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Malignant hyperechoic breast lesions at ultrasound: A pictorial essay
Author(s) -
Tiang Stephen,
Metcalf Cecily,
Dissanayake Deepthi,
Wylie Elizabeth
Publication year - 2016
Publication title -
journal of medical imaging and radiation oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.31
H-Index - 43
eISSN - 1754-9485
pISSN - 1754-9477
DOI - 10.1111/1754-9485.12468
Subject(s) - medicine , vascularity , echogenicity , lesion , radiology , acoustic shadow , ultrasound , breast ultrasound , ultrasonography , margin (machine learning) , breast cancer , mammography , pathology , cancer , machine learning , computer science
Summary Malignant breast lesions are typically hypoechoic at sonography. However, a small subgroup of hyperechoic malignant breast lesions is encountered in clinical practice. We present a pictorial essay of a number of different hyperechoic breast malignancies with mammographic, sonographic and histopathologic correlation. Suspicious sonographic features in a hyperechoic lesion include inhomogeneity in echogenic pattern, an irregular margin, posterior acoustic shadowing and internal vascularity. A hyperechoic lesion at ultrasound does not discount the need to undertake histological assessment of a mammographically suspicious lesion.