Fibrotic lesions of the breast: Radiological findings and core-neddle biopsy results

Taşkın, Füsun; Ünsal, Alparslan; Özbaş, Serdar; Erkuş, Muhan; Karaman, Can Zafer

doi:10.1016/j.ejrad.2010.10.008

Cited by 8 publications

(30 citation statements)

References 17 publications

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“…In our study, 48% of the lesions were occult on mammography, whereas other previous authors reported frequencies of mammographic occult lesions of 6.3-15.9% (2)(3)(4). In addition, previous studies reported that the most common mammographic finding of stromal fibrosis was a mass (1)(2)(3)(4)7). However, in our study, only 3.2% of lesions were masses.…”

Section: Discussioncontrasting

confidence: 82%

“…Because our study included stereotactically-guided biopsy cases, the percentage of calcified lesions was 17.6%, higher than that reported in other studies (1,3,4,(6)(7)(8). According to Rosen et al (3), 9% of the lesions demonstrated mammographically clustered calcifications, and histologically, these calcifications were in atrophic lobules and ducts surrounded by fibrosis.…”

Section: Discussionmentioning

confidence: 63%

“…Due to widespread use of screening mammography and sonography, unlike previous studies described stromal fibrosis as a palpable mass, recent reports described a mostly non-palpable lesion that was incidentally found (2)(3)(4)(5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 96%

“…The reported incidence of stromal fibrosis among lesions diagnosed by imaging-guided core biopsies has varied with a range of 2.1-8.9%. It has become an increasingly common diagnosis due to widespread use of imaging-guided biopsy for clinically occult but mammographically or sonographically detected breast lesions (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…In previous studies, 17-28% of stromal fibrosis lesions displayed features indicating malignancy (1)(2)(3)6). Furthermore, several studies reported false-negative cases (cases of cancers missed) of stromal fibrosis that were diagnosed by imagingguided biopsies at a rate as high as 2.7% (1,3,(6)(7)(8). However, these studies were limited by short followup periods and small patient numbers.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Stromal fibrosis of the breast: outcome analysis

Shin

Han

2014

Acta Radiol

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Section: Discussioncontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stromal fibrosis of the breast: outcome analysis

Shin

Han

2014

Acta Radiol

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Imaging Pathological Correlation in Breast Imaging

Shetty

2014

Breast Cancer Screening and Diagnosis

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Automated Three-dimensional Breast US for Screening: Technique, Artifacts, and Lesion Characterization

Zelst¹,

Mann²

2018

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Automated breast (AB) ultrasonography (US) scanners have recently been brought to market for breast imaging. AB US devices use mechanically driven wide linear-array transducers that can image whole-breast US volumes in three dimensions. AB US is proposed for screening as a supplemental modality to mammography in women with dense breasts and overcomes important limitations of whole-breast US using handheld devices, such as operator dependence and limited reproducibility. A literature review of supplemental whole-breast US for screening was performed, which showed that both AB US and handheld US allow detection of mammographically negative early-stage invasive breast cancers but also increase the false-positive recall rate. Technicians with limited training can perform AB US; nevertheless, there is a learning curve for acquiring optimal images. Proper acquisition technique may allow avoidance of common artifacts that could impair interpretation of AB US results. Regardless, interpretation of AB US results can be challenging. This article reviews the US appearance of common benign and malignant lesions and presents examples of false-positive and false-negative AB US results. In situ breast cancers are rarely detected with supplemental whole-breast US. The most discriminating feature that separates AB US from handheld US is the retraction phenomenon on coronal reformatted images. The retraction phenomenon is rarely seen with benign findings but accompanies almost all breast cancers. In conclusion, women with dense breasts may benefit from supplemental AB US examinations. Understanding the pitfalls in acquisition technique and lesion interpretation, both of which can lead to false-positive recalls, might reduce the potential harm of performing supplemental AB US. Online supplemental material is available for this article. RSNA, 2018.

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Fibrotic lesions of the breast: Radiological findings and core-neddle biopsy results

Cited by 8 publications

References 17 publications

Stromal fibrosis of the breast: outcome analysis

Stromal fibrosis of the breast: outcome analysis

Imaging Pathological Correlation in Breast Imaging

Automated Three-dimensional Breast US for Screening: Technique, Artifacts, and Lesion Characterization

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