Breast Ultrasound during Lactation: Benign and Malignant Lesions

Haliloğlu, Nuray; Üstüner, Evren; Özkavukçu, Esra

doi:10.1159/000491781

Cited by 11 publications

(8 citation statements)

References 17 publications

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“…Previous studies have demonstrated that ultrasound findings concerning for breast malignancy include taller-thanwide hypoechoic lesions with irregular shape, ill-defined or microlobulated margins, increased posterior acoustic enhancement, and cystic components. [24][25][26] These findings were also observed on ultrasound imaging in patients who had a breast cancer recurrence after NSM.…”

Section: Discussionsupporting

confidence: 59%

Pregnancy Associated Breast Changes after Nipple Sparing Mastectomy”

Aschen

Paik

Swistel³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Women of reproductive age are chronically underrepresented in breast cancer studies. Recent studies suggest that almost 40% of patients diagnosed with breast cancer who are of reproductive age want to have children after completing treatment. In this study, the authors evaluated patients of reproductive age who had undergone nipple-sparing mastectomy (NSM) and implant-based reconstruction. The authors compared those who became pregnant with those who did not with respect to clinical and radiologic changes that are reported at follow-up. Methods: Any patient 45 years of age or younger at the time of NSM was determined to be of reproductive age, selected for evaluation, and followed prospectively. The presence or absence of breast examination changes in the setting of pregnancy after NSM was recorded. Results: A total of 36 patients became pregnant after NSM, and 158 patients did not become pregnant after NSM. Of those who became pregnant, nearly half reported some clinical change just before or immediately after delivery. These changes included color change and discharge at the residual nipple-areola complex and palpable nodularity elsewhere. For those with palpable changes, an ultrasound was performed and hypoechoic lesions with variable vascularity were identified. For those who went on to excision, lactational hyperplasia was the most common diagnosis. Conclusions: Ultrasound is an appropriate first-line investigation of breast changes, which can include hyperplasia of remaining ductal and glandular tissue. Patients who became pregnant after NSM commonly had clinical breast examination changes, but the majority of these changes were found to be benign on further evaluation.

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Section: Discussionsupporting

confidence: 59%

Pregnancy Associated Breast Changes after Nipple Sparing Mastectomy”

Aschen

Paik

Swistel³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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“…Proper evaluation of a pregnant/lactating breast is thus crucial to ensure timely diagnosis of lumps that may require prompt management. However, evaluation of a lactating breast is challenging, both clinically and radiologically,1 4 due to the structural changes described earlier. Masses could also be obscured during radiographic evaluation, leading to a delay in diagnosis 5…”

Section: Discussionmentioning

confidence: 99%

Approach to the growing breast lump during lactation

Ang,

Ananta,

Yan

2023

BMJ Case Rep

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Physiological changes during pregnancy and lactation result in increased lumpiness of the breast. This makes the evaluation of the breast challenging. Although most self-detected lumps, during this period, tend to be benign, the priority in these patients is to exclude tumours that may require prompt management. We present a case of phyllodes tumour that occurred during lactation and discussed the resultant pitfalls that may occur during the triple assessment of a breast lump in a lactating mother.

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“…7) and diffuse hypervascularity is noted both in pregnancy and lactation. 24,25,27 Lactation changes on MRI result in increased background enhancement, likely because of increased vascularity, and diffusely increased T2 signal, likely secondary to the aqueous makeup of breast milk (Fig. 8).…”

Section: Breast Lactationmentioning

confidence: 99%

“…Dilated ducts will be apparent during lactation, (Fig. 7) and diffuse hypervascularity is noted both in pregnancy and lactation 24,25,27 …”

Section: Breastmentioning

confidence: 99%

Multimodality Multisystem Imaging of Pregnancy-Related Changes: Featuring Neurologic, Cardiothoracic, Breast, Gynecologic, and Musculoskeletal Issues

Dishuck

Bass²,

Allen³

et al. 2022

J Comput Assist Tomogr

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Pregnancy and the puerperium are a time of significant physiologic change, and with an average of 4 million births in the United States yearly, radiologists encounter pregnancy-related imaging findings regularly. While many of these findings represent physiologic changes, a significant number represent pathology, making it paramount for radiologists to distinguish between the two. This case-based article reviews imaging findings within the nervous, cardiovascular, pulmonary, breast, gynecologic, musculoskeletal, digestive, hematologic, and integumentary systems throughout pregnancy and the postpartum period.

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Breast Ultrasound during Lactation: Benign and Malignant Lesions

Cited by 11 publications

References 17 publications

Pregnancy Associated Breast Changes after Nipple Sparing Mastectomy”

Pregnancy Associated Breast Changes after Nipple Sparing Mastectomy”

Approach to the growing breast lump during lactation

Multimodality Multisystem Imaging of Pregnancy-Related Changes: Featuring Neurologic, Cardiothoracic, Breast, Gynecologic, and Musculoskeletal Issues

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