RESUMO
INTRODUCTION: Cellular fibroadenomas (CFA) are difficult to distinguish from phyllodes tumor (PT) at biopsy. This study's purpose was to determine what CFA characteristics were associated with recommendations to follow-up or excise and if the current algorithm was correct. MATERIALS AND METHODS: Databases from 2002 to 2014 were reviewed. Mass characteristics and post biopsy recommendations were recorded. RESULTS: 81 CFAs were diagnosed; 19 cellular and 62 with slightly cellular stroma. 21 masses were surgically excised with 2 PTs diagnosed. CONCLUSION: Larger mass size and increased histologic cellularity were associated with excision recommendation, but only clinical growth was associated with PT.
Assuntos
Neoplasias da Mama/patologia , Fibroadenoma/patologia , Adolescente , Adulto , Biópsia com Agulha de Grande Calibre , Neoplasias da Mama/diagnóstico por imagem , Criança , Diagnóstico Diferencial , Gerenciamento Clínico , Feminino , Fibroadenoma/diagnóstico por imagem , Fibroadenoma/cirurgia , Humanos , Pessoa de Meia-Idade , Tumor Filoide/diagnóstico por imagem , Tumor Filoide/patologia , Adulto JovemRESUMO
Men referred for breast imaging most frequently present with a unilateral palpated breast lump or breast enlargement. In the vast majority of these cases, the cause is benign and the most common etiology is gynecomastia. This pictorial review illustrates the appearance by full field digital mammography and digital breast tomosynthesis of gynecomastia as well as additional findings in the male breast including sternalis muscle and hypertrophied pectoralis muscle, lipoma, intramammary lymph node, fat necrosis, breast cancer, and atypical ductal hyperplasia.
Assuntos
Ginecomastia/diagnóstico por imagem , Mamografia/métodos , Neoplasias da Mama Masculina/diagnóstico por imagem , Diagnóstico Diferencial , Humanos , MasculinoRESUMO
Mammography is an essential tool for early detection of breast cancer. Breast imaging based on three-dimensional digital breast tomosynthesis (DBT) is a new method for breast cancer screening and diagnosis that uses three-dimensional digital images to allow separation of overlapping breast structures, which may allow for improved visualization of potentially significant findings. This article will highlight the utility of DBT as a tool for the detection of breast pathology; it will demonstrate normal findings as well as breast pathology on DBT and two-dimensional conventional mammography. DBT is a very promising modality, which may decrease the false-positive rate of mammography and find additional abnormalities not seen on two-dimensional mammography.