Irregular hypoechoic masses in breast do not always indicate malignancies. These lesions were assessed as BI-RADS Category 4a-to-4c suspicious malignancy on ultrasonography, resulting in US-guide biopsy.
1. There were many kinds of benign or borderline breast diseases representing irregular hypoechoic masses that can mimic carcinoma on ultrasonography.
2. Careful US examination, history taking, and biopsy could help to differentiate them from malignancies.
Benign or bordeline breast lesions into 4 groups
- Iatrogenic or trauma-related breast lesions
Foreign body reaction
Fat necrosis
Fibrotic scar
- Proliferative disease
- Benign breast tumors
- Inflammation
Abscess
Idiopathic granulomatous lobular mastitis
Diabetic mastopathy
Sclerosing adenosis
Apocrine metaplasia
Fibrocystic change
Intraductal papilloma
Fibroadenoma
Kim, Y,
Kim, H,
Are Irregular Hypoechoic Breast Masses on Ultrasound Always Malignancies?. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14018637.html