Lactating Adenoma: Sonographic Features

Darling, Marla L. Rosenfield; Smith, Dietrich C.; Rhei, Esther; Denison, Christine M.; Lester, Susan C.; Meyer, Jack E.

doi:10.1046/j.1524-4741.2000.99093.x

Cited by 30 publications

(13 citation statements)

References 15 publications

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“…Occasionally, the differential diagnosis of malignant lesions is difficult mainly due to unclear boundaries, microlobulated periphery, reducing posterior acoustic effect, structural heterogeneity. And it occurred by the necrosis of lactating adenoma [11,53-55]. …”

Section: Breast Disease Related To Pregnancy Lactation Periodmentioning

confidence: 99%

Breast diseases during pregnancy and lactation

et al. 2013

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Breast is a typical female sexual physiologic organ that is influenced by steroid hormone from menarche until menopause. Therefore various diseases can be developed by continuous action of estrogen and progesterone. Breast diseases are mainly categorized as benign and malignant. It is very important to distinguish the malignancy from breast diseases. However, it is very difficult to diagnose malignancy in pregnant and lactating women even though the same breast diseases took place. Therefore, we will review breast diseases such as breast carcinoma during pregnancy and lactation.

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Section: Breast Disease Related To Pregnancy Lactation Periodmentioning

confidence: 99%

Breast diseases during pregnancy and lactation

et al. 2013

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“…However, a few tumors can show features that can mislead from a diagnosis of malignancy, such as irregular masses, microlobulated margins, posterior acoustic shadowing, pronounced hypoechogenicity, and structural heteroechogenicity. Some of these confusing patterns may be due to infarction, as occurs in fibroadenomas (12,(67)(68)(69). .…”

Section: Benign Tumors Tumors Closely Related To Pregnancy and Lactationmentioning

confidence: 99%

Radiologic Evaluation of Breast Disorders Related to Pregnancy and Lactation

Sabaté

Clotet²,

Torrubia³

et al. 2007

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During pregnancy and lactation, the breast can be affected by a variety of specific and unique disorders, including benign disorders closely related to physiologic changes, inflammatory and infectious diseases, juvenile papillomatosis, and benign and malignant tumors. Patients with pregnancy-associated breast carcinoma tend to have more advanced neoplasms at diagnosis and a poorer prognosis due to delayed diagnosis and a more aggressive biologic pattern. Pregnancy-related Burkitt lymphoma characteristically manifests with bilateral and diffuse involvement of the breasts. Fibroadenoma may manifest with growth, infarction, large cysts, prominent ducts, and secretory hyperplasia during pregnancy and lactation. Galactocele is the breast lesion most commonly found during lactation and manifests as either pseudolipoma, a cystic mass with a fat-fluid level, or pseudohamartoma. Tumors and diseases affecting the breasts during pregnancy and lactation are basically the same as those observed in nonpregnant women but may have a different appearance. The sensitivity of mammography in pregnant and lactating women is decreased due to increased parenchymal density. Instead, ultrasonography is the most appropriate radiologic method for evaluating breast masses in this setting and is particularly useful in the diagnosis and treatment of abscesses. Knowledge of the unique entities that are specifically related to pregnancy and lactation and of their radiologic-pathologic appearances can help the radiologist make the correct diagnosis.

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“…Patient sonography could be more valuable during this evaluation period for breast masses because of its safety and ability to detect most of all masses. Radiologists should be aware of the typical imaging results for breasts during normal pregnancy and lactation, including pregnancy-associated breast lesions such as galactoceles,3-6 lactating adenoma7,8 and breast cancer 9-12. The ultimate clinical goal is to differentiate between benign lesions and breast carcinoma during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy-Associated Breast Disease: Radiologic Features and Diagnostic Dilemmas

Son

Kim

2006

Yonsei Med J

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In this paper, we evaluate the radiological features of pregnancy-associated breast lesions and discuss the difficulties in diagnosis by imaging. We selected patients who were diagnosed with pregnancy-associated breast lesions during the previous 5 years. All patients complained of palpable lesions in the breast and underwent ultrasonographic (US) examination, the first choice for examination of pregnancy-related breast lesions. Any suspicious lesions found by the US were recommended for a US-guided core biopsy, US-guided fine needle aspiration (FNA), or surgery. Various breast lesions were detected during pregnancy and lactation, including breast cancer, mastitis and abscesses, lactating adenoma, galactoceles, lobular hyperplasia, and fibroadenomas. The imaging features of pregnancy-associated breast lesions did not differ from the features of non-pregnancy-associated breast lesions; however, some pregnancy-associated benign lesions had suspicious sonographic features. A US-guided core biopsy was necessary for differentiating benign from malignant. In patients with breast cancer, the cancer was often advanced at the time of diagnosis. In conclusion, various pregnancy-related breast lesions were detected and the imaging of these lesions had variable findings. Breast ultrasound could be an excellent imaging modality for diagnosis and differentiation between benign and malignant lesions. However, when the imaging results are suspicious, a biopsy should be performed to obtain a pathologic diagnosis.

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Lactating Adenoma: Sonographic Features

Cited by 30 publications

References 15 publications

Breast diseases during pregnancy and lactation

Breast diseases during pregnancy and lactation

Radiologic Evaluation of Breast Disorders Related to Pregnancy and Lactation

Pregnancy-Associated Breast Disease: Radiologic Features and Diagnostic Dilemmas

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