Breast lumps differential diagnosis: Difference between revisions
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Differential diagnosis of [[breast lumps]] include: | Differential diagnosis of [[breast lumps]] include: | ||
{| | {| | ||
! | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign or | |||
Malignant | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center; | ! colspan="8" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Clinical manifestation | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center; | ! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Paraclinical findings | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center; | ! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard diagnosis | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" rowspan="2" | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" colspan="3" | ! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms | ||
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" rowspan="2" | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Histopathology | ||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | |||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Mass | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Mass | ||
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! align="center" style="background:#DCDCDC;" |[[Fibroadenoma]]<ref name="PintoAguiar2014">{{cite journal|last1=Pinto|first1=Joana|last2=Aguiar|first2=Ana Teresa|last3=Duarte|first3=Hálio|last4=Vilaverde|first4=Filipa|last5=Rodrigues|first5=Ângelo|last6=Krug|first6=José Luís|title=Simple and Complex Fibroadenomas|journal=Journal of Ultrasound in Medicine|volume=33|issue=3|year=2014|pages=415–419|issn=02784297|doi=10.7863/ultra.33.3.415}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Fibroadenoma]]<ref name="PintoAguiar2014">{{cite journal|last1=Pinto|first1=Joana|last2=Aguiar|first2=Ana Teresa|last3=Duarte|first3=Hálio|last4=Vilaverde|first4=Filipa|last5=Rodrigues|first5=Ângelo|last6=Krug|first6=José Luís|title=Simple and Complex Fibroadenomas|journal=Journal of Ultrasound in Medicine|volume=33|issue=3|year=2014|pages=415–419|issn=02784297|doi=10.7863/ultra.33.3.415}}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign | |||
* Very slight increased risk of [[breast cancer]] in complex [[fibroadenoma]] | * Very slight increased risk of [[breast cancer]] in complex [[fibroadenoma]] | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
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! align="center" style="background:#DCDCDC;" |[[Breast]] [[cyst]]<ref name="pmid16900392">{{cite journal| author=Courtillot C, Plu-Bureau G, Binart N, Balleyguier C, Sigal-Zafrani B, Goffin V et al.| title=Benign breast diseases. | journal=J Mammary Gland Biol Neoplasia | year= 2005 | volume= 10 | issue= 4 | pages= 325-35 | pmid=16900392 | doi=10.1007/s10911-006-9006-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16900392 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Breast]] [[cyst]]<ref name="pmid16900392">{{cite journal| author=Courtillot C, Plu-Bureau G, Binart N, Balleyguier C, Sigal-Zafrani B, Goffin V et al.| title=Benign breast diseases. | journal=J Mammary Gland Biol Neoplasia | year= 2005 | volume= 10 | issue= 4 | pages= 325-35 | pmid=16900392 | doi=10.1007/s10911-006-9006-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16900392 }}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign | |||
* No increased risk of [[malignancy]] for simple [[cyst]] | * No increased risk of [[malignancy]] for simple [[cyst]] | ||
* <1% for complicated [[cyst]] | * <1% for complicated [[cyst]] | ||
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! align="center" style="background:#DCDCDC;" |Fibrocystic change<ref name="pmid10693180">{{cite journal| author=Templeman C, Hertweck SP| title=Breast disorders in the pediatric and adolescent patient. | journal=Obstet Gynecol Clin North Am | year= 2000 | volume= 27 | issue= 1 | pages= 19-34 | pmid=10693180 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10693180 }}</ref> | ! align="center" style="background:#DCDCDC;" |Fibrocystic change<ref name="pmid10693180">{{cite journal| author=Templeman C, Hertweck SP| title=Breast disorders in the pediatric and adolescent patient. | journal=Obstet Gynecol Clin North Am | year= 2000 | volume= 27 | issue= 1 | pages= 19-34 | pmid=10693180 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10693180 }}</ref> | ||
| align="left" style="background:#F5F5F5;" left" | | | align="left" style="background:#F5F5F5;" left" | | ||
* Benign | |||
* No increased risk of [[malignancy]] | * No increased risk of [[malignancy]] | ||
* Slightly increased risk of [[malignancy]] in presence of positive [[familial history]] of [[breast cancer]] | * Slightly increased risk of [[malignancy]] in presence of positive [[familial history]] of [[breast cancer]] | ||
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! align="center" style="background:#DCDCDC;" |[[Galactocele]]<ref name="pmid18180221">{{cite journal| author=Sabate JM, Clotet M, Torrubia S, Gomez A, Guerrero R, de las Heras P et al.| title=Radiologic evaluation of breast disorders related to pregnancy and lactation. | journal=Radiographics | year= 2007 | volume= 27 Suppl 1 | issue= | pages= S101-24 | pmid=18180221 | doi=10.1148/rg.27si075505 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18180221 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Galactocele]]<ref name="pmid18180221">{{cite journal| author=Sabate JM, Clotet M, Torrubia S, Gomez A, Guerrero R, de las Heras P et al.| title=Radiologic evaluation of breast disorders related to pregnancy and lactation. | journal=Radiographics | year= 2007 | volume= 27 Suppl 1 | issue= | pages= S101-24 | pmid=18180221 | doi=10.1148/rg.27si075505 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18180221 }}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign | |||
* No increased risk of [[malignancy]] | * No increased risk of [[malignancy]] | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
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! align="center" style="background:#DCDCDC;" |[[Cysts]] of [[Glands of Montgomery|montgomery]]<ref name="pmid17174833">{{cite journal| author=De Silva NK, Brandt ML| title=Disorders of the breast in children and adolescents, Part 2: breast masses. | journal=J Pediatr Adolesc Gynecol | year= 2006 | volume= 19 | issue= 6 | pages= 415-8 | pmid=17174833 | doi=10.1016/j.jpag.2006.09.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17174833 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Cysts]] of [[Glands of Montgomery|montgomery]]<ref name="pmid17174833">{{cite journal| author=De Silva NK, Brandt ML| title=Disorders of the breast in children and adolescents, Part 2: breast masses. | journal=J Pediatr Adolesc Gynecol | year= 2006 | volume= 19 | issue= 6 | pages= 415-8 | pmid=17174833 | doi=10.1016/j.jpag.2006.09.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17174833 }}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign | |||
* No increased risk of [[malignancy]] | * No increased risk of [[malignancy]] | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
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! align="center" style="background:#DCDCDC;" |[[Hemangioma|Hamartoma]]<ref name="pmid12461066">{{cite journal| author=Tse GM, Law BK, Ma TK, Chan AB, Pang LM, Chu WC et al.| title=Hamartoma of the breast: a clinicopathological review. | journal=J Clin Pathol | year= 2002 | volume= 55 | issue= 12 | pages= 951-4 | pmid=12461066 | doi= | pmc=1769817 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12461066 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Hemangioma|Hamartoma]]<ref name="pmid12461066">{{cite journal| author=Tse GM, Law BK, Ma TK, Chan AB, Pang LM, Chu WC et al.| title=Hamartoma of the breast: a clinicopathological review. | journal=J Clin Pathol | year= 2002 | volume= 55 | issue= 12 | pages= 951-4 | pmid=12461066 | doi= | pmc=1769817 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12461066 }}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign | |||
* Coexisting [[malignancy]] can occur | * Coexisting [[malignancy]] can occur | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
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! align="center" style="background:#DCDCDC;" |[[Breast abscess]]<ref name="pmid17639835">{{cite journal| author=Dixon JM| title=Breast abscess. | journal=Br J Hosp Med (Lond) | year= 2007 | volume= 68 | issue= 6 | pages= 315-20 | pmid=17639835 | doi=10.12968/hmed.2007.68.6.23574 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17639835 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Breast abscess]]<ref name="pmid17639835">{{cite journal| author=Dixon JM| title=Breast abscess. | journal=Br J Hosp Med (Lond) | year= 2007 | volume= 68 | issue= 6 | pages= 315-20 | pmid=17639835 | doi=10.12968/hmed.2007.68.6.23574 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17639835 }}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign | |||
* No increased risk of [[malignancy]] | * No increased risk of [[malignancy]] | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
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! align="center" style="background:#DCDCDC;" |[[Mastitis]]<ref name="pmid8696751">{{cite journal| author=Dixon JM, Ravisekar O, Chetty U, Anderson TJ| title=Periductal mastitis and duct ectasia: different conditions with different aetiologies. | journal=Br J Surg | year= 1996 | volume= 83 | issue= 6 | pages= 820-2 | pmid=8696751 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8696751 }}</ref><ref name="pmid17267864">{{cite journal| author=Committee on Health Care for Underserved Women, American College of Obstetricians and Gynecologists| title=ACOG Committee Opinion No. 361: Breastfeeding: maternal and infant aspects. | journal=Obstet Gynecol | year= 2007 | volume= 109 | issue= 2 Pt 1 | pages= 479-80 | pmid=17267864 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17267864 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Mastitis]]<ref name="pmid8696751">{{cite journal| author=Dixon JM, Ravisekar O, Chetty U, Anderson TJ| title=Periductal mastitis and duct ectasia: different conditions with different aetiologies. | journal=Br J Surg | year= 1996 | volume= 83 | issue= 6 | pages= 820-2 | pmid=8696751 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8696751 }}</ref><ref name="pmid17267864">{{cite journal| author=Committee on Health Care for Underserved Women, American College of Obstetricians and Gynecologists| title=ACOG Committee Opinion No. 361: Breastfeeding: maternal and infant aspects. | journal=Obstet Gynecol | year= 2007 | volume= 109 | issue= 2 Pt 1 | pages= 479-80 | pmid=17267864 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17267864 }}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign | |||
* No increased risk of [[malignancy]] | * No increased risk of [[malignancy]] | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
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|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign or<br>Malignant | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ||
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! align="center" style="background:#DCDCDC;" |[[Breast carcinoma]]<ref name="pmid29313949">{{cite journal |vauthors=Siegel RL, Miller KD, Jemal A |title=Cancer statistics, 2018 |journal=CA Cancer J Clin |volume=68 |issue=1 |pages=7–30 |date=January 2018 |pmid=29313949 |doi=10.3322/caac.21442 |url=}}</ref><ref name="pmid16175185">{{cite journal |vauthors=Li CI, Uribe DJ, Daling JR |title=Clinical characteristics of different histologic types of breast cancer |journal=Br. J. Cancer |volume=93 |issue=9 |pages=1046–52 |date=October 2005 |pmid=16175185 |pmc=2361680 |doi=10.1038/sj.bjc.6602787 |url=}}</ref><ref name="pmid19764994">{{cite journal |vauthors=Parise CA, Bauer KR, Brown MM, Caggiano V |title=Breast cancer subtypes as defined by the estrogen receptor (ER), progesterone receptor (PR), and the human epidermal growth factor receptor 2 (HER2) among women with invasive breast cancer in California, 1999-2004 |journal=Breast J |volume=15 |issue=6 |pages=593–602 |date=2009 |pmid=19764994 |doi=10.1111/j.1524-4741.2009.00822.x |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Breast carcinoma]]<ref name="pmid29313949">{{cite journal |vauthors=Siegel RL, Miller KD, Jemal A |title=Cancer statistics, 2018 |journal=CA Cancer J Clin |volume=68 |issue=1 |pages=7–30 |date=January 2018 |pmid=29313949 |doi=10.3322/caac.21442 |url=}}</ref><ref name="pmid16175185">{{cite journal |vauthors=Li CI, Uribe DJ, Daling JR |title=Clinical characteristics of different histologic types of breast cancer |journal=Br. J. Cancer |volume=93 |issue=9 |pages=1046–52 |date=October 2005 |pmid=16175185 |pmc=2361680 |doi=10.1038/sj.bjc.6602787 |url=}}</ref><ref name="pmid19764994">{{cite journal |vauthors=Parise CA, Bauer KR, Brown MM, Caggiano V |title=Breast cancer subtypes as defined by the estrogen receptor (ER), progesterone receptor (PR), and the human epidermal growth factor receptor 2 (HER2) among women with invasive breast cancer in California, 1999-2004 |journal=Breast J |volume=15 |issue=6 |pages=593–602 |date=2009 |pmid=19764994 |doi=10.1111/j.1524-4741.2009.00822.x |url=}}</ref> | ||
| align=" | | align="left" style="background:#F5F5F5;" | | ||
* Malignant | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Most common diagnosed [[cancer]] among women | * Most common diagnosed [[cancer]] among women | ||
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! align="center" style="background:#DCDCDC;" |[[Ductal carcinoma in situ]] ([[DCIS]])<ref name="pmid20071685">{{cite journal |vauthors=Virnig BA, Tuttle TM, Shamliyan T, Kane RL |title=Ductal carcinoma in situ of the breast: a systematic review of incidence, treatment, and outcomes |journal=J. Natl. Cancer Inst. |volume=102 |issue=3 |pages=170–8 |date=February 2010 |pmid=20071685 |doi=10.1093/jnci/djp482 |url=}}</ref><ref name="pmid19001605">{{cite journal |vauthors=Brinton LA, Sherman ME, Carreon JD, Anderson WF |title=Recent trends in breast cancer among younger women in the United States |journal=J. Natl. Cancer Inst. |volume=100 |issue=22 |pages=1643–8 |date=November 2008 |pmid=19001605 |pmc=2720764 |doi=10.1093/jnci/djn344 |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Ductal carcinoma in situ]] ([[DCIS]])<ref name="pmid20071685">{{cite journal |vauthors=Virnig BA, Tuttle TM, Shamliyan T, Kane RL |title=Ductal carcinoma in situ of the breast: a systematic review of incidence, treatment, and outcomes |journal=J. Natl. Cancer Inst. |volume=102 |issue=3 |pages=170–8 |date=February 2010 |pmid=20071685 |doi=10.1093/jnci/djp482 |url=}}</ref><ref name="pmid19001605">{{cite journal |vauthors=Brinton LA, Sherman ME, Carreon JD, Anderson WF |title=Recent trends in breast cancer among younger women in the United States |journal=J. Natl. Cancer Inst. |volume=100 |issue=22 |pages=1643–8 |date=November 2008 |pmid=19001605 |pmc=2720764 |doi=10.1093/jnci/djn344 |url=}}</ref> | ||
| align=" | | align="left" style="background:#F5F5F5;" | | ||
* Malignant | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Contain 25% of all [[Breast Cancer|breast cancers]] | * Contain 25% of all [[Breast Cancer|breast cancers]] | ||
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! align="center" style="background:#DCDCDC;" |Microinvasive [[breast cancer]]<ref name="pmid23791403">{{cite journal |vauthors=Sue GR, Lannin DR, Killelea B, Chagpar AB |title=Predictors of microinvasion and its prognostic role in ductal carcinoma in situ |journal=Am. J. Surg. |volume=206 |issue=4 |pages=478–81 |date=October 2013 |pmid=23791403 |doi=10.1016/j.amjsurg.2013.01.039 |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |Microinvasive [[breast cancer]]<ref name="pmid23791403">{{cite journal |vauthors=Sue GR, Lannin DR, Killelea B, Chagpar AB |title=Predictors of microinvasion and its prognostic role in ductal carcinoma in situ |journal=Am. J. Surg. |volume=206 |issue=4 |pages=478–81 |date=October 2013 |pmid=23791403 |doi=10.1016/j.amjsurg.2013.01.039 |url=}}</ref> | ||
| align=" | | align="left" style="background:#F5F5F5;" | | ||
* Malignant | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Uncommon | * Uncommon | ||
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|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Breast]] [[sarcoma]]<ref name="pmid22451578">{{cite journal |vauthors=Smith TB, Gilcrease MZ, Santiago L, Hunt KK, Yang WT |title=Imaging features of primary breast sarcoma |journal=AJR Am J Roentgenol |volume=198 |issue=4 |pages=W386–93 |date=April 2012 |pmid=22451578 |doi=10.2214/AJR.11.7341 |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Breast]] [[sarcoma]]<ref name="pmid22451578">{{cite journal |vauthors=Smith TB, Gilcrease MZ, Santiago L, Hunt KK, Yang WT |title=Imaging features of primary breast sarcoma |journal=AJR Am J Roentgenol |volume=198 |issue=4 |pages=W386–93 |date=April 2012 |pmid=22451578 |doi=10.2214/AJR.11.7341 |url=}}</ref> | ||
