breast benign lesions - pic essay

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