Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2010, Vol. 32 ›› Issue (3): 289-292.doi: 10.3881/j.issn.1000-503X.2010.03.011

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Ultrasonographic Features of Primary Non-Hodgkins Breast Lymphoma

LI Na,JIANG Yu-xin,DAI Qing   

  1. Department of Ultrasound,PUMC Hospital,CAMS and PUCM,Beijing 100730,China
  • Received:2009-10-14 Online:2010-06-30 Published:2010-09-10
  • Contact: JIANG Yu-xin Tel:010-65295491,E-mail: jiangyx@pumch.ac.cn E-mail:jiangyx@pumch.ac.cn
  • Supported by:
    The National Natural Sciences Foundation of China(30900372)

Abstract: Objective To summarize the sonographic features of primary non-Hodgkin's lymphoma of the breast using the Breast Imaging Reporting and Data System-Ultrasound (BI-RADS-US) and explore the value of ultrasonography in the preoperative diagnosis. Methods The clinical data of 11 patients with primary non-Hodgkins lymphoma of the breast were retrospectively reviewed. BI-RADS-US grading was performed for each lesion. Results Totally 13 lesions were detected in 11 patients. Single lesion at one side was detected in 9 patients (81.8%). Circumscribed (n=7,53.8%) or microlobulated lesions (n=5,38.5%),parallel orientation (n=10,76.9%),and oval masses (n=8,61.5%) were also observed on sonography. The echo pattern of the mass was hypoechoic in 10 lesions (76.9%),hyperechoic in 1 lesion,and complex echoic in 2 lesions. No mass had speculated margins or calcifications. Ipsilateral axillary lymph node involvements were noted in 6 patients. Conclusions Most primary non-Hodgkins lymphomas of the breast present as single hypoechoic masses with circumscribed or microlobulated margins and parallel orientation on sonography. BI-RADS-US,combined with the analyses of multiple signs,is feasible for the pre-surgical diagnosis.

Key words: breast, primary lymphoma, breast imaging reporting and data system-ultrasound

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