Journal of Korean Society of Ultrasound in Medicine 2010;29(4): 287-292.
Imaging Findings of Complex Fibroadenoma of the Breast: Correlation with Pathologic Findings.
Sun Kyoung You, Bo Bae Choi, Kyung Hee Kim
1Department of Radiology, College of Medicine, Chungnam National University Hospital, Korea.
2Department of Pathology, College of Medicine, Chungnam National University Hospital, Korea.
  Published online: December 1, 2010.
PURPOSE: The imaging findings of complex fibroadenoma have been rarely reported even though the risk of developing breast carcinoma in a patient with complex fibroadenoma is higher than that for a patient with simple fibroadenoma. We reviewed the imaging features and pathologic findings of complex fibroadenomas. MATERIALS AND METHODS: Between April 2003 and April 2010, the mammographic and sonographic findings of five patients with complex fibroadenomas were retrospectively reviewed according to the Breast Imaging Reporting and Data System (BIRADS). The pathologic findings were retrospectively reviewed for all 5 patients. RESULTS: The mammography findings showed masses (3 cases) and asymmetry (1 case). On ultrasonography, complex echo patterns were noted in all the patients, and all the lesions were assigned to BI-RADS category 4, suspicious for abnormality. The complex echoic patterns showed two types; 1) a mixture of a heterogeneous hypoechoic central portion and a fuzzy hyperechoic peripheral area in 2 cases, 2) a mixture of tiny anechoic and hypoehoic lesions in 3 cases. Multiple cystic changes were noted in all the cases on the pathologic analysis. CONCLUSION: Complex fibroadenomas showed different ultrasonographic findings from simple fibroadenomas such as two types of complex echo patterns, even though the other findings were similar to those of simple fibroadenoma. Cystic changes were noted in all the cases on the pathologic analysis. Awareness of these imaging findings will help us to properly diagnose complex fibroadenoma.
Keywords: Breast; Complex fibroadenoma; Mammography; Ultrasonography; Breast neoplasm
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