated lesion.  Inflammatory axillary lymph Nodes. 

Close Up............. density becomes more evident right?

Calls my attention a single Level 1 Lymph node , which has higher   density in  it´s hilium......makes me wonder now....

 Cefalo Caudal Views , subtle central and inner density assimetry in the left breast with the same calcification , a little loss of the retromammary space 

Complementary Ultrasound , plus doppler : 

 I WILL QUOTE : " Left breast with a higher echogenicity , diffuse , with some microcysts and ductal dilations , 

 Elastography showed : left associated  mixed regions  some with a higher or more "solid" nature....

Now here comes UNCERTAINTY : BIRADS III

Standards of care demand a 6 month follow up

Lets BEND the rules , since Clinical knowledge comes from the sum of all previous cases...

I recommended no matter what happens after antiinflammatory treatment and antibiotic  to perfom CBC , Coagulation , and glucose tests. 

And after reviewing the results , i will schedule a Biopsy with a trucut.....

OBVIOUS 2 POSSIBILITIES:

MASTITIS vs Breast Carcinoma possibly T4d : inflammatory.

What do you THINK ? .............well:

"Infrared images are intended ONLY for Breasts Specialists , Breast Cancer Treatment is responsability ONLY for Oncologists.

Detection , Diagnosis and Treatment action depends entirely from : Evidence , History , Experience and a "different sense of feeling" only reserved for those Real Clinitians..........EMC"

(the ones that do not rely only in what they were told , those who  challenge with patience and good intention.... ) 

Is an Infrared Analysis of the Breast a complementary procedure?

SIMPLE :

If an Infrared Analysis of the Breast is an approved  Complementary procedure , then why don't we use it as SUCH?

ANSWER : NOT A SINGLE RADIOLOGIST ( except in Brasil ) has been trained or  INTERESTED in it  and as consequence the vast majority of Oncologists worldwide........


THE TRUTH : There are some BIRADS III that eventually turn into a positive cancer cases

                         BIRADS IV is way TOO tricky and HOLDS LOW SPECIFICITY.

                         And BIRADS 0 obviously needs SOME help.


Infrared Analysis HOLDS a physical and Biological MEANING , NEW evidence is  waiting to be built by EXPERTS in Breast Diseases , not in "alternative" health providers.

Seems logical to me and to you?

Is Mammography an Stereotyped Procedure?

Good Morning , I woke up this morning with this question:

Is mammography an stereotype behavior or medical , radiological procedure?

I was taught that it is our better weapon against Breast Cancer.
I was taught that chances of surviving depend ONLY in is detection Capabilities.
I was taught it should be done annually starting age at 40 .
I was taught it lowered by 30 % mortality rates.
I was taught never to question or challenge this concepts.

BUT

Is it really our best weapon when IT SAVES In situ lesions never to develop clinical signs or even influence mortality?
Not to mention over diagnosis and over treatment ....
Does surviving breast cancer Excludes then our current BETTER Treatments?
What about women 40 years and younger? And how about evidence against Annual vs BIANNUAL?
And  starting until 50 (normal risk)
Was it really 30% reduction in mortality or closer to 10%?

I think we Should we Challenge stereotypes and prove them wrong (when they are ) , and accept ADJUNCTIVELY WITH THE SATNDARDS OF CARE  some "old"  but 

• logical , 
• physical , 
• reproductible , 
• and methodical with a possible use , for a Better Detection , Less false positive Biopsies and help current recommended procedures.

Stereotype means : "SOLID IMPRESSION"

I believe we are entitled to rearrange strategies based on facts and evidenced associated to specific real human environments and scenarios....

" Not everything that shines is gold, is it? " EMC

Good day.