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1303 Hyperechoic lesions in breast sonography: anatomopathological correlation
  1. Malika Guemri1,
  2. Fethia Abidi2,
  3. Fatma Saadallah3,
  4. Rihab Abed1 and
  5. Asma Zidi1
  1. 1Salah Azaiez Institute, Tunis, Tunisia
  2. 2Radiology department Salah Azaiez Institute, Tunis, Tunisia
  3. 3Carcinologic Surgical Department, Salah Azeiz Institute, Tunis, Tunisia


Introduction/Background Hyperechoic lesions are not frequent at breasts ultrasonography, and most of times are associated with benign pathologies. The aim of our study is to evaluate the frequency of malignant breast lesions with of hyperechoic sonographic aspect.

Methodology Radiologic reports of patients who underwent breast sonography between January 2022 and November 2023 were searched using ‘hyperechoic’ to describe lesions. Sonographic findings were evaluated according to the Data System lexicon (ACR BIRADS 5th). .Clinical records including follow-up and anatomopathological findings were also reviewed. We calculated the frequency of hyperechoic lesions and their malignancy rate.

Results In our study, 19 hyperechoic lesions were analysed. Four patients (21%)had malignant tumor : 3 patients have invasive ductal carcinoma and one patient had mucinous colloid carcinoma. For the benign cases, they corresponded to : hamartoma (1 case), multiple lipomas (1 case), lactescent adenofibroma (1 case), granulomatous mastitis (5caes) and cytosteatonecrosis (8 cases).

Conclusion Hyperechoic breast lesions are commonly benign however some breast cancers can present as a hyperechoic lesion. This is why histologic verification is indicated whenever is associated malignancy signs in ultrasound or mammography.

Disclosures None.

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