Background: CESM is an imaging technique combining digital mammography with intravenous injection of iodinated contrast media to detect hyper vascularized lesions. Adding the iodinated contrast agent to Mammography facilitates the visualization of breast lesions. Contrast enhanced spectral mammography (CESM) is feasible and has an important role in evaluation of recurrent breast mass lesion after surgical treatment of primary breast cancer.
Aim of the Work: To illustrate the growing and useful role of CESM in breast lesions detected post conserving breast surgery.
Patients and Methods: This study was carried on 54 female patients presenting with history of previous breast conserving surgery on either breast sides, which requires follow up. The results were studied and compared to the pathological results.
Results: Dual-energy CESM has an important role in detection of recurrent breast cancer mass lesion and its ability to differentiate between positive lesions and benign post-operative findings.
Conclusion: CESM, then seems to be a promising tool for increasing the sensitivity of mammography, CESM as an adjunct to mammography is expected to improve diagnostic accuracy compared to mammography alone. CESM reduced false positive results. CESM helped in assessment of recurrent breast disease.