Medeiros Marcelo Menezes, Graziano Luciana, de Souza Juliana Alves, Guatelli Camila Souza, Poli Miriam Rosalina B, Yoshitake Rafael
MD, Resident in Radiology, Department of Radiology and Imaging Diagnosis - A.C.Camargo Cancer Center, São Paulo, SP, Brazil.
Physicians, Department of Radiology and Imaging Diagnosis - A.C.Camargo Cancer Center, São Paulo, SP, Brazil.
Radiol Bras. 2016 Jan-Feb;49(1):43-8. doi: 10.1590/0100-3984.2014.0032.
Hyperechoic lesions are not a frequent finding at breasts ultrasonography, and most of times are associated with benign pathologies that do not require further evaluation. However, some neoplasms such as invasive breast carcinomas and metastases may present with hyperechogenicity. Thus, the knowledge about differential diagnoses and identification of signs of lesion aggressiveness are of great relevance to avoid unnecessary procedures or underdiagnosis, and to support the correct clinical/surgical approach. On the basis of such concepts, the present essay describes and illustrates the main features of hyperechoic lesions at breast ultrasonography in different cases, with anatomopathological correlation.
高回声病变在乳房超声检查中并不常见，大多数情况下与无需进一步评估的良性病变相关。然而，一些肿瘤，如浸润性乳腺癌和转移瘤，可能表现为高回声。因此，了解鉴别诊断和识别病变侵袭性的征象对于避免不必要的检查或漏诊，并支持正确的临床/手术方法具有重要意义。基于这些概念，本文描述并说明了不同病例中乳房超声检查高回声病变的主要特征，并与解剖病理学进行了相关性分析。
