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The Modern Approaches in Diagnostic Algorithm of Inflammatory Breast Cancer (The Literature Review)

Abstract

Inflammatory breast cancer (IBC) is characterized by an aggressive course and high metastatic potential, therefore timely diagnosis affects outcome of the treatment. In the basis of instrumental diagnosis of IBC, standard imaging methods include - mammography and ultrasonography (USG) additional test and modern techniques such as magnetic resonance imaging (MRI) and positron emission tomography/computed tomography (PET/CT) can also be used. Ultrasound is the most highly sensitive technique that allows in terms of any clinic to identify tumor component in suspected IBC in 93% of cases, and determines the possibility for morphological diagnosis. Mammography is the least sensitive method for diagnosing IBC as tumor tissue on the background of tissue edema are difficult to identify (16-80%, depending on the method of mammography), but the method is still required. MRI allows to defect and pinpoint the tumor changes of the breast tissue in the presence of tissue edema in almost all of the patient with IBC. PET/CT during IBC remains the most accurate in staging the tumor process, and the significance of the method includes a visual ization of the tumor in the breast itself. The use of Single-Photon Emission Computed Tomography in the diagnosis of IBC remains to be established. In the diagnostic algorithm of IBC, combination of all the above methods of research should be used, in order to obtain the most complete picture of the disease, which is extremely important in treatment planning.

About the Authors

Antonina Yurievna Kolesnik
Russian Scientific Center of Roentgenoradiology
Russian Federation


Maria Andreevna Sherhneva
Russian Scientific Center of Roentgenoradiology
Russian Federation


Elena Valerievna Meskih
Russian Scientific Center of Roentgenoradiology
Russian Federation


Vladimir Davidovich Chkhikvadze
Russian Scientific Center of Roentgenoradiology
Russian Federation


Nikolai Vasilyevich Nudnov
Russian Scientific Center of Roentgenoradiology
Russian Federation


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Review

For citations:


Kolesnik A.Yu., Sherhneva M.A., Meskih E.V., Chkhikvadze V.D., Nudnov N.V. The Modern Approaches in Diagnostic Algorithm of Inflammatory Breast Cancer (The Literature Review). Medical Visualization. 2014;(5):124-129. (In Russ.)

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