AJR Your Link to CME
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Warner, J. K.
Right arrow Articles by Berg, W. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Warner, J. K.
Right arrow Articles by Berg, W. A.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

American Journal of Roentgenology, Vol 170, 1375-1379, Copyright © 1998 by American Roentgen Ray Society

ARTICLES

Apocrine metaplasia: mammographic and sonographic appearances

JK Warner, D Kumar and WA Berg
Department of Radiology, University of Maryland, Baltimore 21201, USA.

OBJECTIVE: Our objective was to evaluate the mammographic and sonographic appearances of apocrine metaplasia and correlate imaging and histopathologic findings. MATERIALS AND METHODS: Retrospective review of 408 lesions in 318 consecutive patients undergoing core needle biopsy (n = 370) or fine needle aspiration (n = 38) revealed 46 cases of apocrine metaplasia. In 17 of these cases, apocrine metaplasia represented more than 50% of the lesion sampled; these 17 lesions formed the basis for analysis. RESULTS: On mammography, all 17 cases appeared as new or enlarging equal-density (n = 15) or low-density (n = 2) masses with an average size of 12.8 mm. Borders were microlobulated in 59% (10/17), macrolobulated in 29% (5/17), and circumscribed or oval in 12% (2/17). Sonography revealed a lobulated mass containing a cluster of small (2- to 5-mm) anechoic foci and intervening septae in 77% (10/13) of cases. A discrete hypoechoic solid component was seen in 23% of cases (3/13). Posterior acoustic enhancement was seen in 85% of cases (11/13). In 65% of lesions (11/17), we noted a decrease in size or total resolution during biopsy or fine needle aspiration. Histopathologic examination showed the typical appearance of dilated cystic acini lined by apocrine metaplastic epithelium. CONCLUSION: On mammography, the combined findings of an equal- or low-density microlobulated or lobulated mass that corresponds on sonography to a cluster of small (2- to 5-mm) anechoic foci with intervening septae should suggest the diagnosis of focal apocrine metaplasia. With radiologists' increasing experience, follow-up, rather than biopsy, of such typical-appearing lesions may be adequate.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Ultrasound MedHome page
Y.-W. Chang, K. H. Kwon, D. E. Goo, D. L. Choi, H. K. Lee, and S. B. Yang
Sonographic Differentiation of Benign and Malignant Cystic Lesions of the Breast
J. Ultrasound Med., January 1, 2007; 26(1): 47 - 53.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
W. A. Berg
Sonographically Depicted Breast Clustered Microcysts: Is Follow-Up Appropriate?
Am. J. Roentgenol., October 1, 2005; 185(4): 952 - 959.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
W. A. Berg, C. I. Campassi, and O. B. Ioffe
Cystic Lesions of the Breast: Sonographic-Pathologic Correlation
Radiology, April 1, 2003; 227(1): 183 - 191.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
A. C. Kushwaha, M. O'Toole, N. Sneige, C. B. Stelling, and M. J. Dryden
Mammographic--Pathologic Correlation of Apocrine Metaplasia Diagnosed Using Vacuum-Assisted Stereotactic Core-Needle Biopsy: Our 4-year Experience
Am. J. Roentgenol., March 1, 2003; 180(3): 795 - 798.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1998 by the American Roentgen Ray Society.