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Unilateral Breast Edema: Spectrum of Etiologies and Imaging Appearances

Kwak JY, Kim EK, Chung SY, You JK, Oh KK, Lee YH, Kwon TH, Jung HK - Yonsei Med. J. (2005)

Bottom Line: Breast edema is defined as a mammographic pattern of skin thickening, increased parenchymal density, and interstitial marking.It can be caused by benign or malignant diseases, as a result of a tumor in the dermal lymphatics of the breast, lymphatic congestion caused by breast, lymphatic drainage obstruction, or by congestive heart failure.Here we describe several conditions, that cause unilateral breast edema with the aim of familiarizing radiologists with these disease entities.

Affiliation: Department of Diagnostic Radiology, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea.

ABSTRACT

Breast edema is defined as a mammographic pattern of skin thickening, increased parenchymal density, and interstitial marking. It can be caused by benign or malignant diseases, as a result of a tumor in the dermal lymphatics of the breast, lymphatic congestion caused by breast, lymphatic drainage obstruction, or by congestive heart failure. Here we describe several conditions, that cause unilateral breast edema with the aim of familiarizing radiologists with these disease entities.

Mastitis in a 37-year-old woman with breast pain, swelling, and an erythematous change of right breast of 2 weeks duration. After antibiotic treatment the clinical symptoms disappeared. A & B, Mediolateral and craniocaudal mammogram show diffuse skin thickening and accentuated Cooper's ligament.
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Figure 4: Mastitis in a 37-year-old woman with breast pain, swelling, and an erythematous change of right breast of 2 weeks duration. After antibiotic treatment the clinical symptoms disappeared. A & B, Mediolateral and craniocaudal mammogram show diffuse skin thickening and accentuated Cooper's ligament.

Mentions: The most common mammographic finding is an irregular mass, whereas diffuse breast edema is observed in only a minority of patients15 (Fig. 4). These findings overlap with those of inflammatory breast carcinoma. But, diffuse skin thickening and dense lymph nodes favor inflammatory breast carcinoma,15 and are rare in cases of breast infection, except when the breast infection is unusual.

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Unilateral Breast Edema: Spectrum of Etiologies and Imaging Appearances

Kwak JY, Kim EK, Chung SY, You JK, Oh KK, Lee YH, Kwon TH, Jung HK - Yonsei Med. J. (2005)

Mastitis in a 37-year-old woman with breast pain, swelling, and an erythematous change of right breast of 2 weeks duration. After antibiotic treatment the clinical symptoms disappeared. A & B, Mediolateral and craniocaudal mammogram show diffuse skin thickening and accentuated Cooper's ligament.
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Figure 4: Mastitis in a 37-year-old woman with breast pain, swelling, and an erythematous change of right breast of 2 weeks duration. After antibiotic treatment the clinical symptoms disappeared. A & B, Mediolateral and craniocaudal mammogram show diffuse skin thickening and accentuated Cooper's ligament.
Mentions: The most common mammographic finding is an irregular mass, whereas diffuse breast edema is observed in only a minority of patients15 (Fig. 4). These findings overlap with those of inflammatory breast carcinoma. But, diffuse skin thickening and dense lymph nodes favor inflammatory breast carcinoma,15 and are rare in cases of breast infection, except when the breast infection is unusual.

Bottom Line: Breast edema is defined as a mammographic pattern of skin thickening, increased parenchymal density, and interstitial marking.It can be caused by benign or malignant diseases, as a result of a tumor in the dermal lymphatics of the breast, lymphatic congestion caused by breast, lymphatic drainage obstruction, or by congestive heart failure.Here we describe several conditions, that cause unilateral breast edema with the aim of familiarizing radiologists with these disease entities.

Affiliation: Department of Diagnostic Radiology, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea.

ABSTRACT

Background: Breast edema is defined as a mammographic pattern of skin thickening, increased parenchymal density, and interstitial marking. It can be caused by benign or malignant diseases, as a result of a tumor in the dermal lymphatics of the breast, lymphatic congestion caused by breast, lymphatic drainage obstruction, or by congestive heart failure. Here we describe several conditions, that cause unilateral breast edema with the aim of familiarizing radiologists with these disease entities.

View Similar Images In: Results  - Collection
View Article: Pubmed Central -  PubMed
Show All Figures - Show MeSH
getmorefigures.php?pmc=2823034&rFormat=json&query=null&req=5