HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Graf, O. Articles by Sickles, E. A. Search for Related Content PubMed PubMed Citation Articles by Graf, O. Articles by Sickles, E. A.

Probably Benign Breast Masses at US: Is Follow-up an Acceptable Alternative to Biopsy?¹

¹ From the Department of Radiology, ACC Steyr, Stadtplatz 30, A-4400 Steyr, Austria (O.G., G.H., C.G.); Department of Radiology, Medizinische Universität Wien, Vienna, Austria (T.H.H.); and Department of Radiology, University of California Medical Center, San Francisco, Calif (E.A.S.). Received February 10, 2006; revision requested April 11; revision received July 12; accepted August 22; final version accepted November 1. Address correspondence to O.G. (e-mail: Oswald.Graf{at}utanet.at).

View larger version (90K): [in this window] [in a new window] [Download PPT slide]   Figure 1a: Images in 49-year-old woman with dense breast parenchyma. (a) In mediolateral oblique screening mammographic view, no lesion is visible. (b) In craniocaudal screening mammographic view, a circumscribed lesion (arrows) is visible, with more than 25% of circumference obscured by dense breast tissue. (c) On US scan, 9-mm well-circumscribed mass (arrows) of low echogenicity was found in upper inner quadrant and was classified as probably benign (BI-RADS category 3). Mass remained stable at follow-up for more than 3 years.

View larger version (100K): [in this window] [in a new window] [Download PPT slide]   Figure 1b: Images in 49-year-old woman with dense breast parenchyma. (a) In mediolateral oblique screening mammographic view, no lesion is visible. (b) In craniocaudal screening mammographic view, a circumscribed lesion (arrows) is visible, with more than 25% of circumference obscured by dense breast tissue. (c) On US scan, 9-mm well-circumscribed mass (arrows) of low echogenicity was found in upper inner quadrant and was classified as probably benign (BI-RADS category 3). Mass remained stable at follow-up for more than 3 years.

View larger version (140K): [in this window] [in a new window] [Download PPT slide]   Figure 1c: Images in 49-year-old woman with dense breast parenchyma. (a) In mediolateral oblique screening mammographic view, no lesion is visible. (b) In craniocaudal screening mammographic view, a circumscribed lesion (arrows) is visible, with more than 25% of circumference obscured by dense breast tissue. (c) On US scan, 9-mm well-circumscribed mass (arrows) of low echogenicity was found in upper inner quadrant and was classified as probably benign (BI-RADS category 3). Mass remained stable at follow-up for more than 3 years.

View larger version (116K): [in this window] [in a new window] [Download PPT slide]   Figure 2a: Images in 52-year-old woman with palpable lump in the right breast. (a) Craniocaudal and (b) spot-compression magnification screening mammographic views show an ill-defined mass with associated architectural distortion (arrows) in right breast. (c) US scan shows lesion corresponds to ill-defined mass of low echogenicity (arrows) in upper outer quadrant. The mass was classified as suspicious for carcinoma (BI-RADS category 5). (d) At US, an additional nonpalpable well-circumscribed mass (arrows) was seen in lower outer quadrant and was classified as probably benign. After surgical excision, a 15-mm invasive ductal carcinoma (stage pT1c) and a 10-mm fibroadenoma were diagnosed at histologic work-up, which confirmed US evaluation.

View larger version (167K): [in this window] [in a new window] [Download PPT slide]   Figure 2b: Images in 52-year-old woman with palpable lump in the right breast. (a) Craniocaudal and (b) spot-compression magnification screening mammographic views show an ill-defined mass with associated architectural distortion (arrows) in right breast. (c) US scan shows lesion corresponds to ill-defined mass of low echogenicity (arrows) in upper outer quadrant. The mass was classified as suspicious for carcinoma (BI-RADS category 5). (d) At US, an additional nonpalpable well-circumscribed mass (arrows) was seen in lower outer quadrant and was classified as probably benign. After surgical excision, a 15-mm invasive ductal carcinoma (stage pT1c) and a 10-mm fibroadenoma were diagnosed at histologic work-up, which confirmed US evaluation.

View larger version (187K): [in this window] [in a new window] [Download PPT slide]   Figure 2c: Images in 52-year-old woman with palpable lump in the right breast. (a) Craniocaudal and (b) spot-compression magnification screening mammographic views show an ill-defined mass with associated architectural distortion (arrows) in right breast. (c) US scan shows lesion corresponds to ill-defined mass of low echogenicity (arrows) in upper outer quadrant. The mass was classified as suspicious for carcinoma (BI-RADS category 5). (d) At US, an additional nonpalpable well-circumscribed mass (arrows) was seen in lower outer quadrant and was classified as probably benign. After surgical excision, a 15-mm invasive ductal carcinoma (stage pT1c) and a 10-mm fibroadenoma were diagnosed at histologic work-up, which confirmed US evaluation.

View larger version (195K): [in this window] [in a new window] [Download PPT slide]   Figure 2d: Images in 52-year-old woman with palpable lump in the right breast. (a) Craniocaudal and (b) spot-compression magnification screening mammographic views show an ill-defined mass with associated architectural distortion (arrows) in right breast. (c) US scan shows lesion corresponds to ill-defined mass of low echogenicity (arrows) in upper outer quadrant. The mass was classified as suspicious for carcinoma (BI-RADS category 5). (d) At US, an additional nonpalpable well-circumscribed mass (arrows) was seen in lower outer quadrant and was classified as probably benign. After surgical excision, a 15-mm invasive ductal carcinoma (stage pT1c) and a 10-mm fibroadenoma were diagnosed at histologic work-up, which confirmed US evaluation.

View larger version (99K): [in this window] [in a new window] [Download PPT slide]   Figure 3a: Images in 45-year-old woman. On (a) mediolateral oblique and (b) craniocaudal screening mammographic views, no abnormalities were identified. (c) Well circumscribed lesion of low echogenicity, 9 mm in largest diameter (arrows), was detected at US in retroareolar area. The mass was classified as probably benign (BI-RADS category 3). Lesion became palpable after 4 months; invasive ductal carcinoma was diagnosed after surgery.

View larger version (92K): [in this window] [in a new window] [Download PPT slide]   Figure 3b: Images in 45-year-old woman. On (a) mediolateral oblique and (b) craniocaudal screening mammographic views, no abnormalities were identified. (c) Well circumscribed lesion of low echogenicity, 9 mm in largest diameter (arrows), was detected at US in retroareolar area. The mass was classified as probably benign (BI-RADS category 3). Lesion became palpable after 4 months; invasive ductal carcinoma was diagnosed after surgery.

View larger version (176K): [in this window] [in a new window] [Download PPT slide]   Figure 3c: Images in 45-year-old woman. On (a) mediolateral oblique and (b) craniocaudal screening mammographic views, no abnormalities were identified. (c) Well circumscribed lesion of low echogenicity, 9 mm in largest diameter (arrows), was detected at US in retroareolar area. The mass was classified as probably benign (BI-RADS category 3). Lesion became palpable after 4 months; invasive ductal carcinoma was diagnosed after surgery.