Sonographically Unusual Breast Carcinomas, 2 Case Reports.

Area of Science:

• Radiology
• Medical Imaging
• Oncology

Background:

• Mammography and magnetic resonance imaging (MRI) are often more sensitive than sonography for infiltrative breast lesions.
• Combining sonography, mammography, and MRI enhances diagnostic sensitivity and specificity.
• Radiologists must consider patient history, including long-term drug treatments or palpable tumors, for tailored evaluations.

Observation:

• Presents two cases with atypical sonographic findings in breast cancer.
• Case 1: Infiltrative breast cancer with occult sonographic findings in an immunosuppressed patient post-kidney transplant.
• Case 2: A malignant breast tumor presenting as hyperechogenic on sonography.

Findings:

• Sonography can present atypical or occult findings in infiltrative breast cancer, particularly in patients with specific medical histories.
• Hyperechogenic malignant breast tumors represent an unusual sonographic presentation.
• Correlation of imaging modalities and clinical data is essential for accurate diagnosis.

Implications:

• Emphasizes the importance of correlating breast sonography with mammography, especially in women over 40.
• Highlights the necessity of integrating patient history and clinical presentation into the interpretation of breast imaging.
• Suggests a comprehensive approach to breast lesion evaluation for improved diagnostic outcomes.