The purpose of this exhibit is to illustrate the appearances of metastatic disease to the sternum in breast carcinoma. Increasingly we are finding bony disease involving the sternum following invasive breast carcinoma, often as a solitary site of secondary disease. We will demonstrate the range of appearances of lytic and sclerotic bony metastases on Computed Tomography. Cases will also include metastases detected on dynamic breast Magnetic Resonance Imaging. Nuclear medicine examples will include uptake on bone scan as well as subtle uptake on PET scan, occult on other forms of imaging. Histological correlation is provided in cases of isolated disease where core biopsy or fine needle aspiration cytology was obtained. The importance of reviewing this possibly overlooked area on routine staging and surveillance imaging is emphasized.
The incidence and pathophysiology of sternal metastatic disease in breast carcinoma
Appearance of sternal metastases on ultrasound, CT, MRI , NM bone scan and PET imaging
Histological correlation following image guided sampling
The importance of the sternum as a review area
Wilding, L,
Chen, Y,
The Sternum—A New Review Area in the Imaging of Breast Carcinoma. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14005969.html
