Sonographic Features of Superficial Breast Lesions: a Pictorial Review

Abstract

IntroductionThis presentation aims to illustrate the sonographic features of a spectrum of superficial lesions of the breast.Methods InvolvedUltrasound with optimized probe set allows localization and detection of the extent of focal superficial lesions and assessment of tissue/lesions composition such as calcifications, fat and nodule in superficial layer of the breast. It can help operator to guide aspiration cytology or biopsy.DiscussionThe breast is an organ composed of skin, subcutaneous tissue, breast parenchyma, and breast stroma. The skin is composed of three layers: the epidermis, dermis, and hypodermis or subcutaneous fat layers. Superficial breast lesions may originate within each anatomic layer of the skin or superficial mammary tissue. In this pictorial review, selected patients for illustrations are divided into three groups: Dermis and Epidermis-dermal cysts, epidermal inclusion cysts, sebaceous cysts and dermal calcifications. Hypodermal lesions - (a) fat-originating: lipoma, angiolipoma, fat necrosis, (b) vascular: hemangioma, thrombosed vessel, vascular malformations, (c) lymph node or lymphatic origin, (d) neurogenic (e) anterior terminal duct lobular units (TDLUs) includes adenosis, fibroadenoma, peripheral papilloma, and superficial breast cancer.Conclusion of the PresentationAwareness of the sonographic features and anatomic site of origin of the lesions can help diagnosis and avoid misdiagnosis. IntroductionThis presentation aims to illustrate the sonographic features of a spectrum of superficial lesions of the breast. This presentation aims to illustrate the sonographic features of a spectrum of superficial lesions of the breast. Methods InvolvedUltrasound with optimized probe set allows localization and detection of the extent of focal superficial lesions and assessment of tissue/lesions composition such as calcifications, fat and nodule in superficial layer of the breast. It can help operator to guide aspiration cytology or biopsy. Ultrasound with optimized probe set allows localization and detection of the extent of focal superficial lesions and assessment of tissue/lesions composition such as calcifications, fat and nodule in superficial layer of the breast. It can help operator to guide aspiration cytology or biopsy. DiscussionThe breast is an organ composed of skin, subcutaneous tissue, breast parenchyma, and breast stroma. The skin is composed of three layers: the epidermis, dermis, and hypodermis or subcutaneous fat layers. Superficial breast lesions may originate within each anatomic layer of the skin or superficial mammary tissue. In this pictorial review, selected patients for illustrations are divided into three groups: Dermis and Epidermis-dermal cysts, epidermal inclusion cysts, sebaceous cysts and dermal calcifications. Hypodermal lesions - (a) fat-originating: lipoma, angiolipoma, fat necrosis, (b) vascular: hemangioma, thrombosed vessel, vascular malformations, (c) lymph node or lymphatic origin, (d) neurogenic (e) anterior terminal duct lobular units (TDLUs) includes adenosis, fibroadenoma, peripheral papilloma, and superficial breast cancer. The breast is an organ composed of skin, subcutaneous tissue, breast parenchyma, and breast stroma. The skin is composed of three layers: the epidermis, dermis, and hypodermis or subcutaneous fat layers. Superficial breast lesions may originate within each anatomic layer of the skin or superficial mammary tissue. In this pictorial review, selected patients for illustrations are divided into three groups: Dermis and Epidermis-dermal cysts, epidermal inclusion cysts, sebaceous cysts and dermal calcifications. Hypodermal lesions - (a) fat-originating: lipoma, angiolipoma, fat necrosis, (b) vascular: hemangioma, thrombosed vessel, vascular malformations, (c) lymph node or lymphatic origin, (d) neurogenic (e) anterior terminal duct lobular units (TDLUs) includes adenosis, fibroadenoma, peripheral papilloma, and superficial breast cancer. Conclusion of the PresentationAwareness of the sonographic features and anatomic site of origin of the lesions can help diagnosis and avoid misdiagnosis. Awareness of the sonographic features and anatomic site of origin of the lesions can help diagnosis and avoid misdiagnosis.