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Amaç: Bu çalışmada benign lezyonlar olan meme hamartomlarının (MH) radyolojik görüntüleme özelliklerini ele almak ve hamartom lezyonlarının tanınabilirliğini vurgulayarak gereksiz tetkik ve biyopsilerin azaltılmasına katkıda bulunmak amaçlanmıştır. Gereç ve Yöntemler: Ocak 2014—Temmuz 2019 döneminde Dicle Üniversitesi Tıp Fakültesi radyoloji kliniğimizde MH tanısı almış olan toplam 33 (32 kadın, 1 erkek) hastanın mamografi (MG), ultrason (US) ve manyetik rezonans görüntüleme (MRG) görüntüleri retrospektif olarak incelendi. Altı hastanın MG, US ve MRG, 21 hastanın MG ve US, 6 hastanın ise sadece MRG görüntüleri mevcuttu. Erkek hasta için MG ve US görüntüleri mevcuttu. Bulgular: Ortalama hasta yaşı 48,5 (28–74) yıldı. Ortalama kitle boyutu 3,4 (1,5–12) cm idi. En büyük kitle jinekomasti ön tanısı ile kabul edilen erkek hastada olup sol memeyi tamamen kaplamıştı. Lezyonlar 20 hastada sağ, diğer 13 hastada sol meme yerleşimliydi. MRG görüntüleri incelendiğinde postkontrast görüntülerde lezyonların tamamında periferal ağırlıklı heterojen kontrastlanma mevcutken kontrastlı serilerde 10 hastada tip 1, 2 hastada tip 2 kinetik eğri mevcuttu. Hiçbir hastada tip 3 kinetik eğri saptanmadı. Normal meme dokusu görünür difüzyon katsayısı (GDK) değeri ile hamartom GDK değeri arasında istatistiksel olarak anlamlı fark bulunmadı (p>0,5). Tartışma ve Sonuç: Benign lezyonlar olan MH’ler radyolojik incelemelerde memeye benzer özellikte küçük nodüler lezyonlar şeklinde izlenirler ve bu özellikleriyle “meme içinde meme” görünümü verdiklerinden kolaylıkla tanınabilirler.
Purpose: This study is aimed at addressing the radiological imaging characteristics of the mammals (MH) with benign injury and contributing to the reduction of unnecessary inspections and biopsy by emphasizing the recognizability of mammals injury. Tools and Methods: In January 2014-July 2019, a total of 33 (32 women, 1 male) patients who received MH diagnosis at the Dicle University School of Medicine Clinic were examined retrospectively with mammography (MG), ultrasound (US) and magnetic resonance imaging (MRG) images. Six patients had MG, US and MRG, 21 patients had MG and US, and 6 patients had only MRG images. MG and US images were available for male patients. The average age of the patient was 48.5 (28-74) years. The average mass size was 3.4 (1.5-12) cm. The largest mass was the male patient, which was accepted with a pre-diagnosis of gynecomastia, and was completely covered by the left breast. The injuries were placed on the right in 20 patients and on the left in 13 patients. When the MRG images were studied, the post-contrast images had peripheral heterogeneous contrast in all the lesions, while in the contrast series 10 patients, type 1, type 2 patients, type 2 kinetic curve. No patient was diagnosed with type 3 kinetic curve. There was no statistically significant difference between the normal breast tissue visible diffusion rate (GDK) and the hamartom GDK value (p>0,5). Discussions and Results: MHs with benign lesions are observed in radiological examinations in the form of small nodular lesions with the same characteristics as the breast, and with these characteristics they can easily be recognized because they give the appearance of "sins in the breast".
Aim: In this study, we aimed to discuss radiological imaging features of breast hamartomas (BHs), which are benign lesions, and contribute to reducing unnecessary examinations and biopsies by emphasizing the recognizability of hamartoma lesions based on those features. Materials and Methods: We retrospectively reviewed the mammography (MG), ultrasound (US), and magnetic resonance imaging (MRI) images of a total of 33 (32 females, 1 male) patients who were diagnosed with BH at our radiology clinic in the Dicle University Medical Faculty between January 2014 and July 2019. Six patients had MG, US, and MRI images, 21 had MG and US images, and 6 had only MRI images. For the male patient, MG and US images were available. Results: The mean patient age was 48.5 (28–74) years. The mean mass size was 3.4 (1.5–12) cm. The male patient admitted with a pre-diagnosis of gynecomastia had the largest mass, which occupied the entire left breast. The lesions were located in the right breast in 20 patients and in the left breast in the remaining 13. When the MRI images were reviewed, post-contrast images showed peripheral heterogeneous contrast enhancement in all lesions while contrast-enhanced series showed type 1 and 2 kinetic curves in 10 and 2 patients, respectively. No type 3 kinetic curve was identified in any of the cases. No statistically significant difference was found between the normal breast tissue apparent diffusion coefficient (ADC) and hamartoma ADC values (p>0.5). Discussion and Conclusion: BHs as benign lesions are seen in radiological examinations as small nodular lesions characteristically similar to the breast tissue, with the easily recognizable “breast within breast” appearance.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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