Nottingham classification system
The Nottingham classification is used at the end of work up of a breast lesion to help guide management.
- A = malignant
- lesion needs surgical excision regardless of biopsy result
- B = indeterminate
- will accept a benign biopsy result, but only if it is congruent with imaging, i.e. a well circumscribed mass is allowed to come back with fibroadenoma but a result of 'normal breast tissue' will not be accepted
- C = benign
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Breast imaging and pathology
- breast screening
- mammography
- breast imaging and the technologist
- forbidden (check) areas in mammography
- mammography views
- craniocaudal view
- mediolateral oblique view
- additional (supplementary) views
- true lateral view
- lateromedial oblique view
- late mediolateral view
- step oblique views
- spot view
- double spot compression view
- magnification view
- exaggerated craniocaudal (axillary) view
- cleavage view
- tangential views
- caudocranial view
- bullseye CC view
- rolled CC view
- elevated craniocaudal projection
- caudal cranial projection
- 20° oblique projection
- inferomedial superolateral oblique projection
- Eklund technique
- normal breast imaging examples
- digital breast tomosynthesis
- breast ultrasound
- breast ductography
- breast MRI
- breast morphology
- breast intervention
- breast pathology
- malignant lesions
- breast cancer
- breast adenocarcinoma
- ductal breast carcinoma
- ductal carcinoma in situ (DCIS)
- invasive ductal carcinoma
- extensive intraductal component
- invasive ductal carcinoma not otherwise specified
- medullary carcinoma of the breast
- mucinous carcinoma of the breast
- Paget disease of the breast
- tubular carcinoma of the breast
- malignant papillary lesions of the breast
- lobular breast carcinoma
- ductal breast carcinoma
- adenoid cystic carcinoma of the breast
- apocrine carcinoma of the breast
- breast cancer metastases
- breast lymphoma
- breast sarcoma
- inflammatory carcinoma of breast
- intracystic breast cancer
- male breast cancer
- malignant phyllodes tumor
- metastases to the breast
- metaplastic carcinoma the breast
- gamuts
- breast adenocarcinoma
- breast cancer
- borderline breast disease / high risk breast lesion
- atypical ductal hyperplasia
- atypical lobular hyperplasia
- columnar alteration with prominent apical snouts and secretions (CAPSS)
- flat epithelial atypia
- lobular intraepithelial neoplasia (LIN III)
- papillary lesions of the breast
- radial scar / complex sclerosing lesion
- sclerosing adenosis
- benign lesions
- adenosis of the breast
- blunt duct adenosis of the breast
- microglandular adenosis of the breast
- benign papillary lesions of the breast
- papilloma
- solitary papilloma of breast
- central solitary papilloma of breast
- peripheral solitary papilloma of breast
- intraductal papilloma
- multiple papillomata of breast
- solitary papilloma of breast
- papilloma
- breast cyst
- breast hematoma
- breast hamartoma
- breast lipoma
- ductal adenoma of the breast
- epidermal inclusion cysts of the breast
- fat necrosis of the breast
- fibroadenoma
- granular cell tumor of the breast
- gynecomastia
- lymphocytic mastitis
- mammary fibromatosis
- oil cyst
- phyllodes tumor
- post-surgical breast scar
- post-radiation breast changes
- post-traumatic fibrosis
- pseudoangiomatous stromal hyperplasia (PASH)
- pseudogynecomastia
- tubular adenoma
- adenosis of the breast
- breast calcifications (approach)
- morphology
- microcalcifications within breast
- pleomorphic microcalcifications within breast
- rounded microcalcification within breast
- punctate microcalcification within breast
- amorphous calcification within breast
- macrocalcifications within breast
- microcalcifications within breast
- distribution
- cutaneous calcification
- diffuse/scattered calcification
- regional calcification
- clustered calcification / grouped calcification
- linear calcification
- segmental calcification
- location
- lobular calcification within breast tissue
- intraductal calcification within breast tissue
- milk of calcium within a breast cyst
- vascular calcification in breast tissue
- skin (dermal) calcification in / around breast tissue
- suture calcification within breast tissue
- stromal calcification within breast tissue
- artifactual calcification from outside the breast
- suspicious breast calcifications
- morphology
- infection/inflammation
- vascular lesions
- systemic disease
- gamuts
- classification systems
- malignant lesions
- breast cancer staging
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