Hyperechoic breast images: all that glitters is not gold!

Insights Into Imaging
Gabrielle JournoCaroline Malhaire

Abstract

Hyperechogenicity is a sign classically reported to be in favour of a benign lesion and can be observed in many types of benign breast lesions such as hamartoma, lipoma, angiolipoma, haemangioma, haematoma, fat necrosis, fibrosis and galactocele, among others. However, some rare malignant breast lesions can also present a hyperechoic appearance. Most of these hyperechoic malignant lesions present other characteristics that are more typically suggestive of malignancy such as posterior shadowing, a more vertical axis or irregular margins that help to guide the diagnosis. Post magnetic resonance imaging, second-look ultrasound may visualise hyperechoic malignant lesions that would not have been identified at first sight and radiologists must know how to recognise these lesions. • Some rare malignant breast lesions can present a hyperechoic appearance. • Malignant lesions present other characteristics that are suggestive of malignancy. • An echogenic mass with fat density on mammography does not require biopsy.

References

Oct 1, 1994·AJR. American Journal of Roentgenology·E F ConantS A Feig
Jan 10, 1998·AJR. American Journal of Roentgenology·P Skaane, K Engedal
May 3, 2003·Clinical Imaging·Margaret H Pui, Isidore J Movson
Mar 25, 2004·AJR. American Journal of Roentgenology·W W M LamT K Ma
Dec 24, 2004·AJR. American Journal of Roentgenology·Katrina N GlazebrookCarol Reynolds
Mar 25, 2005·AJR. American Journal of Roentgenology·Andrea S HongJay A Baker
Feb 28, 2006·Yonsei Medical Journal·Eun Ju SonEun Kyung Kim
Jun 21, 2006·Clinical Radiology·G J R PorterJ J James
Feb 28, 2007·Radiology·Wei Tse YangSavitri Krishnamurthy
Mar 27, 2007·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Tzu-Chieh ChaoMiin-Fu Chen
Oct 4, 2007·Radiology·Wei Tse YangHomer A Macapinlac
Mar 5, 2011·Clinical Radiology·A LindaM Bazzocchi
Mar 13, 2013·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Yiming GaoRonald L Eisenberg
Apr 27, 2013·AJR. American Journal of Roentgenology·Beatriz AdradaWei Yang

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
biopsies

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Related Papers

The Breast Journal
Marla L. Rosenfield DarlingJack E. Meyer
Radiographics : a Review Publication of the Radiological Society of North America, Inc
Yiming GaoRonald L Eisenberg
Ultrasound Quarterly
Kaushik ChagarlamudiRichard G Barr
© 2022 Meta ULC. All rights reserved