Evaluation of Multifocal Carcinoma in Contrast Spectral Mammography
Daniella Paula Dias Coelho, Sildomar Queiros e Silva, Felipe Pereira de Loredo, Jéssica Brito da Silva de Jesus, Katiana Macedo do Vale Feitosa, Bruno Sérgio Costa Brasil, Edwance dos Santos Goes, Sabrina Ramos Bianco
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.
