Laurie R. Margolies MD, Presenter: Consultant, FUJIFILM Holdings Corporation Consultant, Konica Minolta Group

Janet R. Szabo MD, Abstract Co-Author: Consultant, Siemens AG Consultant, FUJIFILM Holdings Corporation Consultant, Konica Minolta Group

Emily B. Sonnenblick MD, Abstract Co-Author: Nothing to Disclose

Christina Weltz MD, Abstract Co-Author: Nothing to Disclose

Elisa Port MD, Abstract Co-Author: Nothing to Disclose

Paul Schmidt MD, PHD, Abstract Co-Author: Nothing to Disclose

 Patients under 40 who present with breast signs and symptoms are often found to have benign disease, but breast cancers do occur in the under 40 population and it is important that these patients be imaged.  The viewer of this exhibit will see many cancers in women under 40 and will learn that it is important to have a high degree of suspicion and promptly biopsy findings that do not meet strict BI-RADS 2 or 3 criteria. The viewer will also learn that it is important to educate our referring physicians so that imaging is ordered and not delayed because of patient age.

The cases will be presented in a quiz format. Key differential diagnostic points between findings that require biopsy and those that can be followed will be highlighted.  The cases includes: • Breast cancer in an under 30 year old patient presenting for high risk screening misinterpreted as a fibroadenoma. • MRI demonstration of diffuse cancer in a patient in her 30's with an ultrasound read as equivocal • Mammogram and ultrasound images of an under 30 year old with bilateral cancer • Pregancy associated breast cancer

http://abstract.rsna.org/uploads/2014/14002359/14002359_llgq.pdf

Margolies, L, Szabo, J, Sonnenblick, E, Weltz, C, Port, E, Schmidt, P, Breast Cancer Under 40: The Clinical Presentation and Spectrum of Ultrasound, Mammogram, and MRI Findings.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14002359.html