| align=" | | align="left" style="background:#F5F5F5;" | | ||
* Malignant | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Rare type, < 1% of all breast malignancies | * Rare type, < 1% of all breast malignancies | ||
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|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Phyllodes tumor]]<ref name="pmid10776873">{{cite journal |vauthors=Geisler DP, Boyle MJ, Malnar KF, McGee JM, Nolen MC, Fortner SM, Broughan TA |title=Phyllodes tumors of the breast: a review of 32 cases |journal=Am Surg |volume=66 |issue=4 |pages=360–6 |date=April 2000 |pmid=10776873 |doi= |url=}}</ref><ref name="pmid11013364">{{cite journal |vauthors=Chaney AW, Pollack A, McNeese MD, Zagars GK, Pisters PW, Pollock RE, Hunt KK |title=Primary treatment of cystosarcoma phyllodes of the breast |journal=Cancer |volume=89 |issue=7 |pages=1502–11 |date=October 2000 |pmid=11013364 |doi= |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Phyllodes tumor]]<ref name="pmid10776873">{{cite journal |vauthors=Geisler DP, Boyle MJ, Malnar KF, McGee JM, Nolen MC, Fortner SM, Broughan TA |title=Phyllodes tumors of the breast: a review of 32 cases |journal=Am Surg |volume=66 |issue=4 |pages=360–6 |date=April 2000 |pmid=10776873 |doi= |url=}}</ref><ref name="pmid11013364">{{cite journal |vauthors=Chaney AW, Pollack A, McNeese MD, Zagars GK, Pisters PW, Pollock RE, Hunt KK |title=Primary treatment of cystosarcoma phyllodes of the breast |journal=Cancer |volume=89 |issue=7 |pages=1502–11 |date=October 2000 |pmid=11013364 |doi= |url=}}</ref> | ||
| align=" | | align="left" style="background:#F5F5F5;" | | ||
* Benign or | |||
* Malignant | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Most common in [[premenopausal]] women (40-50 years) | * Most common in [[premenopausal]] women (40-50 years) | ||
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|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Lymphoma]]<ref name="pmid10375092">{{cite journal |vauthors=Brogi E, Harris NL |title=Lymphomas of the breast: pathology and clinical behavior |journal=Semin. Oncol. |volume=26 |issue=3 |pages=357–64 |date=June 1999 |pmid=10375092 |doi= |url=}}</ref><ref name="pmid10859001">{{cite journal |vauthors=Barişta I, Baltali E, Tekuzman G, Kars A, Ruacan S, Ozişik Y, Güler N, Güllü IH, Atahan IL, Firat D |title=Primary breast lymphomas--a retrospective analysis of twelve cases |journal=Acta Oncol |volume=39 |issue=2 |pages=135–9 |date=2000 |pmid=10859001 |doi= |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Lymphoma]]<ref name="pmid10375092">{{cite journal |vauthors=Brogi E, Harris NL |title=Lymphomas of the breast: pathology and clinical behavior |journal=Semin. Oncol. |volume=26 |issue=3 |pages=357–64 |date=June 1999 |pmid=10375092 |doi= |url=}}</ref><ref name="pmid10859001">{{cite journal |vauthors=Barişta I, Baltali E, Tekuzman G, Kars A, Ruacan S, Ozişik Y, Güler N, Güllü IH, Atahan IL, Firat D |title=Primary breast lymphomas--a retrospective analysis of twelve cases |journal=Acta Oncol |volume=39 |issue=2 |pages=135–9 |date=2000 |pmid=10859001 |doi= |url=}}</ref> | ||
| align=" | | align="left" style="background:#F5F5F5;" | | ||
* Malignant | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Extremely rare ( 0.04%-0.5%) | * Extremely rare ( 0.04%-0.5%) | ||
Line 428: | Line 427: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Duct ectasia]]<ref name="pmid6286199">{{cite journal |vauthors=Schwartz GF |title=Benign neoplasms and "inflammations" of the breast |journal=Clin Obstet Gynecol |volume=25 |issue=2 |pages=373–85 |date=June 1982 |pmid=6286199 |doi= |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Duct ectasia]]<ref name="pmid6286199">{{cite journal |vauthors=Schwartz GF |title=Benign neoplasms and "inflammations" of the breast |journal=Clin Obstet Gynecol |volume=25 |issue=2 |pages=373–85 |date=June 1982 |pmid=6286199 |doi= |url=}}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Common among [[perimenopausal]] women | * Common among [[perimenopausal]] women | ||
Line 450: | Line 449: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Intraductal [[papilloma]]<ref name="pmid22878621">{{cite journal |vauthors=Wen X, Cheng W |title=Nonmalignant breast papillary lesions at core-needle biopsy: a meta-analysis of underestimation and influencing factors |journal=Ann. Surg. Oncol. |volume=20 |issue=1 |pages=94–101 |date=January 2013 |pmid=22878621 |doi=10.1245/s10434-012-2590-1 |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |Intraductal [[papilloma]]<ref name="pmid22878621">{{cite journal |vauthors=Wen X, Cheng W |title=Nonmalignant breast papillary lesions at core-needle biopsy: a meta-analysis of underestimation and influencing factors |journal=Ann. Surg. Oncol. |volume=20 |issue=1 |pages=94–101 |date=January 2013 |pmid=22878621 |doi=10.1245/s10434-012-2590-1 |url=}}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Common in women between 35-55 years old | * Common in women between 35-55 years old | ||
