Purpose
To review the clinical and ultrasound findings of cellular fibroadenomas
To discuss the cellular fibroadenoma mimicking other breast masses
Methods and Materials
We reviewed 20 patients admitted to the Hospital Italiano de Buenos Aires between 2001-2010 who had undergone surgical procedure of the breast with histopathologically confirmed diagnosis of cellular fibroadenoma
Clinical,
sonographic,
mammographic,
MRI and pathological findings were analyzed.
Results
All patients were female (average age 23 years (range 11-46 years old)) with clinically palpable markedly rapid growth lumps (Fig.
1-3).
Sonography was performed in all cases and mammography and MRI only in 2 patients.
Mammographically,
these lesions had homogenous well capsulated high density masses (Fig.
4).
Sonograms showed well-circumscribed,
ovoid,
lobulated (12 cases) and round (8 cases) hypoechoic masses (Fig.
5-6).
At Doppler evaluation 4 lesions demonstrated central vascularity (Fig.
7).
MRI findings after gadolinium administration revealed round masses with diffuse intense enhancement of...
Conclusion
Clinical and ultrasound findings of cellular fibroadenomas overlap with phyllodes tumor
The histopathologic and imaging features of the cellular subtype of fibroadenoma and phyllodes tumor may be difficult to distinguish.
Ultrasound main features are well circumscribed,
ovoid,
lobulated,
hypoecoic masses,
with heterogeneous echotexture
References
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Cube R,
Hall GJ,
González C,
Stocker JT,
Glassman LM.
Breast masses in children and adolescents: radiologicpathologic correlation.
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2-DehnerLP,
Hill DA,
Deschryver K.
Pathology of the breast in children,
adolescents,
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Conant EF,
Orel SG,
Zuckerman JA,
Bellah R.
Spectrum of US findings in pediatric and adolescent patients with palpable breast masses.
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Keramopoulos A,
Lazaris D,
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Breast tumors during adolescence.
Eur...
Personal Information
F.
Sarquis,
D.
Mysler,
M.
Castro Barba,
M.
P.
Cobos Bombardiere,
A.
Luna,
R.
D.
García-Mónaco; Department of Radiology.
Hospital Italiano de Buenos Aires ,Caba/AR,
mail to:
[email protected]