Original Article
Mammographic and ultrasonographic findings of different breast adenosis lesions
Authors:
- E OzturkEmail E Ozturk
- C Yucesoy
- B Onal
- U Han
- G Seker
- B Hekimoglu
Abstract
Aim: To describe imaging features of different breast adenosis lesions.
Materials and methods: Mammographic and ultrasonographic findings of patients with different types of adenosis were reviewed retrospectively Tissue samples were obtained either with US-guided core needle biopsy or localization with needle-wire system and surgical excision.
Results: Forty-three adenosis lesions were diagnosed in 41 patients: 27 sclerosing adenosis, 13 blunt duct adenosis and 3 microglandular adenosis. Most frequent abnormal findings of sclerosing adenosis were masses with non-circumscribed margins and focal acoustic shadowing without mass configuration (54%) on ultrasonography. Mammography was normal in 54% of sclerosing adenosis, the most common abnormality was architectural distortion (21%). In blunt duct adenosis, usually circumscribed masses (46%) were detected on ultrasonography, clustered punctate microcalcifications (23%) and circumscribed masses (23%) were observed on mammography. All microglandular adenosis lesions were non-circumscribed masses. Premalignant components were detected only with surgical excisional biopsy in three patients that showed suspicious radiological findings and benign pathological result on core biopsy
Conclusion: The adenosis lesions have no pathognomonic characteristics on mammography and ultrasound. Total excision may be considered when suspicious radiological findings are present although core needle biopsy results are benign.
Keywords:
- Year: 2015
- Volume: 99 Issue: 1
- Page/Article: 21-27
- DOI: 10.5334/jbr-btr.850
- Published on 15 Sep 2015
- Peer Reviewed