Line 475: | Line 474: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Lipoma]]<ref name="pmid16720843">{{cite journal |vauthors=Guray M, Sahin AA |title=Benign breast diseases: classification, diagnosis, and management |journal=Oncologist |volume=11 |issue=5 |pages=435–49 |date=May 2006 |pmid=16720843 |doi=10.1634/theoncologist.11-5-435 |url=}}</ref> | ! align="center" style="background:#DCDCDC;" |[[Lipoma]]<ref name="pmid16720843">{{cite journal |vauthors=Guray M, Sahin AA |title=Benign breast diseases: classification, diagnosis, and management |journal=Oncologist |volume=11 |issue=5 |pages=435–49 |date=May 2006 |pmid=16720843 |doi=10.1634/theoncologist.11-5-435 |url=}}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Common between age of 40-60 years old | * Common between age of 40-60 years old | ||
Line 501: | Line 500: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Sclerosing adenosis]]<ref name="pmid2804888">{{cite journal| author=Jensen RA, Page DL, Dupont WD, Rogers LW| title=Invasive breast cancer risk in women with sclerosing adenosis. | journal=Cancer | year= 1989 | volume= 64 | issue= 10 | pages= 1977-83 | pmid=2804888 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2804888 }}</ref><ref name="pmid15100339">{{cite journal| author=Wang J, Costantino JP, Tan-Chiu E, Wickerham DL, Paik S, Wolmark N| title=Lower-category benign breast disease and the risk of invasive breast cancer. | journal=J Natl Cancer Inst | year= 2004 | volume= 96 | issue= 8 | pages= 616-20 | pmid=15100339 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15100339 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Sclerosing adenosis]]<ref name="pmid2804888">{{cite journal| author=Jensen RA, Page DL, Dupont WD, Rogers LW| title=Invasive breast cancer risk in women with sclerosing adenosis. | journal=Cancer | year= 1989 | volume= 64 | issue= 10 | pages= 1977-83 | pmid=2804888 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2804888 }}</ref><ref name="pmid15100339">{{cite journal| author=Wang J, Costantino JP, Tan-Chiu E, Wickerham DL, Paik S, Wolmark N| title=Lower-category benign breast disease and the risk of invasive breast cancer. | journal=J Natl Cancer Inst | year= 2004 | volume= 96 | issue= 8 | pages= 616-20 | pmid=15100339 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15100339 }}</ref> | ||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Small risk of [[malignancy]] | * Small risk of [[malignancy]] | ||
Line 528: | Line 526: | ||
|- | |- | ||
| align="center" style="background:#DCDCDC;" |Pseudoangiomatous stromal hyperplasia<ref name="pmid20103437">{{cite journal| author=Celliers L, Wong DD, Bourke A| title=Pseudoangiomatous stromal hyperplasia: a study of the mammographic and sonographic features. | journal=Clin Radiol | year= 2010 | volume= 65 | issue= 2 | pages= 145-9 | pmid=20103437 | doi=10.1016/j.crad.2009.10.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20103437 }}</ref><ref name="pmid15454202">{{cite journal| author=Salvador R, Lirola JL, Domínguez R, López M, Risueño N| title=Pseudo-angiomatous stromal hyperplasia presenting as a breast mass: imaging findings in three patients. | journal=Breast | year= 2004 | volume= 13 | issue= 5 | pages= 431-5 | pmid=15454202 | doi=10.1016/j.breast.2003.10.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15454202 }}</ref> | | align="center" style="background:#DCDCDC;" |Pseudoangiomatous stromal hyperplasia<ref name="pmid20103437">{{cite journal| author=Celliers L, Wong DD, Bourke A| title=Pseudoangiomatous stromal hyperplasia: a study of the mammographic and sonographic features. | journal=Clin Radiol | year= 2010 | volume= 65 | issue= 2 | pages= 145-9 | pmid=20103437 | doi=10.1016/j.crad.2009.10.003 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20103437 }}</ref><ref name="pmid15454202">{{cite journal| author=Salvador R, Lirola JL, Domínguez R, López M, Risueño N| title=Pseudo-angiomatous stromal hyperplasia presenting as a breast mass: imaging findings in three patients. | journal=Breast | year= 2004 | volume= 13 | issue= 5 | pages= 431-5 | pmid=15454202 | doi=10.1016/j.breast.2003.10.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15454202 }}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Common in reproductive age women | * Common in reproductive age women | ||
Line 555: | Line 553: | ||
|- | |- | ||
| align="center" style="background:#DCDCDC;" |[[Mondor's disease]]<ref name="pmid11436415">{{cite journal| author=Becker L, McCurdy LI, Taves DH| title=Superficial thrombophlebitis of the breast (Mondor's disease). | journal=Can Assoc Radiol J | year= 2001 | volume= 52 | issue= 3 | pages= 193-5 | pmid=11436415 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11436415 }}</ref><ref name="pmid1562972">{{cite journal| author=Catania S, Zurrida S, Veronesi P, Galimberti V, Bono A, Pluchinotta A| title=Mondor's disease and breast cancer. | journal=Cancer | year= 1992 | volume= 69 | issue= 9 | pages= 2267-70 | pmid=1562972 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1562972 }}</ref> | | align="center" style="background:#DCDCDC;" |[[Mondor's disease]]<ref name="pmid11436415">{{cite journal| author=Becker L, McCurdy LI, Taves DH| title=Superficial thrombophlebitis of the breast (Mondor's disease). | journal=Can Assoc Radiol J | year= 2001 | volume= 52 | issue= 3 | pages= 193-5 | pmid=11436415 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11436415 }}</ref><ref name="pmid1562972">{{cite journal| author=Catania S, Zurrida S, Veronesi P, Galimberti V, Bono A, Pluchinotta A| title=Mondor's disease and breast cancer. | journal=Cancer | year= 1992 | volume= 69 | issue= 9 | pages= 2267-70 | pmid=1562972 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1562972 }}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Uncommon [[benign]] disease | * Uncommon [[benign]] disease | ||
