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) Alert me when this article is cited 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 Berg, W. A. Search for Related Content PubMed PubMed Citation Articles by Berg, W. A. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Sonographically Depicted Breast Clustered Microcysts: Is Follow-Up Appropriate?

¹ Johns Hopkins Greenspring, 10755 Falls Rd., Suite 440, Lutherville, MD 21093.

View larger version (116K): [in a new window]   Fig. 1A —52-year-old woman with clustered microcysts. Spot magnification craniocaudal mammogram shows circumscribed, microlobulated mass.

View larger version (148K): [in a new window]   Fig. 1B —52-year-old woman with clustered microcysts. Radial L7.5-12–MHz sonogram (Performa, Acoustic Imaging) shows clustered microcysts. This lesion resolved on follow-up mammography.

View larger version (168K): [in a new window]   Fig. 2A —58-year-old woman on hormone replacement therapy with incidental clustered microcysts on screening sonography (performed due to dense breast tissue). Radial (A) and antiradial (B) L7–13–MHz sonograms with spatial compounding (Elegra, Siemens Medical Solutions) show lesion composed of tiny anechoic foci ranging from 1 to 5 mm. This lesion was stable on 36 months' follow-up.

View larger version (185K): [in a new window]   Fig. 2B —58-year-old woman on hormone replacement therapy with incidental clustered microcysts on screening sonography (performed due to dense breast tissue). Radial (A) and antiradial (B) L7–13–MHz sonograms with spatial compounding (Elegra, Siemens Medical Solutions) show lesion composed of tiny anechoic foci ranging from 1 to 5 mm. This lesion was stable on 36 months' follow-up.

View larger version (163K): [in a new window]   Fig. 3 —32-year-old woman with incidental clustered microcysts on screening sonography (performed due to high risk). Transverse L7–13–MHz sonogram with spatial compounding (Elegra, Siemens Medical Solutions) shows clustered microcysts, one of which contains low-level echoes (arrow) due to debris within the fluid—that is, a complicated microcyst. This lesion resolved at 12 months' follow-up.

View larger version (134K): [in a new window]   Fig. 4A —57-year-old woman with palpable mass due to clustered microcysts that enlarged and then regressed on follow-up. Mediolateral oblique mammogram shows indistinctly marginated mass corresponding to palpable abnormality (marked with a radiopaque marker).

View larger version (132K): [in a new window]   Fig. 4B —57-year-old woman with palpable mass due to clustered microcysts that enlarged and then regressed on follow-up. Transverse L5–10–MHz sonogram (equipment details not available) obtained at another institution shows irregular hypoechoic mass considered suspicious, with biopsy initially recommended.

View larger version (107K): [in a new window]   Fig. 4C —57-year-old woman with palpable mass due to clustered microcysts that enlarged and then regressed on follow-up. Transverse L7.5–12–MHz sonogram (Performa, Acoustic Imaging) shows lesion to correspond to clustered microcysts. Follow-up was recommended instead of biopsy.

View larger version (113K): [in a new window]   Fig. 4D —57-year-old woman with palpable mass due to clustered microcysts that enlarged and then regressed on follow-up. Transverse L7.5–12–MHz sonogram at 5 months' follow-up shows slight enlargement in several anechoic spaces. Continued follow-up was recommended.

View larger version (83K): [in a new window]   Fig. 4E —57-year-old woman with palpable mass due to clustered microcysts that enlarged and then regressed on follow-up. Transverse L7–13–MHz sonogram with spatial compounding (Elegra, Siemens Medical Solutions) at 41 months' follow-up shows moderate decrease in overall size of lesion and regression of individual microcysts.

View larger version (164K): [in a new window]   Fig. 5A —48-year-old woman with clustered microcysts shown with improved technique. Antiradial L7–13–MHz sonogram without spatial compounding (Elegra, Siemens Medical Solutions) shows irregular hypoechoic mass initially considered suspicious with biopsy recommended.

View larger version (116K): [in a new window]   Fig. 5B —48-year-old woman with clustered microcysts shown with improved technique. Antiradial L7–13–MHz sonogram with spatial compounding and application of increased pressure while scanning shows lesion to be clustered microcysts. Lesion was followed and had decreased at 26 months' follow-up.

View larger version (132K): [in a new window]   Fig. 6A —75-year-old woman with invasive lobular carcinoma manifest as new indistinctly marginated mass mammographically. Radial L5–12–MHz sonogram (HDI 3500, Philips-ATL) shows hypoechoic lesion thought to possibly represent clustered microcysts.

View larger version (143K): [in a new window]   Fig. 6B —75-year-old woman with invasive lobular carcinoma manifest as new indistinctly marginated mass mammographically. Antiradial (B) and radial (C) L7–13–MHz sonograms with spatial compounding (Elegra, Siemens Medical Solutions) show hypoechoic mass with angular (arrow, C) and indistinct margins. Spatial compounding helps to better depict angular and indistinct margins, which facilitates classification of this as suspicious mass needing biopsy. Sonographically guided 14-gauge core biopsy showed invasive lobular carcinoma.

View larger version (143K): [in a new window]   Fig. 6C —75-year-old woman with invasive lobular carcinoma manifest as new indistinctly marginated mass mammographically. Antiradial (B) and radial (C) L7–13–MHz sonograms with spatial compounding (Elegra, Siemens Medical Solutions) show hypoechoic mass with angular (arrow, C) and indistinct margins. Spatial compounding helps to better depict angular and indistinct margins, which facilitates classification of this as suspicious mass needing biopsy. Sonographically guided 14-gauge core biopsy showed invasive lobular carcinoma.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati