Spécificités de la prise en charge diagnostique du cancer du sein chez la femme jeune

Abstract

Breast cancer in women under the age of 40 is a rare diagnosis, but its course is generally less favourable than that of older women. It generally appears as a palpable mass, and its radiological presentation can sometimes be misleading, in the form of a falsely benign mass. The diagnostic work-up for breast cancer in young women should be complete, combining breast ultrasound and mammography, generally supplemented by breast MRI to look for additional lesions. In the specific case of pregnant or breast-feeding women, the Centre de référence des agents tératogènes (Crat), the American College of Radiology (ACR), the European Society of Urogenital Radiology (ESUR), the International Commission on Radiological Protection (ICRP) and the Société française de radiologie (SFR) have issued recommendations to ensure the safety of mother and child during complementary examinations.