Line 580: | Line 578: | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Benign or<br>Malignant | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Demography | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History | ||
Line 595: | Line 592: | ||
|- | |- | ||
| align="center" style="background:#DCDCDC;" |[[Diabetic]] mastopathy<ref name="pmid11772912">{{cite journal| author=Kudva YC, Reynolds C, O'Brien T, Powell C, Oberg AL, Crotty TB| title="Diabetic mastopathy," or sclerosing lymphocytic lobulitis, is strongly associated with type 1 diabetes. | journal=Diabetes Care | year= 2002 | volume= 25 | issue= 1 | pages= 121-6 | pmid=11772912 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11772912 }}</ref> | | align="center" style="background:#DCDCDC;" |[[Diabetic]] mastopathy<ref name="pmid11772912">{{cite journal| author=Kudva YC, Reynolds C, O'Brien T, Powell C, Oberg AL, Crotty TB| title="Diabetic mastopathy," or sclerosing lymphocytic lobulitis, is strongly associated with type 1 diabetes. | journal=Diabetes Care | year= 2002 | volume= 25 | issue= 1 | pages= 121-6 | pmid=11772912 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11772912 }}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* [[Lymphocytic]] [[mastitis]] or mastopathy | * [[Lymphocytic]] [[mastitis]] or mastopathy | ||
Line 624: | Line 621: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Gynecomastia]]<ref name="pmid23397020">{{cite journal| author=Draghi F, Tarantino CC, Madonia L, Ferrozzi G| title=Ultrasonography of the male breast. | journal=J Ultrasound | year= 2011 | volume= 14 | issue= 3 | pages= 122-9 | pmid=23397020 | doi=10.1016/j.jus.2011.06.004 | pmc=3558246 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23397020 }}</ref><ref name="pmid17881754">{{cite journal| author=Braunstein GD| title=Clinical practice. Gynecomastia. | journal=N Engl J Med | year= 2007 | volume= 357 | issue= 12 | pages= 1229-37 | pmid=17881754 | doi=10.1056/NEJMcp070677 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17881754 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Gynecomastia]]<ref name="pmid23397020">{{cite journal| author=Draghi F, Tarantino CC, Madonia L, Ferrozzi G| title=Ultrasonography of the male breast. | journal=J Ultrasound | year= 2011 | volume= 14 | issue= 3 | pages= 122-9 | pmid=23397020 | doi=10.1016/j.jus.2011.06.004 | pmc=3558246 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23397020 }}</ref><ref name="pmid17881754">{{cite journal| author=Braunstein GD| title=Clinical practice. Gynecomastia. | journal=N Engl J Med | year= 2007 | volume= 357 | issue= 12 | pages= 1229-37 | pmid=17881754 | doi=10.1056/NEJMcp070677 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17881754 }}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Benign breast tissue swelling among men and boys around [[puberty]] | * Benign breast tissue swelling among men and boys around [[puberty]] | ||
Line 651: | Line 648: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Sarcoidosis]]<ref name="pmid11587103">{{cite journal| author=Lower EE, Hawkins HH, Baughman RP| title=Breast disease in sarcoidosis. | journal=Sarcoidosis Vasc Diffuse Lung Dis | year= 2001 | volume= 18 | issue= 3 | pages= 301-6 | pmid=11587103 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11587103 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Sarcoidosis]]<ref name="pmid11587103">{{cite journal| author=Lower EE, Hawkins HH, Baughman RP| title=Breast disease in sarcoidosis. | journal=Sarcoidosis Vasc Diffuse Lung Dis | year= 2001 | volume= 18 | issue= 3 | pages= 301-6 | pmid=11587103 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11587103 }}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Rare in patients with systemic involvement | * Rare in patients with systemic involvement | ||
Line 676: | Line 673: | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |[[Fat necrosis]]<ref name="pmid9423681">{{cite journal| author=Soo MS, Kornguth PJ, Hertzberg BS| title=Fat necrosis in the breast: sonographic features. | journal=Radiology | year= 1998 | volume= 206 | issue= 1 | pages= 261-9 | pmid=9423681 | doi=10.1148/radiology.206.1.9423681 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9423681 }}</ref> | ! align="center" style="background:#DCDCDC;" |[[Fat necrosis]]<ref name="pmid9423681">{{cite journal| author=Soo MS, Kornguth PJ, Hertzberg BS| title=Fat necrosis in the breast: sonographic features. | journal=Radiology | year= 1998 | volume= 206 | issue= 1 | pages= 261-9 | pmid=9423681 | doi=10.1148/radiology.206.1.9423681 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9423681 }}</ref> | ||
| align="center" style="background:#F5F5F5;" | | | align="center" style="background:#F5F5F5;" | | ||
* Benign | |||
| align="left" style="background:#F5F5F5;" | | | align="left" style="background:#F5F5F5;" | | ||
* Common among women | * Common among women |
Revision as of 21:35, 21 January 2019
Breast lumps Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Breast lumps differential diagnosis On the Web |
American Roentgen Ray Society Images of Breast lumps differential diagnosis |
Risk calculators and risk factors for Breast lumps differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]
Overview
Breast lumps must be differentiated from other diseases such as malignancy, cysts, inflammation and non-inflammatory solid lumps. Breast symptoms such as nipple discharge and mastalgia require assessment as well. Differentiating different types of breast lumps are based on imaging findings and breast clinical exam results.
