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High Risk Screening MBI, 22% Lifetime Risk by Claus Model

Case History:

• 62 y/o with recent negative screening mammography referred for management of high risk status

• Abnormal MBI scan with focal uptake posterior LIQ left breast

• Diagnostic mammography and US demonstrated no significant findings , just a subtle 1.2 cm mass at 7:00 approximately 4 cm from the nipple by US

• 9 gauge vacuum-assisted needle USCN bx results: ILC & LCIS

• Breast MRI showed 1.4 cm index lesion and adjacent 6mm ILC satellite and extensive LCIS in posterior LIQ left breast

• Final surgical pathology results: 1.2 cm ILC with adjacent 6mm ILC satellite and extensive LCIS in posterior LIQ left breast pathology staging: pT1c(m), pN0(sn), cM0, Stage 1A

LumaGEM Case Study ®

Molecular Breast Imaging (MBI) Diagnostic Mammography

Ultrasound MRI

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Images Courtesy of Houston Methodist Sugar Land Hospital, Breast Imaging Center, Houston, TX

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