breast benign lesions - pic essay
TRANSCRIPT
BREASTDISEASES
BENIGN BREASTDISEASES
NORMAL BREAST ON USG
1.SKIN - HYPERECHOIC2.SUBCUTANEOUS FAT HYPOECHOIC
3.FIBROGLANDULAR TISSUE - HYPERECHOIC
4.RETROMAMMARY FAT - HYPOECHOIC5.MUSCLES- HYPERECHOIC
C. COOPER'S LIGAMENT
BREAST CYST
USG
A. Anechoic oval to round structure withacoustic enhancement– Simple CystB. Cyst with septum n thick walls and someareas of echogenicity – Complex CystC.Cyst with eccentrically located scolex -
MAMMOGRAM
Breast Cyst -Mammogram:Round mass withlucent HALO
FIBROADENOMA
Ultrasound
Homogenous hypoechoic and lobulated
Mammography
homogenous hyperdense mass lesion
Large homogenous hyperdense mass
MRI
A. FIBROADENOMA – SMOOTH MARGINSB.CARCINOMA – IRREGULAR SPICULATED MARGINS
BREAST ABSCESS
USG:A.Heterogenous cystic mass with internal echoesindicated by arrows
B. Breast abscess (arrow) and discharging sinus (arrowhead)
Mammography
Retroareolar abscess with high density and ill definedborders
BREAST LIPOMA AND OILCYST
A.Superficially located Echogenic massdemonstrating probe compression
B.Oil Cyst – Anechoic mass with peripheralcalcification and posterior shadowing
PAPILLOMAS
A.INTRA CYSTIC – USG + DOPPLERB.INTRA DUCTAL -USG
ARROW- DILATED DUCTARROW HEAD - PAPILLOMA
HAMARTOMA/FIBROADENOLIPOMA
3D USG SHOWING MASS WITH MIXEDECHOES INDICATED BY ARROWS
BREAST EDEMA
Arrow -Skin ThickeningArrow Head – Edema and generalisedground glass appearance of the breast
parenchyma
RADIAL SCAR
A.ILL defined irregular spiculated mass onMammogram
B.USG 3D – Spicules with no central massUSG 2G Showed no features
DEVELOPMENTAL BREASTMASS
USG
Arrows indicate subareolar mass in B,Unilateral assymetric ripening in B,
seen in adolescent girls