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Mammography and Subsequent Whole-Breast Sonography of Nonpalpable Breast Cancers: The Importance of Radiologic Breast Density

Isabelle Leconte1, Chantal Feger1, Christine Galant2, Martine Berlière3, Bruno Vande Berg1, William D'Hoore4 and Baudouin Maldague1

1 Department of Radiology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Ave. Hippocrate 10, B-1200 Brussels, Belgium.
2 Department of Pathology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
3 Department of Gynecologic Surgery, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
4 Ecole de Santé Publique, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium.



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  		Fig. 1A. —49-year-old woman with nonpalpable breast cancer. Craniocaudal (A) and oblique (B) mammograms of right breast reveal heterogeneous breast with no mammographic finding of malignancy.

 


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  		Fig. 1B. —49-year-old woman with nonpalpable breast cancer. Craniocaudal (A) and oblique (B) mammograms of right breast reveal heterogeneous breast with no mammographic finding of malignancy.

 


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  		Fig. 1C. —49-year-old woman with nonpalpable breast cancer. Sonogram reveals irregular 4-mm-diameter, hypoechoic mass (calipers) at union of medial quadrants of right breast.

 


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  		Fig. 2A. —52-year-old woman with nonpalpable breast cancer. Craniocaudal (A) and oblique (B) mammograms of right breast reveal almost entirely fat breast with no mammographic finding of malignancy.

 


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  		Fig. 2B. —52-year-old woman with nonpalpable breast cancer. Craniocaudal (A) and oblique (B) mammograms of right breast reveal almost entirely fat breast with no mammographic finding of malignancy.

 


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  		Fig. 2C. —52-year-old woman with nonpalpable breast cancer. Sonogram reveals spiculated 6-mm-diameter hypoechoic mass (arrow) in upper lateral quadrant of right breast.

 

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