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| Imaging Findings of Complex Fibroadenoma of the
Breast: Correlation with Pathologic Findings |
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| Sun-Kyoung You, MD1 Bo-Bae Choi, MD1, Kyung-Hee Kim, MD2 |
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| 1 Department of Radiology, College of Medicine, Chungnam National University Hospital
2 Department of Pathology, College of Medicine, Chungnam National University Hospital |
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| Purpose: The imaging findings of complex fibroadenoma have been rarely reported
even though the risk of developing breast carcinoma in a patient with complex
fibroadenoma is higher than that for a patient with simple fibroadenoma. We reviewed
the imaging features and pathologic findings of complex fibroadenomas.
Materials and Methods: Between April 2003 and April 2010, the mammographic
and sonographic findings of five patients with complex fibroadenomas were retrospectively
reviewed according to the Breast Imaging Reporting and Data System (BIRADS).
The pathologic findings were retrospectively reviewed for all 5 patients.
Results: The mammography findings showed masses (3 cases) and asymmetry (1
case). On ultrasonography, complex echo patterns were noted in all the patients, and
all the lesions were assigned to BI-RADS category 4, suspicious for abnormality. The
complex echoic patterns showed two types; 1) a mixture of a heterogeneous hypoechoic
central portion and a fuzzy hyperechoic peripheral area in 2 cases, 2) a mixture
of tiny anechoic and hypoehoic lesions in 3 cases. Multiple cystic changes were noted
in all the cases on the pathologic analysis.
Conclusion: Complex fibroadenomas showed different ultrasonographic findings
from simple fibroadenomas such as two types of complex echo patterns, even though
the other findings were similar to those of simple fibroadenoma. Cystic changes were
noted in all the cases on the pathologic analysis. Awareness of these imaging findings
will help us to properly diagnose complex fibroadenoma. |
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| Keyword : Breast; Complex fibroadenoma; Mammography; Ultrasonography; Breast neoplasm |
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pdf파일 : 287-292유선경.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2010 ; 29 (4) : p.287-292
