Affiliation:
1. Departments of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
Abstract
Background::
Hyperechoic breast lesions are a rare group of breast masses in routine
practice. Most of these lesions are benign. However, they rarely may be malignant. Hyperechoic
lesions can be evaluated using the same criteria for malignant lesions. Clinical history, mammographic
appearance, and certain sonographic features (non-circumscribed margins, irregular shape,
presence of hypoechoic areas, nonparallel orientation, and association with microcalcifications
can be suggestive of malignancy). In this article, hyperechoic breast lesions with malignant pathology
have been presented.
Methods: :
Seven cases during breast ultrasound examination were detected.
Results::
Four patients had invasive ductal carcinoma, 1 patient had invasive lobular carcinoma, 1
patient had high-grade ductal carcinoma in situ (DCIS), and 1 patient had lymphoma. Ultrasonography
of the breast showed a heterogeneous appearance in all the patients, microcalcification in
two patients, and an ambiguous contour in one patient.
Conclusion::
Hyperechoic breast lesions should be evaluated using specific sonographic criteria to
prevent misdiagnosis and identify patients who require biopsy and further examination.
Publisher
Bentham Science Publishers Ltd.
Subject
Radiology, Nuclear Medicine and imaging
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