Megan Jenkins Kalambo MD, Presenter: Nothing to Disclose

Savitri Krishnamurthy MD, Abstract Co-Author: Nothing to Disclose

Sarah DeSnyder MD, Abstract Co-Author: Nothing to Disclose

Madeleine Duvic MD, Abstract Co-Author: Nothing to Disclose

Victor G. Prieto MD, PhD, Abstract Co-Author: Nothing to Disclose

Gary J. Whitman MD, Abstract Co-Author: Nothing to Disclose

Accurate classification and description of skin and superficial lesions of the breast will aid the radiologist in distinguishing benign from suspicious imaging findings that warrant biopsy. In this presentation, we will provide a systematic approach to the evaluation of skin and superficial lesions of the breast on mammography and ultrasound and discuss distinctive imaging features of superficial breast lesions and indications for biopsy.

We will present a pictorial essay of our experience with superficial breast lesions at our institution, including management of challenging cases. Knowledge of the imaging features of superficial breast and skin lesions helps to guide appropriate management that includes annual mammography for benign lesions or biopsy for suspicious lesions. 1) Techniques that aid in identifying skin/superficial lesions. 2) Imaging features that aid in distinguishing benign superficial lesions from lesions that warrant biopsy. 3) Appropriate differential diagnoses for benign and malignant superficial lesions   Top Differentials: Benign: epidermal inclusion cyst, nevus, hemangioma. Iatrogenic: scar,keloid Malignancy: breast cancer with direct skin involvement, angiosarcoma, metastases Hereditary: neurofibromatosis, steatocystoma multiplex    

http://abstract.rsna.org/uploads/2014/14003245/14003245_1c95.pdf

Kalambo, M, Krishnamurthy, S, DeSnyder, S, Duvic, M, Prieto, V, Whitman, G, Right at the Surface: Skin and Superficial Lesions of the Breast.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003245.html