Architectural distortion breast

Improvement in breast cancer screening technology has increased the detection of architectural distortion, which can often indicate underlying malignancy; however, there are also many benign causes of architectural distortion. We present a case of architectural distortion caused by cyst aspiration, representing a novel, benign cause. Historically, standard two-dimensional mammography has been the mainstay of early breast cancer detection 1. Improvement in breast cancer screening technology includes digital breast tomosynthesis, FDA-approved in , which allows for reconstruction of 1-mm slices through the breast volume 2. Tomosynthesis reduces recall rate, increases the cancer detection rate, and is significantly better at visualizing architectural distortion AD over conventional mammography 1 , 3 —6. AD refers to multiple converging straight lines within the breast parenchyma, without a definable mass lesion 7.
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Mammographic architectural distortion caused by cyst aspiration

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When does worrisome architectural distortion signal malignancy on mammography?

Breast architectural distortion is a descriptive term in breast imaging mammography, ultrasound, and MRI to indicate that the breast parenchyma is tethered or indented. The finding per se is not a mass. Architectural distortion is often due to a desmoplastic reaction in which there is focal disruption of the normal breast tissue pattern. There are several features that can be considered as part of architectural distortion 3 :. Many entities can cause architectural distortion 1,4.
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Objective: The objective of our study was to determine the risk of malignancy associated with architectural distortion and to evaluate the imaging and clinical features that may contribute to the prediction of malignancy in the setting of architectural distortion. Materials and methods: We performed a retrospective review of architectural distortion cases from January 1, , to December 31, Imaging findings and pathology outcomes were reviewed. Results: Over the year study period, architectural distortion that was considered to be suspicious for or highly suggestive of malignancy was present in of , 0.
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