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Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes

OBJECTIVE: Hematological malignancies very rarely involve the breast. The aim of this study is to retrospectively evaluate B-mode ultrasound (US) and elastography (ES) findings of breast involvement by hematologic malignancies with clinical outcomes. MATERIALS AND METHODS: All core-needle biopsy res...

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Autores principales: Aslan, Hulya, Pourbagher, Aysin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747218/
https://www.ncbi.nlm.nih.gov/pubmed/29296470
http://dx.doi.org/10.4103/jcis.JCIS_65_17
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author Aslan, Hulya
Pourbagher, Aysin
author_facet Aslan, Hulya
Pourbagher, Aysin
author_sort Aslan, Hulya
collection PubMed
description OBJECTIVE: Hematological malignancies very rarely involve the breast. The aim of this study is to retrospectively evaluate B-mode ultrasound (US) and elastography (ES) findings of breast involvement by hematologic malignancies with clinical outcomes. MATERIALS AND METHODS: All core-needle biopsy results that were performed at our tertiary breast center from January 2013 to September 2016 were searched. Our search revealed 9 patients with breast involvement either by leukemia or lymphoma. All patients were examined using B-mode US and ES. US and ES findings were analyzed with the consensus of two radiologists, and clinical outcomes were noted. RESULTS: The mean age of the study population was 41.6 years (range, 20–83 years). Two patients showed diffuse hypoechoic parenchymal infiltration. The elasticity assessments of these lesions were soft and intermediate. The remaining 7 patients had mass lesions. The elasticity assessment of these masses according to Breast Imaging Reporting and Data System US was as follows: Soft (n = 1), intermediate (n = 4), high (n = 2). CONCLUSIONS: It is important to consider that hematologic malignancies may appear as soft or intermediate lesions on ES. Patients’ history and clinical background should help us to consider breast involvement. In addition, the clinical outcomes may not be related with elasticity assessments.
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spelling pubmed-57472182018-01-02 Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes Aslan, Hulya Pourbagher, Aysin J Clin Imaging Sci Original Article OBJECTIVE: Hematological malignancies very rarely involve the breast. The aim of this study is to retrospectively evaluate B-mode ultrasound (US) and elastography (ES) findings of breast involvement by hematologic malignancies with clinical outcomes. MATERIALS AND METHODS: All core-needle biopsy results that were performed at our tertiary breast center from January 2013 to September 2016 were searched. Our search revealed 9 patients with breast involvement either by leukemia or lymphoma. All patients were examined using B-mode US and ES. US and ES findings were analyzed with the consensus of two radiologists, and clinical outcomes were noted. RESULTS: The mean age of the study population was 41.6 years (range, 20–83 years). Two patients showed diffuse hypoechoic parenchymal infiltration. The elasticity assessments of these lesions were soft and intermediate. The remaining 7 patients had mass lesions. The elasticity assessment of these masses according to Breast Imaging Reporting and Data System US was as follows: Soft (n = 1), intermediate (n = 4), high (n = 2). CONCLUSIONS: It is important to consider that hematologic malignancies may appear as soft or intermediate lesions on ES. Patients’ history and clinical background should help us to consider breast involvement. In addition, the clinical outcomes may not be related with elasticity assessments. Medknow Publications & Media Pvt Ltd 2017-11-30 /pmc/articles/PMC5747218/ /pubmed/29296470 http://dx.doi.org/10.4103/jcis.JCIS_65_17 Text en Copyright: © 2017 Journal of Clinical Imaging Science http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Aslan, Hulya
Pourbagher, Aysin
Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes
title Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes
title_full Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes
title_fullStr Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes
title_full_unstemmed Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes
title_short Breast Involvement by Hematologic Malignancies: Ultrasound and Elastography Findings with Clinical Outcomes
title_sort breast involvement by hematologic malignancies: ultrasound and elastography findings with clinical outcomes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747218/
https://www.ncbi.nlm.nih.gov/pubmed/29296470
http://dx.doi.org/10.4103/jcis.JCIS_65_17
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