Type:
Educational Exhibit
Keywords:
Breast, Oncology, Management, MR, Ultrasound, Mammography, Biopsy, Contrast agent-intravenous, Diagnostic procedure, Multidisciplinary cancer care, Neoplasia
Authors:
M. Bradač; Maribor/SI
DOI:
10.1594/ecr2018/C-2534
Findings and procedure details
Mammographic findings of papillomatosis can be variable and range from round to oval or lobulated well-circumscribed or spiculated masses.
Within the masses,
calcifications may be seen.
It can also present as focal microcalcifications or clusters of nodules.
Breast ductography has considerable limitations in BP,
especially in detecting lesions that do not completely obstruct the ductal lumen,
and in detecting multiple lesions in the same duct,
so it is not commonly used in BP.
On sonography BP,
lesions are usually slightly hypoechoic,
round,
oval,
or lobulated well-circumscribed solid or complex masses.
Lesions may be seen within dilated ducts.
On US Doppler the tumours are usually hypervascular.
On magnetic resonance imaging,
the papillomatosis presents with a variable appearance,
ranging from multiple small masses to irregular rapidly enhancing lesions that cannot be reliably distinguished from invasive malignancy.
However,
the high sensitivity of MRI permits exclusion of malignant disease with a high degree of certainty and can be reassuring and supportive of conservative management.