Evaluation of Multifocal Carcinoma in Contrast Spectral Mammography

Abstract

The early diagnosis and the correct local staging of breast cancer determine the therapeutic schedule and the prognosis, and still constitute a challenge for health teams. Contrast spectral dual-energy mammography (CESM) is a valuable tool and its use is increasingly important in this evaluation. Among the indications, we highlight the evaluation of dense breasts, research of multifocal, multicentric or contralateral lesions, distinction between fibrotic lesions and tumor recurrence, evaluation after neoadjuvant chemotherapy and contraindications to breast resonance. This manuscript brings images of a CESM that identified multicentric lesions in a diagnostic mammographic evaluation, providing decisive information for therapeutic programming. This technique and its implementation in the evaluation of breast cancer are seldom discussed in the national literature, given the limited experience of radiologists and mastologists, a fact that justifies the dissemination of images and the discussion of different evaluation modalities.