Importance of ultrasonography in follow-up of multiple breast fibroadenomas
Abstract
Introduction: Regular ultrasonographic check-ups
help in early detection and follow-up of different diseases.
Ultrasonography (US) is of the utmost diagnostic importance
for mammographically „dense breasts“, where glandular tissue
is predominant, while in so-called „fat breasts“ it is less
reliable. It is used to determine the solid or cystic nature of
a lesion, often tissue characterization, and the Doppler technique
could reveal vascularization characteristics of the mass.
Fibroadenomas are the most common benign breast tumors
in women of all ages until menopause, with the highest incidence
between 15 and 25 years of age. The US detects distinctly
circumscribed, rarely round or lobular, hypoechoic
masses with smooth and flat contours, uniform echoes with
posterior augmentation, and marginal echo fading.
Case report: We presented a female patient aged 21,
who had multiple lesions in both breasts (25 lesions in total).
Ultrasonographic exams were performed multiple times,
in the last 5 years, and magnetic resonance (NMR) was done
twice. Histopathologic verification diagnosed fibroadenomas.
The biggest masses were surgically removed four times
in this patient. What are the next steps? Are surgical interventions
needed again, and if not how should she be followed up
in the future? Is the implant insertion eligible for the sake of
esthetic correction?
Conclusion: Ultrasonography is a very significant and
important method of follow-up of breast lesions. Mammography
and magnetic resonance are used as complementary
methods. According to a radiologist’s expert opinions on
breast diseases, ultrasonographic exams every six months
and NMR may indicate the need for surgical intervention,
especially if new
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