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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

Sclerosing adenosis in 60-year-old woman.A. Transeverse ultrasonography image shows nonparallel irregular hypoechoic mass. B. Craniocaudal mammogram shows irregular obscured hyperdense mass in her right breast. C. Lesion was proven to be sclerosing adenosis on pathologic exam, showing lobulocentric and swirling architecture of proliferating acini with maintenance of normal epithelial and myoepithelial cells (hematoxylin and eosin stain, × 100).
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Figure 7: Sclerosing adenosis in 60-year-old woman.A. Transeverse ultrasonography image shows nonparallel irregular hypoechoic mass. B. Craniocaudal mammogram shows irregular obscured hyperdense mass in her right breast. C. Lesion was proven to be sclerosing adenosis on pathologic exam, showing lobulocentric and swirling architecture of proliferating acini with maintenance of normal epithelial and myoepithelial cells (hematoxylin and eosin stain, × 100).

Mentions: There is a wide range of radiological findings for sclerosing adenosis in both mammography and US (Fig. 7). The contours of mass lesions vary from circumscribed to irregular and even spiculated forms. Contour irregularity of these lesions is associated with stromal sclerosis and fibrosis. Architectural distortion can be seen. The most frequent microcalcification patterns are amorphous or pleomorphic punctate clusters and scattered amorphous punctate calcifications (26). A common ultrasonographic finding of sclerosing adenosis is an oval circumscribed hypoechoic mass with posterior acoustic enhancement (28). However, the lesion can also show suspicious findings including partial indistinct margin, heterogeneity and antiparallel orientation on US.


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

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

Sclerosing adenosis in 60-year-old woman.A. Transeverse ultrasonography image shows nonparallel irregular hypoechoic mass. B. Craniocaudal mammogram shows irregular obscured hyperdense mass in her right breast. C. Lesion was proven to be sclerosing adenosis on pathologic exam, showing lobulocentric and swirling architecture of proliferating acini with maintenance of normal epithelial and myoepithelial cells (hematoxylin and eosin stain, × 100).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 7: Sclerosing adenosis in 60-year-old woman.A. Transeverse ultrasonography image shows nonparallel irregular hypoechoic mass. B. Craniocaudal mammogram shows irregular obscured hyperdense mass in her right breast. C. Lesion was proven to be sclerosing adenosis on pathologic exam, showing lobulocentric and swirling architecture of proliferating acini with maintenance of normal epithelial and myoepithelial cells (hematoxylin and eosin stain, × 100).
Mentions: There is a wide range of radiological findings for sclerosing adenosis in both mammography and US (Fig. 7). The contours of mass lesions vary from circumscribed to irregular and even spiculated forms. Contour irregularity of these lesions is associated with stromal sclerosis and fibrosis. Architectural distortion can be seen. The most frequent microcalcification patterns are amorphous or pleomorphic punctate clusters and scattered amorphous punctate calcifications (26). A common ultrasonographic finding of sclerosing adenosis is an oval circumscribed hypoechoic mass with posterior acoustic enhancement (28). However, the lesion can also show suspicious findings including partial indistinct margin, heterogeneity and antiparallel orientation on US.

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