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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

Right breast abscess in 36-year-old woman.A. Transverse ultrasonography (US) image shows irregular hypoechoic mass with inner mixed echogenicity in her right breast. B. Increased vascularity is seen on color Doppler US. Acute and chronic inflammation were confirmed by US-guided core needle biopsy. C. After 13 months, transverse US image reveals abscess with fistula formation.
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Figure 4: Right breast abscess in 36-year-old woman.A. Transverse ultrasonography (US) image shows irregular hypoechoic mass with inner mixed echogenicity in her right breast. B. Increased vascularity is seen on color Doppler US. Acute and chronic inflammation were confirmed by US-guided core needle biopsy. C. After 13 months, transverse US image reveals abscess with fistula formation.

Mentions: On US, the typical finding of abscess is a markedly hypoechoic or anechoic mass with a thick echogenic rim (16). Internal heterogeneous echogenicity can be shown depending on the inflammatory process with necrotic debris. However, with the varying degrees of inflammation, the lesion can show a poorly defined irregularly shaped hypoechoic mass without a definitive anechoic-fluid-filled lesion in the early inflammatory phase, which can mimic breast malignancy (Fig. 4) (1417). Nguyen et al. (17) suggest that surrounding interstitial fluid and the hypoechoic wall can be a point of differential diagnosis between a breast abscess and cancer. On mammography, abscess may present as an irregular hyperdense mass with indistinct or spiculated margins that arouses suspicion (16).


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

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

Right breast abscess in 36-year-old woman.A. Transverse ultrasonography (US) image shows irregular hypoechoic mass with inner mixed echogenicity in her right breast. B. Increased vascularity is seen on color Doppler US. Acute and chronic inflammation were confirmed by US-guided core needle biopsy. C. After 13 months, transverse US image reveals abscess with fistula formation.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Right breast abscess in 36-year-old woman.A. Transverse ultrasonography (US) image shows irregular hypoechoic mass with inner mixed echogenicity in her right breast. B. Increased vascularity is seen on color Doppler US. Acute and chronic inflammation were confirmed by US-guided core needle biopsy. C. After 13 months, transverse US image reveals abscess with fistula formation.
Mentions: On US, the typical finding of abscess is a markedly hypoechoic or anechoic mass with a thick echogenic rim (16). Internal heterogeneous echogenicity can be shown depending on the inflammatory process with necrotic debris. However, with the varying degrees of inflammation, the lesion can show a poorly defined irregularly shaped hypoechoic mass without a definitive anechoic-fluid-filled lesion in the early inflammatory phase, which can mimic breast malignancy (Fig. 4) (1417). Nguyen et al. (17) suggest that surrounding interstitial fluid and the hypoechoic wall can be a point of differential diagnosis between a breast abscess and cancer. On mammography, abscess may present as an irregular hyperdense mass with indistinct or spiculated margins that arouses suspicion (16).

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