Ultrasound in the diagnosis of papillary breast lesions

Abstract

Papillary lesions are defined as an amalgam of various lesions which represent a diagnostic challenge, for both the radiologist and pathologist. They are diagnosed on the basis of a combination of clinical, imaging, and pathological findings and their features carry differing prognostic implications for the affected patients. The aim of this pictorial essay is to review the clinical and pathological findings in papillary breast lesions, to show the advantages and limits of each imaging method in their diagnosis with emphasis on the importance of ultrasound in the differential diagnosis. Also, the spectrum of ultrasound features (conventional, Doppler ultrasound and elastography) of papillary lesions of the breast will be illustrated.

Use of High-resolution Ultrasound in Characterizing a Breast Implant and Detecting a Rupture of the Device Before Reoperation in Women Receiving Augmentation Mammaplasty

“…Stepladder sign and flattened shell are typical clues to diagnosis of rupture of a saline breast implant, which may lead to decreasing the volume of the breast compared with the contralateral breast. 8,9 [See Video 4 (online), which shows HRUS findings of saline and silicone breast implant rupture.] In contrast, rupture of a silicone gel-filled breast implant can be diagnosed based on the identification of free silicone [see Video 4 (online)].…”

High-risk lesions of the breast: concurrent diagnostic tools and management recommendations

“…Breast ultrasound is of great value in the diagnosis of papillomas, whether conventional ultrasound, Doppler ultrasound, or elastography [ 112 ]. Ultrasound may demonstrate a solid, round mass; a mass with well-defined borders; an intra-cystic mass; or a hypo-echoic, well-defined mass in a dilated duct.…”

Ductal carcinoma in situ within a fibroadenoma: A case report and review of literature

“…Sonographically has been reported as multiple nodules accompanied by ductal ectasia, well-circumscribed, complex, cystic lesion, and homogeneous solid lesions. Ciurea et al [ 25 ]. reported IPCs as round or lobulated masses, often associated with mammographic calcification.…”

“…reported IPCs as round or lobulated masses, often associated with mammographic calcification. Micropapillary DCIS is frequently associated with “snake skin-like” microcalcification[ 25 - 27 ].…”