Ultrasound findings of the physiological changes and most common breast diseases during pregnancy and lactation

Holanda, Antônio Arildo Reginaldo de; Gonçalves, Ana Katherine; Medeiros, Robinson Dias de; Oliveira, António G.; Maranhão, Técia Maria de Oliveira

doi:10.1590/0100-3984.2015.0076

Cited by 26 publications

(42 citation statements)

References 31 publications

(178 reference statements)

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“…Galactoceles are the most common palpable masses in lactating patients. These are cystic masses with posterior acoustic shadowing and variable internal echonicity depending on their fat, protein, and water content, but vascularity should never be present within a galactocele [2,8]. Lactating adenomas are fibroadenoma-like masses on US scan; however, microlobulations are more frequent and hypervascularity is usually seen on Doppler US.…”

Section: Discussionmentioning

confidence: 99%

Breast Ultrasound during Lactation: Benign and Malignant Lesions

2018

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Background: Structural changes during lactation make breast physical examination difficult. When breast problems occur, patients are often referred for an ultrasound (US) scan. Most breast lesions diagnosed in these patients are benign, but the diagnosis of breast cancer is a challenge. We aim to demonstrate the spectrum of US imaging findings in lactating women. Methods: 77 breastfeeding patients who underwent breast US in our department between February 2012 and March 2017 were evaluated. Patients' electronic medical records were reviewed for the presenting complaint, US reports, pathology results if available, and clinical/radiologic follow-up. All examinations were performed by 2 radiologists. Results: 28 of the 77 patients had normal US findings. Cysts were seen in 16 patients. 4 patients had stable fibroadenomas. 6 patients had US imaging findings suggestive of mastitis, 5 patients had galactoceles, 1 patient had an abscess, and 1 patient had unilateral hypertrophy without any accompanying lesion. In 13 patients, BI-RADS 3 solid masses were diagnosed. Invasive breast cancer was diagnosed in 3 patients. Conclusion: US can demonstrate or exclude a true mass against the background of a nodular breast parenchyma. Radiologists must be aware of malignant US features to avoid delays in the diagnosis of pregnancy-associated breast cancer.

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Section: Discussionmentioning

confidence: 99%

Breast Ultrasound during Lactation: Benign and Malignant Lesions

2018

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“…No período gravídico puerperal, a mama sofre várias alterações (7) . No pós-parto, a mama fica ingurgitada, pode ocorrer estase linfática e venosa, aumento da vascularização e da produção de leite (9) .…”

Section: Discussionunclassified

“…Entretanto, com o avanço tecnológico, as imagens ultrassônicas passaram a ter melhor resolução, permitindo a visualização de estruturas muito pequenas no interior da mama (12) , além de identificar o fluxo do leite e a dilatação dos ductos (13) . Entretanto, as desvantagens desse método incluem a impossibilidade da visualização global da mama e a necessidade de um operador com bastante experiência (7) .…”

Section: Discussionunclassified

“…A identificação de problemas mamários no período gravídico puerperal representa um desafio na medicina, em função das alterações fisiológicas. Considerando os riscos de métodos com radiação ionizante, o ultrassom tem sido o método de escolha para mama na lactação (7) . Nessa perspectiva, a termografia surge como método diagnóstico não invasivo e não radioativo, amplamente utilizada no campo industrial e vem sendo utilizada na área médica.…”

Section: Introdução Métodounclassified

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Evidências Da Mama Puerperal Por Termografia: Relato De Caso

2019

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Objetivo: analisar a temperatura da mama puerperal utilizando termografia por infravermelho.Método: estudo realizado no Banco de Leite Humano de um Hospital de Curitiba em 2011. Selecionou-se aleatoriamente uma lactante com ingurgitamento bilateral nos quadrantes externos das mamas, e inspecionou-se a temperatura.Resultados: encontrou-se um lobo mamário macio com assimetria térmica de 1,5ºC, comparado à região contralateral, mas não se identificou assimetria térmica na temperatura geral entre as mamas.Conclusão: este caso sugere que assimetria térmica na mama puerperal está relacionada ao volume de leite nos lobos e não a disfunções ou patologias nesses lobos. O estudo abre perspectivas para aprofundamento da compreensão da fisiologia lactacional com a ampliação do grupo amostral avaliado nesta pesquisa. A termografia é uma técnica adequada às lactantes, mas requer sala apropriada, tempo para aclimatação e conhecimento da anatomia mamária.

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“…Ultrasonography is the best imaging modality to evaluate breast lesions during pregnancy and lactation, as it is sensitive and confers no radiation exposure [6,11,12]. According to the ACR Appropriateness Criteria, pregnant woman with palpable masses or pathological nipple discharge should be initially evaluated by ultrasonography in order to characterize the features of the lesion and plan proper management [1,7,13].…”

Section: Ultrasonographymentioning

confidence: 99%

Breast lesions during pregnancy and lactation: a pictorial essay

Lee

Bae

2020

Ultrasonography

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A wide range of breast lesions can arise during pregnancy and lactation, from benign or inflammatory diseases to malignant tumors. Hormone-influenced physiological changes of the breast make the radiological evaluation of breast lesions challenging. Knowledge of the imaging features of normal physiological changes and common breast lesions during this period can help radiologists accurately diagnose and appropriately manage conditions. As such, this pictorial essay illustrates normal physiological changes related to pregnancy and lactation, as well as common benign and malignant breast lesions encountered during those periods.

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Ultrasound findings of the physiological changes and most common breast diseases during pregnancy and lactation

Cited by 26 publications

References 31 publications

Breast Ultrasound during Lactation: Benign and Malignant Lesions

Breast Ultrasound during Lactation: Benign and Malignant Lesions

Evidências Da Mama Puerperal Por Termografia: Relato De Caso

Breast lesions during pregnancy and lactation: a pictorial essay

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