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Flashcards in Lesson 3C (Part 3) Deck (30)
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1

Mastitis

Inflammation of the breast

2

Puerperal mastitis

Inflammation of the breast related to lactation
- leads to acute mastitis

3

Periductal mastitis

Uncommon, chronic, nonlactational inflammation that affects the subareolar structures

4

Abscess

Acutely tender lump or swelling with erythema

5

Erythema

Superficial reddening of the skin caused by inflammation

6

How do abscesses appear on US? (4)

1. Complex fluid collection
2. Thick, irregular, or indistinct walls
3. Non uniform internal echoes or debris levels
4. Contains septations

7

Mondor cord

Sclerosing thrombophlebitis of the subcutaneous veins of the anterior chest wall

8

What is mondors cord associated with?

Patients who have had breast surgery
- eg) lumpectomy for breast cancer or breast augmentation

9

What is the mondor cord?

Small cord like structure/vein which does not have any vascularity

10

What is the appearance of mondor cord on US?

Beaded appearance with internal echoes

11

Hematoma

Blood filled mass

12

When may a hematoma occur? (3)

Following a...
1. Trauma
2. Biopsy
3. Surgery

13

What can cause substantial cutaneous bruising?

Seatbelt injuries

14

Seroma (2)

1. Accumulation of serum within a surgical cavity or biopsy site
2. They can be very painful and rapidly increase in size

15

What can be performed as required to relieve symptoms?

Therapeutic ultrasound guided fine-needle aspiration

16

Fat necrosis

Uncommon inflammatory and ischemic process that is the result of blunt trauma, surgery, radiotherapy or inflammation

17

What does trauma that disrupts blood supply cause? (2)

1. Hemmorrhage
2. Liquefaction of a focal area of breast fat,

18

What does hemmorrhage and liquefaction of a focal area of breast fat result in?

Necrosis

19

What can necrosis progress to?

An oil cysts

20

Post surgical scar

Is a scar that forms as connective tissue proliferates at the site of injury

21

How does a post surgical scar appear on US? (5)

1. Irregular hypoechoic area
2. Acoustic shadowing
3. Architectural distortion at site
4. Skin thickening
5. Retraction
- this is common

22

How does scarring affect US imaging?

Makes it more difficult
- attenuation

23

Fibroadenoma

Most common benign solid tumour of female breast

24

What is the age group that fibroadenomas are more common?

15-35 years of age

25

Who are fibroadenomas more common in?

Black females

26

What is the sonographic appearance of fibroadenoma? (4)

1. Well circumscribed
2. Smooth
3. Solid ovoid mass
4. Subtle posterior enhancement

27

What does colour doppler show on fibroedenoma?

Peripheral vessels

28

How large are fibroadenomas?

< 3 cm
- usually

29

Juvenile fibroadenomas

Giant fibroadenomas

30

When do juvenile fibroadenomas grow quickly?

During adolescence