Radial scar: from conventional imaging to the new techniques. Case reports.
The role of MR-mammography in radial scar was assessed in 4 female patients. All 4 patients showed mammographic findings of radial scar and underwent dynamic MR-mammography. MR-mammographic findings were compared with histopathological results. On MR-mammography a focal enhancing lesion with irregular margins, plateau or rapid wash-out time/signal intensity curves, with maximum signal intensity > 100% were documented in the 4 patients. The histological diagnosis identified i case of infiltrating lobular carcinoma, 1 case of atypical hyperplasia and 2 cases of typical hyperplasia. In the preliminary study, MR-mammography was superior to mammography in the assessment of the extent and margins of the lesions. However, in the 4 study patients it could not accurately differentiate between carcinoma and benign lesions. It should be observed that lesions suggestive of radial scar have to be removed by surgery.
Canadè
Adolfo
A
Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Roma, Italy.
Costantini
Melania
M
Magistrelli
Andrea
A
Belli
Paolo
P
Pastore
Giovanna
G
D001940:Breast / Q000473:pathology*; D001941:Breast Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008327:Mammography; D016217:Ultrasonography, Mammary