TY - JOUR AU - Daniella Paula Dias coelho AU - Sildomar Queiros e Silva AU - Felipe Pereira de Loredo AU - Jéssica Brito da Silva de Jesus AU - Katiana Macedo do Vale Feitosa AU - Bruno Sérgio Costa Brasil AU - Edwance dos Santos Goes AU - Sabrina Ramos Bianco PY - 2021 DA - 2021/03/23 TI - Evaluation of Multifocal Carcinoma in Contrast Spectral Mammography JO - Japan Journal of Research VL - 2 IS - 2 AB - 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. SN - 2690-8077 UR - https://dx.doi.org/10.33425/2690-8077.1028 DO - 10.33425/2690-8077.1028