BREAST THERMOGRAPHY EVALUATION REPORT (Sample)
Patient: Jane Doe
Examination Date: 03/28/08
Practitioner: Practioner's name
Analysis performed: 03/28/08
Presentation:
Patient presents without physical symptoms of breast disorder.
This is a screening examination.
Pre-Examination:
The examination was performed
in the morning
outside the patient's menstrual window of activity.
The patient was partially disrobed and underwent thermal equilibration for
10 - 15 minutes
with the temperature of the examination room
68°F - 72°F.
Examination performed consistent with recommended protocol for thermal breast examinations.
The data for this examination were acquired using an infra-red-sensitive camera. Views of the breasts consisted of a frontal image, including the sternum, and lateral images that included the axillary regions.
Summary:
This thermographic examination of the breasts is seen
with
classical
evidence of
thermal abnormality.
There is a clear difference between the thermal patterns of the right breast and the left breast.
The left breast is
more thermally symptomatic than the right breast.
The Right breast is Borderline Normal with Thermal Risk Factor TH2. The left breast is Equivocal or Borderline Abnormal with Thermal Risk Factor TH3.
Examination and Observations:
Vascularity:
A
uniform thermal pattern is seen
on the right breast.
A
regular thermovascular pattern is seen
on the upper-inner quadrant of the left breast.
It exhibits mild (1.6°C) vascular hyperthermia relative to the temperature of the same area on the contralateral the right breast
and slight (0.5°C) intensity relative to the mean temperature of the ipsilateral left breast.
Hyperthermia:
There is severe (3.2°C) total hyperthermia of the left breast relative to the mean temperature of the right breast and relative to the temperature of the adjacent sternal region.
Nipple/Ariola Region:
The temperature of the nipple/areola region of the right breast is severely elevated (3.7°C) relative to the nipple/areola of
the left breast and moderately elevated (1.8°C) relative to the mean temperature of the same right breast.
Impressions: Equivocal or Borderline Abnormal Breast Thermogram. TH3 [Medium Risk] Classification.
The right breast is seen at borderline low risk for the development of breast cancer, presenting a Thermal Classification TH2.
This is a Borderline Normal breast thermogram.
The left breast is seen at borderline high risk for the development of breast cancer, presenting a Thermal Classification TH3.
This is an Equivocal or Borderline Abnormal. This thermal finding indicates the possible presence of significant pathology.
Note: A negative thermal finding does not preclude the possible presence of significant pathology.
Pathology:
The right breast appears without significant thermopathological evidence; however, thermal signs indicate possible or potential abnormality. Notwithstanding other possible pathology, this low-risk TH2 Classification is characteristic of a healthy breast, multiple small- to medium size cysts, slow- to fast-growing fibroadenomas, fibro-cystic dysplasia, in situ carcinomas, micro-invasive carcinomas (≤ 5mm), and young T1 carcinomas (< 2mm).
The left breast is seen with equivocal thermopathological evidence indicating significant abnormality. Notwithstanding other possible pathology, this borderline abnormal TH3 Classification is generally characteristic of fast-growing fibroadenomas, multiple large cysts, fibro-cystic dysplasia, in situ carcinomas, micro-invasive carcinomas (≤ 5mm), T1 carcinomas (< 2mm), young modullary cancers and colloid cancers.
Recommended Follow-up:
[TH3] If a clinical finding, e.g., palpable mass, is present, an MRI followed by a biopsy is indicated. If clinical finding is negative a baseline MRI should be considered if it has not been obtained previously. If MRI is positive, a biopsy is indicated. If negative, a repeat thermal and physical examination should be performed in 6-months. If the repeat thermogram, as well as repeat physical examination is negative, routinely examine patient every 12-months. If the repeat thermogram remains abnormal or changes, especially if it worsens, the MRI should be repeated. If it changes, a biopsy should be performed. Careful follow-up is indicated since the thermographic examination is borderline abnormal in patients with this TH3 Thermographic classification.