title: Mammographic and sonographic findings of steatocystoma multiplex presenting as breast lumps.
abstract: Steatocystoma multiplex (SM) is an uncommon cutaneous disorder characterised by multiple intradermal cysts distributed over the trunk and proximal extremities. This condition affects both genders and is often inherited as an autosomal dominant trait, although sporadic cases have been described. This report describes the mammographic and sonographic features of the cysts, which presented as breast lumps, for evaluation. The cysts appeared as numerous well-circumscribed, radiolucent nodules with thin radiodense rims on mammography. On sonography, the cysts could be hypoechoic, isoechoic or demonstrate mixed echoes containing debris-fluid levels, depending on the amount of clear oily liquid and keratinous material. SM can be diagnosed based on a clinical setting of multiple asymptomatic small intradermal nodules over the trunk and proximal extremities, positive family history and imaging findings.
authors.affiliation: National Cancer Centre, Singapore. wanmunchin@hotmail.com
authors.forename: John Mun Chin
authors.initials: JM
authors.lastname: Wan
authors.forename: Jill Su Lin
authors.initials: JS
authors.lastname: Wong
authors.forename: Shang-Ian
authors.initials: SI
authors.lastname: Tee
mesh_terms: D001941:Breast Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods*; D008875:Middle Aged; D062685:Steatocystoma Multiplex / Q000175:diagnosis*; D016217:Ultrasonography, Mammary / Q000379:methods*