Carcinoma of the breast mimicking an areolar dermal lesion

Katrina Nesta Glazebrook, Marilyn J. Morton, Carol Reynolds

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective. This report describes the sonographic features of 2 patients with invasive carcinoma of the breast that sonographically mimicked benign epithelial cysts of the areola. Methods. We retrospectively reviewed 2 cases of invasive ductal carcinoma that initially were diagnosed as dermal lesions in the areola after sonographic evaluation. Results. Sonographically, the 2 lesions were centered between the echogenic lines of the deep dermis of the areola. Neither sonogram showed a deeper component arising from the underlying breast tissue that would suggest a breast origin. Conclusions. Lesions in the subcutaneous tissue superficial to the anterior pectoral fascia are extraparenchymal in origin and typically are benign. The areolar tissue, however, is not extraparenchymal because the dermis of the areola contains lactiferous ducts; these ducts extend from a more deeply placed mammary gland and are associated with modified sebaceous glands. All types of breast abnormalities, including malignancies, may affect deeper lactiferous glands and ducts and extend into the areola, independent of nipple involvement.

Original languageEnglish (US)
Pages (from-to)1083-1087
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume26
Issue number8
StatePublished - Aug 2007

Fingerprint

Nipples
breast
lesions
cancer
ducts
Breast Neoplasms
Skin
sebaceous glands
Breast
mammary glands
Dermis
sonograms
glands
cysts
abnormalities
Sebaceous Glands
Ductal Carcinoma
Fascia
Subcutaneous Tissue
Human Mammary Glands

Keywords

  • Breast
  • Carcinoma
  • Nipple-areola complex

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

Cite this

Carcinoma of the breast mimicking an areolar dermal lesion. / Glazebrook, Katrina Nesta; Morton, Marilyn J.; Reynolds, Carol.

In: Journal of Ultrasound in Medicine, Vol. 26, No. 8, 08.2007, p. 1083-1087.

Research output: Contribution to journalArticle

Glazebrook, Katrina Nesta ; Morton, Marilyn J. ; Reynolds, Carol. / Carcinoma of the breast mimicking an areolar dermal lesion. In: Journal of Ultrasound in Medicine. 2007 ; Vol. 26, No. 8. pp. 1083-1087.
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N2 - Objective. This report describes the sonographic features of 2 patients with invasive carcinoma of the breast that sonographically mimicked benign epithelial cysts of the areola. Methods. We retrospectively reviewed 2 cases of invasive ductal carcinoma that initially were diagnosed as dermal lesions in the areola after sonographic evaluation. Results. Sonographically, the 2 lesions were centered between the echogenic lines of the deep dermis of the areola. Neither sonogram showed a deeper component arising from the underlying breast tissue that would suggest a breast origin. Conclusions. Lesions in the subcutaneous tissue superficial to the anterior pectoral fascia are extraparenchymal in origin and typically are benign. The areolar tissue, however, is not extraparenchymal because the dermis of the areola contains lactiferous ducts; these ducts extend from a more deeply placed mammary gland and are associated with modified sebaceous glands. All types of breast abnormalities, including malignancies, may affect deeper lactiferous glands and ducts and extend into the areola, independent of nipple involvement.

AB - Objective. This report describes the sonographic features of 2 patients with invasive carcinoma of the breast that sonographically mimicked benign epithelial cysts of the areola. Methods. We retrospectively reviewed 2 cases of invasive ductal carcinoma that initially were diagnosed as dermal lesions in the areola after sonographic evaluation. Results. Sonographically, the 2 lesions were centered between the echogenic lines of the deep dermis of the areola. Neither sonogram showed a deeper component arising from the underlying breast tissue that would suggest a breast origin. Conclusions. Lesions in the subcutaneous tissue superficial to the anterior pectoral fascia are extraparenchymal in origin and typically are benign. The areolar tissue, however, is not extraparenchymal because the dermis of the areola contains lactiferous ducts; these ducts extend from a more deeply placed mammary gland and are associated with modified sebaceous glands. All types of breast abnormalities, including malignancies, may affect deeper lactiferous glands and ducts and extend into the areola, independent of nipple involvement.

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