By Catherine N. Chinyama MB CHB (Hons), MRC Path (auth.)
Dr. Chinyama certified with Honours measure in medication in Harare, Zimbabwe, proficient in Breast Pathology at St. Bartholomew's health facility, London and Bristol South West Breast Screening Unit in Bristol,UK. labored as Senior Lecturer/Honorary advisor in Histopathology at Guy's and St.Thomas' health facility, London. at present operating as a expert Pathologist, Princess Elizabeth clinic, Guernsey, Channel Islands.
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The lesion is not palpable . Diagnosis was confirmed on needle core biopsy ers examined 200 consecutive biopsies to determine the frequency of fibroadenomatoid mastopathy in biopsies, which had been coded as fibroadenoma or fibrocystic disease. 5 %) lesions, which met the criteria of fibroadenomatoid mastopathy. The lesions were admixed with dilated ducts, "epitheliosis" and adenosis . The natural history of fibroadenomatoid hyperplasia is unknown. However, it has been suggested that this condition may be a harbinger of, or is responsible for, recurrent multiple fibroadenomas (Hanson et al.
The fibroadenomas were examined with gadoTypical ultrasonic features of fibroadenomas are pre- linium-enhanced MR and were graded for signal intensent in only 20 - 30% of cases (Heywang-Kobrunner et sity, contrast material enhancement, shape and interal. 2001). nal septations. The results were correlated with the hisSkaane and Engedal (1998) carried out a prospective topathologic findings. Eleven fibroadenomas demonstudy of 142women with fibroadenomas and 194wom- strated signal intensity without enhancement, and low en with invasive ductal carcinoma to determine the signal intensity without enhancement was noted in predictive power of sonography in differentiating fi- nine fibroadenomas.
The presence of calcification in radial scars (Fig. la-d) has also been reported in several publications (Nielsen et al. 1987; Orel et al. 1992; Franquet et al. 1993). Although the calcification is not always apparent in the in vivo mammogram, it may be highlighted in the specimen radiographs (Adler 1990). King et al. (2000) reviewed the mammographic and pathological features of 45 patients who had undergone localisation excision for radial scar. Only ten patients had mammographic and histologic evidence of radial scar.