Metabolic syndrome and prognostic factors in postmenopausal breast cancer patients

2019 
s / Maturitas 81 (2015) 144–190 189 patients into 3 groups, based on the temperature difference: normal ( T≤2.5), abnormal (2.5 < T<3), potentially having breast cancer ( T≥3). The purpose of this case study is to investigate ability to find known breast cancer with thermography, based on the method proposed by Rassiwala et al. Methods:Theexaminationwasperformed in a roomwithambient temperaturebetween20and25 ◦C. Thepatientwasdisrobedup to waist, had no physical activity for 20min and positioned in front of infrared camera (IRC). Serial infrared images (IRI) were taken from different angles. Additionally skin of the breasts was cooled with wet towel and serial IRI were taken during reheating. IRCusedwas FLIR SC620, image resolution640×480, sensitivity <40mK. Case report: Our patient was white female (age 42), para 2. She had invasive ductal carcinoma (2 cm) gradus II in her inner lower quadrant of right breast, sentinel node negative. Mammography and ultrasound images were available at time of thermography. Frontal IRI show several hotspots. The one above tumor has T1 ≈2.8. The second is in upper outer quadrant of right breast, T2 ≈2.8and third inupper innerquadrantof left breast, T3 ≈2.9. Few smaller spots are present, T up to 2.7. Spot 2 and 3 pop out immediately after cooling, T2 ≈3.9, T3 ≈2.8. Lower part of breast in contact with body core reheats faster and spot 1 is not so prominent. Conclusions: Method classified tumor in question as abnormal and proved to be suitable screening method in our case. Histopathology showed spot 2 and 3 to be benign lesions, missed bymammogram.We find determining the area of interest formeasuring temperature subjective due to irregular shape of hotspots. http://dx.doi.org/10.1016/j.maturitas.2015.02.257
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