May 2008

Irregular cystic mass in the breast

Clinical Info

Large palpable mass without pain or signs of infection

Ultrasound Images & Clips

53 year old female, Large palpable mass without pain or signs of infection

Irregular cystic mass with a thick irregular wall and desmoplastic reaction around the cyst
Irregular cystic mass with a thick irregular wall and desmoplastic reaction around the cyst
Detail of another part of the cystic mass with a layer of debris
Detail of another part of the cystic mass with a layer of debris
Part of the cystic mass with smaller cysts
Part of the cystic mass with smaller cysts
Detail of another part of the mass.

Because there were no signs of infection a multilocular breast abscess was not very likely.
We aspirated some of the cysts under ultrasound guidance and biopsied the irregular cyst walls.
The cytological and histol
Detail of another part of the mass. Because there were no signs of infection a multilocular breast abscess was not very likely. We aspirated some of the cysts under ultrasound guidance and biopsied the irregular cyst walls. The cytological and histol
The mass also contains cysts with an irregular thick wall
The mass also contains cysts with an irregular thick wall
There are also smaller and larger cysts
There are also smaller and larger cysts
Irregular cystic mass in the breast
Irregular cystic mass in the breast

Conclusion

Some of the cysts contain reflective material and are surrounded by hyperechoic inflamed fat which can not be differentiated from the desmoplastic reaction as can be seen in malignancy.
In this case no malignancy was found.

References            
Günhan-Bilgen I, Memis A, Ustün EE, Zekioglu O, Ozdemir N Metaplastic carcinoma of the breast: clinical, mammographic, and sonographic findings with histopathologic correlation.AJR Am J Roentgenol. 2002 Jun;178(6):1421-5.

Park JM, Han BK, Moon WK, Choe YH, Ahn SH, Gong G. Metaplastic carcinoma of the breast: mammographic and sonographic findings.
J Clin Ultrasound. 2000 May;28(4):179-86.


Details

  • Sex: Female
  • Age: 53

Created with

  • Hitachi Ultrasound System