Focal Fibrosis of the Breast: Imaging Characteristics and Histopathologic Correlation

Abstract

FFB is a histopathologic entity that has a wide spectrum of imaging findings. It is an acceptable histopathologic result of percutaneous breast biopsy, provided that careful radiologic-histopathologic clinical correlation is performed.

Case 59: Angiolipoma of the Breast

“…A hematoma would also be associated with a history of trauma and skin findings such as ecchymoses and change or resolve over time. Focal fibrous change has been described as manifesting as an echogenic breast mass (3); however, researchers in more recent articles have described focal fibrosis as being hypoechoic or isoechoic or as having a mixed echotexture rather than as being uniformly echogenic (12)(13)(14). Mammary malignancies may manifest with a thick echogenic halo, but again, these masses tend to have a heterogeneous echotexture with a hypoechoic center and irregular margins (3).…”

Échographie du sein : nouvelles approches

“…Il arrive que certaines images bénignes soient classées dans une catégorie suspecte, à l'origine de faux positifs. Ces derniers sont constitués par les adénoses sclé-rosantes et cicatrices radiaires qui peuvent se présenter sous forme de masses tissulaires, à contour non circonscrit, avec cône d'ombre postérieur selon l'importance de la réaction fibreuse, de tels aspects étant à l'origine d'inévita-bles erreurs [18].…”

Mammographic Diagnosis of Breast Cancer

“…Revelon and colleagues found that in their series of 44 patients with FFB, 37 were present on mammography; two lesions with architectural distortion were reported as highly suggestive of malignancy and were surgically excised. 108 A minor indicator of breast cancer, prominent veins, may also occur when there is superior vena cava obstruction. This may be seen with advanced lung cancer (Fig.…”