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. 2017 Nov 30:6:153.
doi: 10.4103/2277-9175.219418. eCollection 2017.

An Evaluation of Ultrasound Features of Breast Fibroadenoma

Alireza Namazi  1 , Atoosa Adibi  1 , Mahshid Haghighi  1 , Morteza Hashemi  1
Affiliations

An Evaluation of Ultrasound Features of Breast Fibroadenoma

Alireza Namazi et al. Adv Biomed Res. .

Abstract

Background: Breast cancer is among the most common cancers in the world. Ultrasound evaluations of breast have come into attention as an alternative route. Ultrasound features of benign lesions such as fibroadenoma can be overlapping with those in a malignant tumor. Here, we assessed the reports of breast ultrasound in patients with pathologic diagnosis of fibroadenoma.

Materials and methods: We conducted a cross-sectional study and enrolled female patients with confirmed histologic diagnosis of fibroadenoma. Ultrasound studies were performed on the participants to see which sonographic patterns are more frequent in such lesions.

Results: In 92 patients with 40.4 ± 9.2 years of age, all participants were classified as stage 4 on Breast Imaging-Reporting and Data System scale. The mean ± standard deviation of size for the lesions was 167.4 ± 101.4 mm2. Upper outer quadrants in the breasts had the most number of lesions. Almost lesions were round with only 2.2% were oval. When assessed for the margin definition, 57.8% were circumscribed. Noncircumscribed masses were reported in 21.7%. About 91.3% of cases were hypoechoic in the ultrasound evaluation. Lobulated masses were in 28.3% of the cases. 8.7% of the masses were spongy whereas 9.8% and 2.2% of them had calcification and heterogenic appearance, respectively.

Conclusion: The most frequent features include a hypoechoic mass with a circumscribed border; however, complex presentations that overlap malignant masses are also detectable including noncircumscribed margin, lobulation, presence of a posterior shadow, heterogenicity, and micro calcification.

Keywords: Breast; fibroadenoma; ultrasonogram.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The frequency of the masses, based on their placements on a clock-like grid
Figure 2
Figure 2
The frequency of the different features of fibroadenoma masses, when assessed by ultrasound
See this image and copyright information in PMC

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