Clinical Ultrasound of the Breast by Toshiji Kobayashi M.D. (auth.)

By Toshiji Kobayashi M.D. (auth.)

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03 501-5411 Telex. 122587 Toshiba Cable Toshiba Tokyo 4. Ausonics Octoson Ausonics PTY Ltd. 5 Sirius Road Lane Cove NSW 2066, Australia INTRODUCTION 27 PART I BISTABLE ECHOGRAPHY Schematic Illustration of Differential Criteria The benign signs for fibrocystic disease such as fibroadenoma and benign cyst are shown at the left; the malignant signs are shown at the right. In the high-sensitivity echograms (upper drawing) can be seen the tadpole-tail sign and the lateral shadow sign at the left, and the acoustic middle shadow sign at the right.

Medullary carcinoma (TI) II. Medullary carcinoma (T2) 12. Medullary carcinoma (T2) a A. Moderate Rich A A A Poor C C C T L T L T L N A A C C T L T L N acoustic middle shadow sign; C. complete disappearance of the distal limit of the tumor mass echo; N. no change in retromammary shadow or intermediate pattern; T. tadpole-tail sign; L. lateral shadow sign. 24 INTRODUCTION Connective Tissue Content and Ultrasonic Attenuation Table lO. Echo Patterns Resulting from Individual Examples of Histological Types According to Connective Tissue Content a Connective tissue Echo pattern Acoustic middle shadow sign Complete disappearance of distal limit of tumor mass echo Tadpole-tail sign Lateral shadow sign No retromammary shadow or intermediate pattern Rich Moderate Poor Nonconnective tissue Rich Moderate S S S PP SSP P Poor S S S PP S PP PP PM MM MM MM MM S PP PP SSP P PM as, scirrhous carcinoma; P, papillary carcinoma; M, medullary carcinoma.

Ltd. 1-6, 1 chome, Uchisaiwaicho, Chiyoda-ku, Tokyo-lOO, Japan Tel. 03 501-5411 Telex. 122587 Toshiba Cable Toshiba Tokyo 4. Ausonics Octoson Ausonics PTY Ltd. 5 Sirius Road Lane Cove NSW 2066, Australia INTRODUCTION 27 PART I BISTABLE ECHOGRAPHY Schematic Illustration of Differential Criteria The benign signs for fibrocystic disease such as fibroadenoma and benign cyst are shown at the left; the malignant signs are shown at the right. In the high-sensitivity echograms (upper drawing) can be seen the tadpole-tail sign and the lateral shadow sign at the left, and the acoustic middle shadow sign at the right.

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