hyperechoic breast lesions
There are a number of lesions that appear hyperechoic on ultrasound. Such lesions can be either completely or partly hyperechoic and include both benign and malignant entities.
Benign
- fat containing breast lesions
- lipoma of the breast
- fibroadenolipoma (hamartoma) of the breast
- focal regions of mammary fat necrosis
- angiomyolipoma of the breast : rare lesion
- intramammary lymph node with prominent central fat replacement of the hilum: partly hyperechoic
- acute breast hematoma: from acute hemorrhage
- breast angiomas
- breast hemangioma: can contain hyperechoic components
- capillary angioma of the breast
- focal fibrosis involving the breast
Malignant
- rarely some breast cancers can appear hyperechoic : may be related to tumor heterogeneity in cellularity such as cribriform pattern, tubular structure, solid nests and a scirrhous pattern of cancer cells
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