Document Detail

A multimodality approach to the diagnosis of breast hamartomas with atypical mammographic appearance.
MedLine Citation:
PMID:  11348408     Owner:  NLM     Status:  MEDLINE    
The ultrasonographic appearance of breast hamartomas (BHs) is described and its diagnostic utility is discussed in this study of 27 women with mammographic findings both typical and atypical of BH. The role of computed tomography (CT) in the diagnosis of BH of atypical mammographic appearance is also analyzed. These 27 cases of BH were detected in women submitted to mammographic screening. Ages ranged from 45 to 65 years (mean age 52.6 years). In all cases physical and ultrasonographic examinations were carried out. CT studies were carried out in seven cases. Core biopsy was performed in 18 cases of lesions with a mammographic appearance atypical of BH. Lesions were palpable in 9 cases and nonpalpable in 18. Mammographic appearance was characteristic in nine cases. In 19 cases a hypoechoic solid mass with hyperechoic lines and/or bands was seen. This ultrasonographic image is suspicious of BH. Finally, both CT and core biopsy findings were of great help in the diagnosis of BH in the cases where mammographic and ultrasonographic studies were inconclusive. We consider that a combination of mammography, ultrasonography, CT, and core biopsy is fundamental for the successful diagnosis of breast hamartomas not seen in typical form in mammograms.
J D Berná; F J Nieves; T Romero; I Arcas
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The breast journal     Volume:  7     ISSN:  1075-122X     ISO Abbreviation:  Breast J     Publication Date:    2001 Jan-Feb
Date Detail:
Created Date:  2001-05-11     Completed Date:  2001-07-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9505539     Medline TA:  Breast J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2-7     Citation Subset:  IM    
Departments of Radiology and Pathology, Hospital General Universitario de Murcia, Spain.
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MeSH Terms
Biopsy, Needle
Breast Neoplasms / diagnosis*
Combined Modality Therapy
Hamartoma / diagnosis*
Magnetic Resonance Imaging / methods*
Mass Screening / methods
Middle Aged
Retrospective Studies
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Ultrasonography / methods*

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