Differentiating Breast lumps from other Diseases
Differential diagnosis of breast lumps include:
Diseases | Benign or
Malignant |
Clinical manifestation | Paraclinical findings | Gold standard diagnosis | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Demography | History | Symptoms | Signs | Histopathology | Imaging | ||||||||
Mass | Mastalgia | Nipple discharge | Breast exam | Skin changes | LAP | ||||||||
Fibroadenoma[1] |
|
+ | ± | – |
|
– | – |
|
Ultrasound:
|
||||
Breast cyst[2] |
|
|
|
+ | ± | – |
|
– | – |
|
Ultrasound: | ||
Fibrocystic change[3] |
|
|
|
+ | + | ± |
|
– | – |
|
Ultrasound: |
| |
Galactocele[4] |
|
|
+ | ± | ± |
|
– | – |
|
Mammography:
|
|||
Cysts of montgomery[5] |
|
|
|
+ | ± | ± |
|
± | – |
|
Ultrasound:
|
||
Hamartoma[6] |
|
|
|
± | – | – |
|
± | – |
|
Mammography:
|
||
Breast abscess[7] |
|
|
+ | + | – |
|
+ | – |
|
Ultrasound:
|
|||
Mastitis[8][9] |
|
|
drainage |
± | + | ± |
|
+ | – | Breast parenchyma inflammation: | Ultrasound:
|
||
Diseases | Benign or Malignant |
Demography | History | Mass | Pain | Nipple discharge | Breast exam | Skin changes | LAP | Histopathology | Imaging | Gold standard diagnosis | |
Breast carcinoma[10][11][12] |
|
|
|
+ | – | ± |
|
± | ± | Mammography:
|
|||
Ductal carcinoma in situ (DCIS)[13][14] |
|
|
|
± | – | ± |
|
– | – |
|
Mammography:
|
||
Microinvasive breast cancer[15] |
|
|
|
+ | – | ± |
|
– | ± |
|
Mammography:
|
||
Breast sarcoma[16] |
|
|
|
+ | – | – |
|
± | – |
|
Mammography:
|
||
Phyllodes tumor[17][18] |
|
|
|
± | – | – |
|
– | – |
|
Ultrasound:
|
||
Lymphoma[19][20] |
|
|
|
+ | – | – |
|
– | ± |
|
Mammography:
|
| |
Duct ectasia[21] |
|
|
|
± | ± | ± |
|
– | – |
|
Ultrasound:
|
||
Intraductal papilloma[22] |
|
|
+ | ± | ± |
|
– | – |
|
Ultrasound:
|
| ||
Lipoma[23] |
|
|
|
+ | – | – |
|
– | – |
|
Ultrasound:
|
||
Sclerosing adenosis[24][25] |
|
|
|
± | + | – |
|
± | – |
|
Mammography:
|
||
Pseudoangiomatous stromal hyperplasia[26][27] |
|
|
|
+ | – | – |
|
– | – |
|
Mammography and ultrasound:
|
||
Mondor's disease[28][29] |
|
|
+ | + | – |
|
+ | – |
|
Ultrasound:
|
| ||
Diseases | Benign or Malignant |
Demography | History | Mass | Pain | Nipple discharge | Breast exam | Skin changes | LAP | Histopathology | Imaging | Gold standard diagnosis | |
Diabetic mastopathy[30] |
|
|
|
+ | – | – |
|
– | – |
|
Ultrasound:
|
| |
Gynecomastia[31][32] |
|
|
|
+ | ± | ± |
|
– | – |
|
Ultrasound: | ||
Sarcoidosis[33] |
|
|
|
+ | – | – |
|
– | – |
|
Mammography:
|
||
Fat necrosis[34] |
|
|
+ | ± | – |
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– | – |
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References
- ↑ Pinto, Joana; Aguiar, Ana Teresa; Duarte, Hálio; Vilaverde, Filipa; Rodrigues, Ângelo; Krug, José Luís (2014). "Simple and Complex Fibroadenomas". Journal of Ultrasound in Medicine. 33 (3): 415–419. doi:10.7863/ultra.33.3.415. ISSN 0278-4297.
- ↑ Courtillot C, Plu-Bureau G, Binart N, Balleyguier C, Sigal-Zafrani B, Goffin V; et al. (2005). "Benign breast diseases". J Mammary Gland Biol Neoplasia. 10 (4): 325–35. doi:10.1007/s10911-006-9006-4. PMID 16900392.
- ↑ Templeman C, Hertweck SP (2000). "Breast disorders in the pediatric and adolescent patient". Obstet Gynecol Clin North Am. 27 (1): 19–34. PMID 10693180.
- ↑ Sabate JM, Clotet M, Torrubia S, Gomez A, Guerrero R, de las Heras P; et al. (2007). "Radiologic evaluation of breast disorders related to pregnancy and lactation". Radiographics. 27 Suppl 1: S101–24. doi:10.1148/rg.27si075505. PMID 18180221.
- ↑ De Silva NK, Brandt ML (2006). "Disorders of the breast in children and adolescents, Part 2: breast masses". J Pediatr Adolesc Gynecol. 19 (6): 415–8. doi:10.1016/j.jpag.2006.09.002. PMID 17174833.
- ↑ Tse GM, Law BK, Ma TK, Chan AB, Pang LM, Chu WC; et al. (2002). "Hamartoma of the breast: a clinicopathological review". J Clin Pathol. 55 (12): 951–4. PMC 1769817. PMID 12461066.
- ↑ Dixon JM (2007). "Breast abscess". Br J Hosp Med (Lond). 68 (6): 315–20. doi:10.12968/hmed.2007.68.6.23574. PMID 17639835.
- ↑ Dixon JM, Ravisekar O, Chetty U, Anderson TJ (1996). "Periductal mastitis and duct ectasia: different conditions with different aetiologies". Br J Surg. 83 (6): 820–2. PMID 8696751.
- ↑ Committee on Health Care for Underserved Women, American College of Obstetricians and Gynecologists (2007). "ACOG Committee Opinion No. 361: Breastfeeding: maternal and infant aspects". Obstet Gynecol. 109 (2 Pt 1): 479–80. PMID 17267864.
- ↑ Siegel RL, Miller KD, Jemal A (January 2018). "Cancer statistics, 2018". CA Cancer J Clin. 68 (1): 7–30. doi:10.3322/caac.21442. PMID 29313949.
- ↑ Li CI, Uribe DJ, Daling JR (October 2005). "Clinical characteristics of different histologic types of breast cancer". Br. J. Cancer. 93 (9): 1046–52. doi:10.1038/sj.bjc.6602787. PMC 2361680. PMID 16175185.
- ↑ Parise CA, Bauer KR, Brown MM, Caggiano V (2009). "Breast cancer subtypes as defined by the estrogen receptor (ER), progesterone receptor (PR), and the human epidermal growth factor receptor 2 (HER2) among women with invasive breast cancer in California, 1999-2004". Breast J. 15 (6): 593–602. doi:10.1111/j.1524-4741.2009.00822.x. PMID 19764994.
