Lobar Approach to Breast Ultrasound

This book focuses on the lobar anatomy of the breast and on the sick lobe concept – a novel theory of breast cancer development that is gaining ever wider acceptance – and explores their significance for innovative surgical treatment. Special attention is paid to the role of ductal echography, a technique capable of clearly depicting the structures of cancer in relation to the structures of the sick lobe. Having established a sound theoretical and practical basis through detailed coverage and correlation of anatomy, pathology, and imaging appearances, the book goes on to describe a revolutionary surgical approach particularly suitable for the treatment of multifocal and multicentric breast carcinomas. Such tumors account for more than a third of all cases of breast carcinoma and are often treated by mastectomy. The proposed new breast-conserving technique yields excellent cosmetic results and entails a very low risk of recurrence. The book will appeal to a wide readership, including radiologists, surgeons, oncologists, pathologists, as well as residents.

Introduction + Echographic techniques.- The sick lobe concept.- lobar Echo-anatomy.- Physiological breast evolution.- Epithelial proliferation.- Benign and malignant US semeiology.- Breast Elastography.- Differential Diagnosis of Breast Cancer by Doppler and Sonoelastography Applied to the lobar Ultrasonography.- Lobar ultrasonography in the diagnosis of benign and malignant lesions of the male breast.- Lymph node elastography.- Lymph node sentinel scintigraphy.- No- mass lesion.- Mammographic negative cancer detected by ultrasound.- US Breast implants evaluation.- US Interventional breast procedure.- Magnetic resonance exams for breast lesion.- Interventionnal breast echography.- Lobar surgery and anatomo-pathological correlations.- Lobar Resection under Ultrasound Guide.- Lobar surgery for breast cancer.- Automatic breast scanning.

Dominique Amy is a world-renowned radiologist, who has been a specialist in breast echography for the past 25 years and serves as an expert at the Courts of Justice in Aix-en-Provence, France. He is a member of several international scientific societies and vice president of the European Society of Breast Ultrasound. In addition, he is a scientific council member of the International School of Senology, a member of the international center network for the Senologic International Society (SIS), and director of the CFFE (Centre Francophone de Formation en Echographie) breast course in Nimes, France. He is also a member of the international editorial board of the Journal of Ultrasonography, as well as the co-author of a number of scientific books and many publications.