fibroadenoma breast
TRANSCRIPT
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SONOMAMMOGRAM
18 yr old female with mobile swelling in the Rt
breast Retroareolar region for last 8 months . Non
tender, Minimal change in the consistency with menstrual cycle .
MERCURY IMAGING INSTITUTE SCO 172-173 SEC 9C CHANDIGARHMERCURY IMAGING CENTRE SCO 16-17 SEC 20D CHANDIGARH
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This case...........................• Well defined encapsulated iso/ hyperechoic mass lesion in the
Retroareolar/ central part of the Rt breast . • The lesion has whorled appearance with evident posterior
acoustic enhancement and no edge shadowing. • Tiny specks of calcification are appreciated in the lesion. • No probe tenderness over the lesion.• Maintained nonchaotic vascularity in the substance and the
periphery of the lesion. • No perilesional stranding / satellite nodules appreciated. • The lesion rests on the pectoralis bed with maintained interface
and fat planes. • Mobility present on compression .
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Fibroadenoma breast
• TDLU – Terminal ductal lobular unit • Estrogen induced tumor orifginating from the
TDLU. • Marginal increase in size at the end of the
cycles.• Regresses after menopause.• Recurrence appreciated with estrogen
therapy.
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WHORLED APPEARANCEPOSTERIOR ACOUSTIC ENHANCEMENTENCAPSULATED MASS
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RESTING ON PECTORALIS MAJOR WITHMAINTAINED INTERFACE AND FAT PLANES
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WHORLED APPEARANCE WITH INTRASUBSTANCE HETEROGENOUS HYPERECHOIC/ HYPOECHIC AREAS.
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COLOR DOPPLER ASSESMENT
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NON CHAOTIC INTEGERATED INTRASUBSTANCE VASCULARITY
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DEFINED CAPSULE APPRECIATED
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APPRECIATE POSTERIOR ACOUSTIC ENHACEMENT
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FIBROADENOMA BREAST SIGNS WITH FIBROADENOMA
• Halo sign – Pseudocapsule.• Hump and Dip sign – Small
bulge often continues with the adjacent small sulcus.
• Length / Depth ratio >1.4• Clinical size = Radiographic
size.• Varied calcification patterns
( popcorn like is pathognomic)
CHARACTERISTIC
• Third most common lesion of the breast.
• Most common breast tumor of the under 25 year age group.
• Usually oval.• Usually hypoechoic• Usually homogenous• Usually regular ( may be lobulated).• Macrocalcifications ( 10%).• Posterior acoustic enhancement
( 17% to 25%). • MR appreciates the septations better.