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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

Fibroadenoma in 45-year-old woman.A. Transverse ultrasonography image shows irregular hypoechoic mass with mild posterior shadowing in right breast. B. Elastogram demonstrates elasticity score 2. Dense collagenous fibroadenoma was proven by excision biopsy.
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Figure 10: Fibroadenoma in 45-year-old woman.A. Transverse ultrasonography image shows irregular hypoechoic mass with mild posterior shadowing in right breast. B. Elastogram demonstrates elasticity score 2. Dense collagenous fibroadenoma was proven by excision biopsy.

Mentions: On mammography, fibroadenoma shows well-defined round, oval, or lobulated masses with some calcifications ranging from small peripheral dots to popcorn-shaped features. If the calcified fibroadenoma is typically benign, additional work-up such as US imaging or biopsy is not necessary. On US, fibroadenoma usually shows a well-circumscribed oval mass, either hypoechoic or isoechoic, that is typically parallel in orientation (37). However, Fornage et al. (38) reported that one-quarter of fibroadenomas showed an irregular hypoechoic mass that aroused suspicion (Fig. 10). Posterior shadow or enhancement on gray-scale image and peripheral feeding vessels on color Doppler US can be seen (3738).


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

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

Fibroadenoma in 45-year-old woman.A. Transverse ultrasonography image shows irregular hypoechoic mass with mild posterior shadowing in right breast. B. Elastogram demonstrates elasticity score 2. Dense collagenous fibroadenoma was proven by excision biopsy.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 10: Fibroadenoma in 45-year-old woman.A. Transverse ultrasonography image shows irregular hypoechoic mass with mild posterior shadowing in right breast. B. Elastogram demonstrates elasticity score 2. Dense collagenous fibroadenoma was proven by excision biopsy.
Mentions: On mammography, fibroadenoma shows well-defined round, oval, or lobulated masses with some calcifications ranging from small peripheral dots to popcorn-shaped features. If the calcified fibroadenoma is typically benign, additional work-up such as US imaging or biopsy is not necessary. On US, fibroadenoma usually shows a well-circumscribed oval mass, either hypoechoic or isoechoic, that is typically parallel in orientation (37). However, Fornage et al. (38) reported that one-quarter of fibroadenomas showed an irregular hypoechoic mass that aroused suspicion (Fig. 10). Posterior shadow or enhancement on gray-scale image and peripheral feeding vessels on color Doppler US can be seen (3738).

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