- ↑ Virnig BA, Tuttle TM, Shamliyan T, Kane RL (February 2010). "Ductal carcinoma in situ of the breast: a systematic review of incidence, treatment, and outcomes". J. Natl. Cancer Inst. 102 (3): 170–8. doi:10.1093/jnci/djp482. PMID 20071685.
- ↑ Brinton LA, Sherman ME, Carreon JD, Anderson WF (November 2008). "Recent trends in breast cancer among younger women in the United States". J. Natl. Cancer Inst. 100 (22): 1643–8. doi:10.1093/jnci/djn344. PMC 2720764. PMID 19001605.
- ↑ Sue GR, Lannin DR, Killelea B, Chagpar AB (October 2013). "Predictors of microinvasion and its prognostic role in ductal carcinoma in situ". Am. J. Surg. 206 (4): 478–81. doi:10.1016/j.amjsurg.2013.01.039. PMID 23791403.
- ↑ Smith TB, Gilcrease MZ, Santiago L, Hunt KK, Yang WT (April 2012). "Imaging features of primary breast sarcoma". AJR Am J Roentgenol. 198 (4): W386–93. doi:10.2214/AJR.11.7341. PMID 22451578.
- ↑ Geisler DP, Boyle MJ, Malnar KF, McGee JM, Nolen MC, Fortner SM, Broughan TA (April 2000). "Phyllodes tumors of the breast: a review of 32 cases". Am Surg. 66 (4): 360–6. PMID 10776873.
- ↑ Chaney AW, Pollack A, McNeese MD, Zagars GK, Pisters PW, Pollock RE, Hunt KK (October 2000). "Primary treatment of cystosarcoma phyllodes of the breast". Cancer. 89 (7): 1502–11. PMID 11013364.
- ↑ Brogi E, Harris NL (June 1999). "Lymphomas of the breast: pathology and clinical behavior". Semin. Oncol. 26 (3): 357–64. PMID 10375092.
- ↑ Barişta I, Baltali E, Tekuzman G, Kars A, Ruacan S, Ozişik Y, Güler N, Güllü IH, Atahan IL, Firat D (2000). "Primary breast lymphomas--a retrospective analysis of twelve cases". Acta Oncol. 39 (2): 135–9. PMID 10859001.
- ↑ Schwartz GF (June 1982). "Benign neoplasms and "inflammations" of the breast". Clin Obstet Gynecol. 25 (2): 373–85. PMID 6286199.
- ↑ Wen X, Cheng W (January 2013). "Nonmalignant breast papillary lesions at core-needle biopsy: a meta-analysis of underestimation and influencing factors". Ann. Surg. Oncol. 20 (1): 94–101. doi:10.1245/s10434-012-2590-1. PMID 22878621.
- ↑ Guray M, Sahin AA (May 2006). "Benign breast diseases: classification, diagnosis, and management". Oncologist. 11 (5): 435–49. doi:10.1634/theoncologist.11-5-435. PMID 16720843.
- ↑ Jensen RA, Page DL, Dupont WD, Rogers LW (1989). "Invasive breast cancer risk in women with sclerosing adenosis". Cancer. 64 (10): 1977–83. PMID 2804888.
- ↑ Wang J, Costantino JP, Tan-Chiu E, Wickerham DL, Paik S, Wolmark N (2004). "Lower-category benign breast disease and the risk of invasive breast cancer". J Natl Cancer Inst. 96 (8): 616–20. PMID 15100339.
- ↑ Celliers L, Wong DD, Bourke A (2010). "Pseudoangiomatous stromal hyperplasia: a study of the mammographic and sonographic features". Clin Radiol. 65 (2): 145–9. doi:10.1016/j.crad.2009.10.003. PMID 20103437.
- ↑ Salvador R, Lirola JL, Domínguez R, López M, Risueño N (2004). "Pseudo-angiomatous stromal hyperplasia presenting as a breast mass: imaging findings in three patients". Breast. 13 (5): 431–5. doi:10.1016/j.breast.2003.10.011. PMID 15454202.
- ↑ Becker L, McCurdy LI, Taves DH (2001). "Superficial thrombophlebitis of the breast (Mondor's disease)". Can Assoc Radiol J. 52 (3): 193–5. PMID 11436415.
- ↑ Catania S, Zurrida S, Veronesi P, Galimberti V, Bono A, Pluchinotta A (1992). "Mondor's disease and breast cancer". Cancer. 69 (9): 2267–70. PMID 1562972.
- ↑ Kudva YC, Reynolds C, O'Brien T, Powell C, Oberg AL, Crotty TB (2002). ""Diabetic mastopathy," or sclerosing lymphocytic lobulitis, is strongly associated with type 1 diabetes". Diabetes Care. 25 (1): 121–6. PMID 11772912.
- ↑ Draghi F, Tarantino CC, Madonia L, Ferrozzi G (2011). "Ultrasonography of the male breast". J Ultrasound. 14 (3): 122–9. doi:10.1016/j.jus.2011.06.004. PMC 3558246. PMID 23397020.
- ↑ Braunstein GD (2007). "Clinical practice. Gynecomastia". N Engl J Med. 357 (12): 1229–37. doi:10.1056/NEJMcp070677. PMID 17881754.
- ↑ Lower EE, Hawkins HH, Baughman RP (2001). "Breast disease in sarcoidosis". Sarcoidosis Vasc Diffuse Lung Dis. 18 (3): 301–6. PMID 11587103.
- ↑ Soo MS, Kornguth PJ, Hertzberg BS (1998). "Fat necrosis in the breast: sonographic features". Radiology. 206 (1): 261–9. doi:10.1148/radiology.206.1.9423681. PMID 9423681.