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Are Irregular Hypoechoic Breast Masses on Ultrasound Always Malignancies?: A Pictorial Essay.

Kim YR, Kim HS, Kim HW - Korean J Radiol (2015)

Bottom Line: Irregular hypoechoic masses in the breast do not always indicate malignancies.Some of these diseases such as inflammation and trauma-related breast lesions could be suspected from a patient's symptoms and personal history.Careful ultrasonographic examination and biopsy could help to differentiate these from malignancies.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Wonkwang University Hospital, Iksan 54538, Korea.

ABSTRACT
Irregular hypoechoic masses in the breast do not always indicate malignancies. Many benign breast diseases present with irregular hypoechoic masses that can mimic carcinoma on ultrasonography. Some of these diseases such as inflammation and trauma-related breast lesions could be suspected from a patient's symptoms and personal history. Careful ultrasonographic examination and biopsy could help to differentiate these from malignancies.

No MeSH data available.


Related in: MedlinePlus

Fat necrosis in 39-year-old woman without trauma history.A. Transverse ultrasonography (US) shows irregular hypoechoic mass in her left breast. Lesion measured 2.24 cm in diameter. Pathologically, necrosis was confirmed by US-guided core needle biopsy. B. Follow-up US image after 3 years demonstrates decrease in lesion size to 1.67 cm with increased posterior acoustic shadowing.
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Figure 2: Fat necrosis in 39-year-old woman without trauma history.A. Transverse ultrasonography (US) shows irregular hypoechoic mass in her left breast. Lesion measured 2.24 cm in diameter. Pathologically, necrosis was confirmed by US-guided core needle biopsy. B. Follow-up US image after 3 years demonstrates decrease in lesion size to 1.67 cm with increased posterior acoustic shadowing.

Mentions: The sonographic features of fat necrosis vary in terms of pathologic reaction and degree of fibrosis. Fat necrosis may present as a solid mass, a complex mass with mural nodules, a complex mass with echogenic bands, an anechoic mass with posterior acoustic enhancement, an anechoic mass with shadowing, or an isoechoic mass. The margin of fat necrosis ranges from well circumscribed to indistinct or spiculated (Fig. 2) (910). On mammography, fat necrosis may show an oil cyst with coarse calcifications, focal asymmetries, spiculated masses or microcalcifications depending on the amount of fibrosis (11). Before the biopsy for the diagnosis, careful history collections and mammographic findings are helpful.


Are Irregular Hypoechoic Breast Masses on Ultrasound Always Malignancies?: A Pictorial Essay.

Kim YR, Kim HS, Kim HW - Korean J Radiol (2015)

Fat necrosis in 39-year-old woman without trauma history.A. Transverse ultrasonography (US) shows irregular hypoechoic mass in her left breast. Lesion measured 2.24 cm in diameter. Pathologically, necrosis was confirmed by US-guided core needle biopsy. B. Follow-up US image after 3 years demonstrates decrease in lesion size to 1.67 cm with increased posterior acoustic shadowing.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644748&req=5

Figure 2: Fat necrosis in 39-year-old woman without trauma history.A. Transverse ultrasonography (US) shows irregular hypoechoic mass in her left breast. Lesion measured 2.24 cm in diameter. Pathologically, necrosis was confirmed by US-guided core needle biopsy. B. Follow-up US image after 3 years demonstrates decrease in lesion size to 1.67 cm with increased posterior acoustic shadowing.
Mentions: The sonographic features of fat necrosis vary in terms of pathologic reaction and degree of fibrosis. Fat necrosis may present as a solid mass, a complex mass with mural nodules, a complex mass with echogenic bands, an anechoic mass with posterior acoustic enhancement, an anechoic mass with shadowing, or an isoechoic mass. The margin of fat necrosis ranges from well circumscribed to indistinct or spiculated (Fig. 2) (910). On mammography, fat necrosis may show an oil cyst with coarse calcifications, focal asymmetries, spiculated masses or microcalcifications depending on the amount of fibrosis (11). Before the biopsy for the diagnosis, careful history collections and mammographic findings are helpful.

Bottom Line: Irregular hypoechoic masses in the breast do not always indicate malignancies.Some of these diseases such as inflammation and trauma-related breast lesions could be suspected from a patient's symptoms and personal history.Careful ultrasonographic examination and biopsy could help to differentiate these from malignancies.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Wonkwang University Hospital, Iksan 54538, Korea.

ABSTRACT
Irregular hypoechoic masses in the breast do not always indicate malignancies. Many benign breast diseases present with irregular hypoechoic masses that can mimic carcinoma on ultrasonography. Some of these diseases such as inflammation and trauma-related breast lesions could be suspected from a patient's symptoms and personal history. Careful ultrasonographic examination and biopsy could help to differentiate these from malignancies.

No MeSH data available.


Related in: MedlinePlus