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Imaging Features Associated With Posttraumatic Breast Neuromas.

Shaza AlSharif¹, Romuald Ferré¹, Atilla Omeroglu²

¹1 Department of Radiology, Mc Gill University Health Center, Royal Victoria Hospital, 687 Pine Ave West, Montreal, PQ H3H 1A1, Canada.

AJR. American Journal of Roentgenology

|February 23, 2016

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Posttraumatic breast neuromas, often found after surgery, can appear as benign masses on ultrasound. Imaging may show a "tail sign," but biopsy is essential for diagnosis.

Area of Science:

Radiology
Oncology
Pathology

Background:

Posttraumatic neuromas can occur after breast surgery.
Diagnosis can be challenging due to varied imaging presentations.

Purpose of the Study:

To review clinical and imaging features of posttraumatic breast neuromas.
To assess the utility of specific imaging signs, like the "tail sign".

Main Methods:

Retrospective review of eight biopsy-proven neuromas in six patients.
Analysis of mammography, ultrasound, and MRI findings using BI-RADS lexicon.
Assessment for the presence of the "tail sign".

Main Results:

Neuromas were occult on mammography but visible on ultrasound as hypoechoic masses.

Keywords:

MRI biopsy breast mammogram neuroma posttraumatic neuroma surgery traumatic neuroma ultrasound

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Ultrasound revealed oval shapes with circumscribed margins in most cases.

The "tail sign" was present in 50% of neuromas; MRI showed some lesions as isointense foci.

Conclusions:

Benign-appearing masses in post-surgical breast patients may indicate neuroma.
While the "tail sign" can be suggestive, imaging-guided biopsy is the definitive diagnostic method.