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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

Diabetic mastopathy in 44-year-old woman with long-standing type 2 diabetes mellitus.A. Initial transverse ultrasonography image shows irregular spiculated hypoechoic masses with marked posterior shadowing in right breast. B. Photomicrography (hematoxylin and eosin stain, × 100) demonstrates band-like keloid fibrosis with periductal inflammation. After 2 years, lesions remain unchanged on follow-up image (not shown).
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Figure 6: Diabetic mastopathy in 44-year-old woman with long-standing type 2 diabetes mellitus.A. Initial transverse ultrasonography image shows irregular spiculated hypoechoic masses with marked posterior shadowing in right breast. B. Photomicrography (hematoxylin and eosin stain, × 100) demonstrates band-like keloid fibrosis with periductal inflammation. After 2 years, lesions remain unchanged on follow-up image (not shown).

Mentions: On mammography, the lesion usually shows localized increased density in the glandular tissue. An irregular hypoechoic mass with intense posterior acoustic shadowing can be typically seen on US and can mimic breast malignancy (Fig. 6). DMP usually shows nonspecific parenchymal enhancement rather than an irregular enhancing mass on MRI (24). Because the number and size of DMP usually increases as the patient's age increases, it is supported that repetitive fine needle aspiration cytology or core biopsy be performed on new lesions to ensure that they are not malignant lesions. Open excisional biopsy is not recommended if clinical and radiological features suggest DMP (25).


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

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

Diabetic mastopathy in 44-year-old woman with long-standing type 2 diabetes mellitus.A. Initial transverse ultrasonography image shows irregular spiculated hypoechoic masses with marked posterior shadowing in right breast. B. Photomicrography (hematoxylin and eosin stain, × 100) demonstrates band-like keloid fibrosis with periductal inflammation. After 2 years, lesions remain unchanged on follow-up image (not shown).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 6: Diabetic mastopathy in 44-year-old woman with long-standing type 2 diabetes mellitus.A. Initial transverse ultrasonography image shows irregular spiculated hypoechoic masses with marked posterior shadowing in right breast. B. Photomicrography (hematoxylin and eosin stain, × 100) demonstrates band-like keloid fibrosis with periductal inflammation. After 2 years, lesions remain unchanged on follow-up image (not shown).
Mentions: On mammography, the lesion usually shows localized increased density in the glandular tissue. An irregular hypoechoic mass with intense posterior acoustic shadowing can be typically seen on US and can mimic breast malignancy (Fig. 6). DMP usually shows nonspecific parenchymal enhancement rather than an irregular enhancing mass on MRI (24). Because the number and size of DMP usually increases as the patient's age increases, it is supported that repetitive fine needle aspiration cytology or core biopsy be performed on new lesions to ensure that they are not malignant lesions. Open excisional biopsy is not recommended if clinical and radiological features suggest DMP (25).

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