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      BREAST IMAGING

      A Correlative Atlas

      Beverly E. Hashimoto, M.D., F.A.C.R.

      Section Head, Ultrasoud

      Virginia Mason Medical Center

      Seattle, Washington

      Donald Bauermeister, M.D.

      Chief of Pathology

      Virginia Mason Medical Center

      Seattle, Washington

      and

      Clinical Professor, Pathology

      University of Washington

      Seattle, Washington

      Thieme

      New York · Stuttgart

      Thieme Medical Publishers, Inc.

      333 Seventh Ave.

      New York, NY 10001

      Editor: Felicity Edge

      Editorial Assistant: Diane Sardini

      Director, Production and Manufacturing: Anne Vinnicombe

      Production Editor: Becky Dille

      Marketing Director: Phyllis Gold

      Sales Manager: Ross Lumpkin

      Chief Financial Officer: Peter van Woerden

      President: Brian D. Scanlan

      Compositor: Primustype

      Printer: Maple-Vail Book Manufacturing Group

       Library of Congress Cataloging-in-Publication Data

      Hashimoto, Beverly.

      Breast imaging: a correlative atlas / Beverly Hashimoto, Donald Bauermeister.

      p. ; cm.

      ISBN 1-58890-109-2 (TMP : alk. paper)-ISBN 3131319518 (GTV : alk. paper)

      1. Breast--Imaging--Atlases. 2. Breast--Diseases--Diagnosis--Atlases. I. Bauermeister, Donald E. II. Title.

      [DNLM: 1. Mammography--Atlases. 2. Mammography--Case Report. 3. Breast

      Diseases--diagnosis--Atlases. 4. Breast Diseases--diagnosis--Case Report 5.

      Ultrasonography, Mammary--Atlases. 6. Ultrasonography, Mammary--Case Report. WP 17 H3475b 2003]

      RG493.5.D52 H37 2003

      618.1′90754—dc21 2002070341

      Copyright © 2003 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally protected by copyright. Any use, exploitation or commercialization outside the narrow limits set by copyright legislation, without the publisher's consent, is illegal and liable to prosecution. This applies in particular to Photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electronic data processing and storage.

      Important note: Medical knowledge is ever-changing. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may be required. The authors and editors of the material herein have consulted sources believed to be reliable in their efforts to provide information that is complete and in accord with the standards accepted at the time of publication. However, in the view of the possibility of human error by the authors, editors, or publisher, of the work herein, or changes in medical knowledge, neither the authors, editors, or publisher, nor any other party who has been involved in the preparation of this work, warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of such information. Readers are encouraged to confirm the information contained herein with other sources. For example, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this publication is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

      Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

      Printed in the United States of America

      5 4 3 2 1

      TMP ISBN 1-58890-109-2

      GTV ISBN 3 13 131951 8

      Table of Contents

      Explanation of Tables of Contents

      This book has two tables of contents. The book is primarily organized according to the first table of contents, Pattern Approach to Mammography. By using this table of contents, one is able to identify the histologic entities that create specific mammographic findings. How-ever, for those who want to study the lesions that produce sonographic abnormalities, there is a second table of contents, Pattern Approach to Breast Sonography. This table of contents cross-references clinical cases that illustrate specific sonographic findings.

       Pattern Approach to Breast Imaging

       Foreword

       Preface

       Acknowledgments

       Dedication

       List of Contributors

       I. Approach to Mammographic Analysis

       Chapter 1 Approach to Mammographic Analysis

       II. Ultrasound Technique and Cross—Correlation with Mammography

       Chapter 2 Ultrasound Technique and Cross—Correlation with

      Mammography

       III. Circumscribed Masses

      A. Fat Containing Masses

      1. Galactocele

       Case 1

      2. Hamartoma

       Case 2

       Case 3

      3. Lipoma

       Case 4

       Case 5

      4. Oil Cyst/Fat Necrosis

       Case 6

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