라똑 헛똑

이쁜 하트가 하나 보이죠?

우측 손목 사진입니다.

손목뼈들 중에서 삼각뼈(triquetrum bone)와 콩알뼈(pisiform bone)가

교묘하게 겹쳐서 이쁜 하트 모양을 만들었습니다.

유방초음파

낭종(물혹)

유방초음파

핵침생검 => 섬유선종

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Findings:Glandular distortion.

Diagnosis:Sclerosing adenosis.

Discussion: An excisional breast biopsy revealed Sclerosing Adenosis, with florid ductal hyperplasia. No malignancy was found.

Sclerosing Adenosis is a relatively common benign breast lesion, with no known predisposition towards malignancy. The average patient is 30 years old. However, both mammographically and histologically it can have characteristics that resemble carcinoma.

Histologically, hyperplastic proliferation of all elements of the lobule are seen. Dense hyalinization (sclerosis) leads to distortion of the epithelium, which may be mistaken for a malignancy change.

Mammographically, sclerosing adenosis rarely forms a visible mass. It may have clustered microcalcifications, indistinguishable from carcinoma. The differential diagnosis includes radial scar, post-surgical scar, and carcinoma. Biopsy is appropriate approach for diagnosis.

References:
1. Kopans, D. Breast Imaging, J.B. Lippincott Co. 1989, Pg. 271-272.

2. Rosal J. Surgical Pathology, 7th ED. C.V. Mosby Co., 1989. Pg1205-06.

Submitted by:
Carol Shamakian, M.D.
Sutek Lie, M.D.

출처 : Tong - radiology님의 유방영상의학통