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Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?

Ultrasound (US) lexicon of the Breast Imaging Reporting and Data System (BI-RADS) defines an echogenic breast mass as a lesion that is hyperechoic in comparison with subcutaneous adipose tissue. However, at sonography, only 0.6 to 5.6% of breast masses are echogenic and the majority of these lesions...

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Autores principales: Ramani, S. K., Rastogi, Ashita, Nair, Nita, Shet, Tanuja M., Thakur, Meenakshi H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Private Ltd. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299501/
https://www.ncbi.nlm.nih.gov/pubmed/34316107
http://dx.doi.org/10.1055/s-0041-1729124
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author Ramani, S. K.
Rastogi, Ashita
Nair, Nita
Shet, Tanuja M.
Thakur, Meenakshi H.
author_facet Ramani, S. K.
Rastogi, Ashita
Nair, Nita
Shet, Tanuja M.
Thakur, Meenakshi H.
author_sort Ramani, S. K.
collection PubMed
description Ultrasound (US) lexicon of the Breast Imaging Reporting and Data System (BI-RADS) defines an echogenic breast mass as a lesion that is hyperechoic in comparison with subcutaneous adipose tissue. However, at sonography, only 0.6 to 5.6% of breast masses are echogenic and the majority of these lesions are benign. approximately, 0.5% of malignant breast lesions appear hyperechoic. The various benign pathologic entities that appear echogenic on US are lipoma, hematoma, seroma, fat necrosis, abscess, pseudoangiomatous stromal hyperplasia, galactocele, etc. The malignant diagnoses that may present as hyperechoic lesions on breast US are invasive ductal carcinoma, invasive lobular carcinoma, metastasis, lymphoma, and angiosarcoma. Echogenic breast masses need to be correlated with mammographic findings and clinical history. Lesions with worrisome features such as a spiculated margin, interval enlargement, interval vascularity, or association with suspicious microcalcifications on mammography require biopsy. In this article, we would like to present a pictorial review of patients who presented to our department with echogenic breast masses and were subsequently found to have various malignant as well as benign etiologies on histopathology.
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spelling pubmed-82995012021-07-26 Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful? Ramani, S. K. Rastogi, Ashita Nair, Nita Shet, Tanuja M. Thakur, Meenakshi H. Indian J Radiol Imaging Ultrasound (US) lexicon of the Breast Imaging Reporting and Data System (BI-RADS) defines an echogenic breast mass as a lesion that is hyperechoic in comparison with subcutaneous adipose tissue. However, at sonography, only 0.6 to 5.6% of breast masses are echogenic and the majority of these lesions are benign. approximately, 0.5% of malignant breast lesions appear hyperechoic. The various benign pathologic entities that appear echogenic on US are lipoma, hematoma, seroma, fat necrosis, abscess, pseudoangiomatous stromal hyperplasia, galactocele, etc. The malignant diagnoses that may present as hyperechoic lesions on breast US are invasive ductal carcinoma, invasive lobular carcinoma, metastasis, lymphoma, and angiosarcoma. Echogenic breast masses need to be correlated with mammographic findings and clinical history. Lesions with worrisome features such as a spiculated margin, interval enlargement, interval vascularity, or association with suspicious microcalcifications on mammography require biopsy. In this article, we would like to present a pictorial review of patients who presented to our department with echogenic breast masses and were subsequently found to have various malignant as well as benign etiologies on histopathology. Thieme Medical and Scientific Publishers Private Ltd. 2021-01 2021-04-19 /pmc/articles/PMC8299501/ /pubmed/34316107 http://dx.doi.org/10.1055/s-0041-1729124 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Ramani, S. K.
Rastogi, Ashita
Nair, Nita
Shet, Tanuja M.
Thakur, Meenakshi H.
Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?
title Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?
title_full Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?
title_fullStr Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?
title_full_unstemmed Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?
title_short Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?
title_sort hyperechoic lesions on breast ultrasound: all things bright and beautiful?
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299501/
https://www.ncbi.nlm.nih.gov/pubmed/34316107
http://dx.doi.org/10.1055/s-0041-1729124
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