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KEY FACTS
Terminology
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
- Mass with both cystic (anechoic) and solid (hypo-, iso-, or hyperechoic) components
- Any of the following in isolation or combination
- Intracystic mass
- Thick-walled (≥ 0.5 mm), cystic mass
- Thick septations (≥ 0.5 mm) within otherwise cystic mass
- Predominantly cystic mass with solid component(s)
- Predominantly solid mass with cystic (anechoic) areas
- Distinguish from complicated cyst with debris
- Circumscribed, oval mass with imperceptible wall, posterior enhancement
- Homogeneous low-level echoes, mobile debris, or fluid-debris level
IMAGING
Mammographic Findings
Ultrasonographic Findings
MR Findings
CT Findings
Nuclear Medicine Findings
Imaging Recommendations
Image-Guided Biopsy
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Jales RM et al: Complex breast masses: assessment of malignant potential based on cyst diameter. J Ultrasound Med. 31(4):581-7, 2012
- Hsu HH et al: Complex cystic lesions of the breast on ultrasonography: feature analysis and BI-RADS assessment. Eur J Radiol. 79(1):73-9, 2011
- Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
- Tea MK et al: The validity of complex breast cysts after surgery. Am J Surg. 197(2):199-202, 2009
- Cardenosa G: Ultrasound of cysts, cystic lesions, and papillary lesions. Ultrasound Clin. 1:617-29, 2007
- Chang YW et al: Sonographic differentiation of benign and malignant cystic lesions of the breast. J Ultrasound Med. 26(1):47-53, 2007
- Berg WA et al: Cystic lesions of the breast: sonographic-pathologic correlation. Radiology. 227(1):183-91, 2003
- Shetty MK et al: Sonographic findings in focal fibrocystic changes of the breast. Ultrasound Q. 18(1):35-40, 2002
- Yilmaz E et al: Differentiation of phyllodes tumors versus fibroadenomas. Acta Radiol. 43(1):34-9, 2002
- Venta LA et al: Management of complex breast cysts. AJR Am J Roentgenol. 173(5):1331-6, 1999
- Soo MS et al: Fat necrosis in the breast: sonographic features. Radiology. 206(1):261-9, 1998
- Warner JK et al: Apocrine metaplasia: mammographic and sonographic appearances. AJR Am J Roentgenol. 170(5):1375-9, 1998
- Liberman L et al: Benign and malignant phyllodes tumors: mammographic and sonographic findings. Radiology. 198(1):121-4, 1996
- Omori LM et al: Breast masses with mixed cystic-solid sonographic appearance. J Clin Ultrasound. 21(8):489-95, 1993
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References
Tables
Tables
KEY FACTS
Terminology
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Definitions
- Mass with both cystic (anechoic) and solid (hypo-, iso-, or hyperechoic) components
- Any of the following in isolation or combination
- Intracystic mass
- Thick-walled (≥ 0.5 mm), cystic mass
- Thick septations (≥ 0.5 mm) within otherwise cystic mass
- Predominantly cystic mass with solid component(s)
- Predominantly solid mass with cystic (anechoic) areas
- Distinguish from complicated cyst with debris
- Circumscribed, oval mass with imperceptible wall, posterior enhancement
- Homogeneous low-level echoes, mobile debris, or fluid-debris level
IMAGING
Mammographic Findings
Ultrasonographic Findings
MR Findings
CT Findings
Nuclear Medicine Findings
Imaging Recommendations
Image-Guided Biopsy
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Jales RM et al: Complex breast masses: assessment of malignant potential based on cyst diameter. J Ultrasound Med. 31(4):581-7, 2012
- Hsu HH et al: Complex cystic lesions of the breast on ultrasonography: feature analysis and BI-RADS assessment. Eur J Radiol. 79(1):73-9, 2011
- Berg WA et al: Cystic breast masses and the ACRIN 6666 experience. Radiol Clin North Am. 48(5):931-87, 2010
- Tea MK et al: The validity of complex breast cysts after surgery. Am J Surg. 197(2):199-202, 2009
- Cardenosa G: Ultrasound of cysts, cystic lesions, and papillary lesions. Ultrasound Clin. 1:617-29, 2007
- Chang YW et al: Sonographic differentiation of benign and malignant cystic lesions of the breast. J Ultrasound Med. 26(1):47-53, 2007
- Berg WA et al: Cystic lesions of the breast: sonographic-pathologic correlation. Radiology. 227(1):183-91, 2003
- Shetty MK et al: Sonographic findings in focal fibrocystic changes of the breast. Ultrasound Q. 18(1):35-40, 2002
- Yilmaz E et al: Differentiation of phyllodes tumors versus fibroadenomas. Acta Radiol. 43(1):34-9, 2002
- Venta LA et al: Management of complex breast cysts. AJR Am J Roentgenol. 173(5):1331-6, 1999
- Soo MS et al: Fat necrosis in the breast: sonographic features. Radiology. 206(1):261-9, 1998
- Warner JK et al: Apocrine metaplasia: mammographic and sonographic appearances. AJR Am J Roentgenol. 170(5):1375-9, 1998
- Liberman L et al: Benign and malignant phyllodes tumors: mammographic and sonographic findings. Radiology. 198(1):121-4, 1996
- Omori LM et al: Breast masses with mixed cystic-solid sonographic appearance. J Clin Ultrasound. 21(8):489-95, 1993
