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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

5. Granulomatous lobular mastitis in 38-year-old woman presenting as painful mass in left breast.A. Transverse ultrasonography image shows irregular hypoechoic lesion. B. Photomicrograph (hematoxylin and eosin stain, × 100) demonstrates granulomatous inflammation that is centered on lobules with lymphocytes, plasma cells, epithelioid histiocytes, and multinucleated giant cells.
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Figure 5: 5. Granulomatous lobular mastitis in 38-year-old woman presenting as painful mass in left breast.A. Transverse ultrasonography image shows irregular hypoechoic lesion. B. Photomicrograph (hematoxylin and eosin stain, × 100) demonstrates granulomatous inflammation that is centered on lobules with lymphocytes, plasma cells, epithelioid histiocytes, and multinucleated giant cells.

Mentions: On US, IGLM shows not only an irregular hypoechoic mass with indistinct margin but also areas of mixed echogenicity with parenchymal deformity (Fig. 5). Clustered multiple lesions or contiguous tubular hypoechoic lesions (fingerlike) can also be found (20). The most common mammographic findings of IGLM are an ill-defined mass and asymmetric density (19). Gautier et al. (21) reported that the most common MR finding of IGLM is a segmental or regional area of non-mass enhancement, and all lesions show rapid enhancement with heterogeneous kinetics.


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

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

5. Granulomatous lobular mastitis in 38-year-old woman presenting as painful mass in left breast.A. Transverse ultrasonography image shows irregular hypoechoic lesion. B. Photomicrograph (hematoxylin and eosin stain, × 100) demonstrates granulomatous inflammation that is centered on lobules with lymphocytes, plasma cells, epithelioid histiocytes, and multinucleated giant cells.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: 5. Granulomatous lobular mastitis in 38-year-old woman presenting as painful mass in left breast.A. Transverse ultrasonography image shows irregular hypoechoic lesion. B. Photomicrograph (hematoxylin and eosin stain, × 100) demonstrates granulomatous inflammation that is centered on lobules with lymphocytes, plasma cells, epithelioid histiocytes, and multinucleated giant cells.
Mentions: On US, IGLM shows not only an irregular hypoechoic mass with indistinct margin but also areas of mixed echogenicity with parenchymal deformity (Fig. 5). Clustered multiple lesions or contiguous tubular hypoechoic lesions (fingerlike) can also be found (20). The most common mammographic findings of IGLM are an ill-defined mass and asymmetric density (19). Gautier et al. (21) reported that the most common MR finding of IGLM is a segmental or regional area of non-mass enhancement, and all lesions show rapid enhancement with heterogeneous kinetics.

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