Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola Complex
Objective:We aimed to investigate the distinction between Paget’s disease of the breast (PDB) and malignant tumor invasion of nipple-areolar complex (MTION) with Magnetic resonance imaging (MRI) findings without the need for skin punch biopsy.Materials and Methods:MRI findings of 16 patients with pa...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2021-07-01
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| Series: | European Journal of Breast Health |
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http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/comparison-of-the-magnetic-resonance-maging-findin/47937
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| author | Almila Coşkun Bilge Hale Aydın Işıl Esen Bostancı Özge Tanişman Diba Saygılı Öz |
| author_facet | Almila Coşkun Bilge Hale Aydın Işıl Esen Bostancı Özge Tanişman Diba Saygılı Öz |
| author_sort | Almila Coşkun Bilge |
| collection | DOAJ |
| description | Objective:We aimed to investigate the distinction between Paget’s disease of the breast (PDB) and malignant tumor invasion of nipple-areolar complex (MTION) with Magnetic resonance imaging (MRI) findings without the need for skin punch biopsy.Materials and Methods:MRI findings of 16 patients with pathologically proven PDB and 11 patients with pathologically proven MTION were reviewed retrospectively. MRI images were assessed for nipple morphological changes; areolar-periareolar skin changes; thickness, classification, and kinetic characteristics of the nipple-areolar complex (NAC) enhancement; morphological pattern, size, and pathological diagnosis of concomitant malignant lesions; kinetic characteristics of the concomitant malignant lesions enhancement; continuity of enhancement between the nipple and closest concomitant malignant lesion; similarity of enhancement kinetics of the NAC and concomitant malignant lesions; and nipple-to-malignant lesion distance in both patient groups.Results:Areolar-periareolar skin thickening was statistically different between the patient groups. Enhancement kinetic pattern was classified as persistent in four patients with MTION and plateau in seven patients with PDB. Moreover, NAC enhancement kinetic characteristics were statistically different between the groups. Invasive ductal carcinoma was detected in three patients with PDB and five patients with MTION. A statistically significant difference in malignant lesion pathological types was detected between the patient groups.Conclusion:The significant MRI findings in patients with MTION diagnosed as invasive ductal carcinoma were areolar-periareolar skin thickening and asymmetric NAC enhancement with persistent kinetics pattern. In patients diagnosed with ductal carcinoma in situ, a plateau pattern of asymmetric NAC enhancement without any areolar-periareolar skin changes on MRI may indicate PDB. |
| first_indexed | 2024-04-10T14:57:50Z |
| format | Article |
| id | doaj.art-9a74585a1fa74168b02413c5e39a4328 |
| institution | Directory Open Access Journal |
| issn | 2587-0831 |
| language | English |
| last_indexed | 2024-04-10T14:57:50Z |
| publishDate | 2021-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | European Journal of Breast Health |
| spelling | doaj.art-9a74585a1fa74168b02413c5e39a43282023-02-15T16:07:17ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312021-07-0117326527310.4274/ejbh.galenos.2021.609113049054Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola ComplexAlmila Coşkun Bilge0Hale Aydın1Işıl Esen Bostancı2Özge Tanişman3Diba Saygılı Öz4 Department of Radiology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey Department of Radiology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey Department of Radiology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey Department of Radiology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey Department of Radiology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey Objective:We aimed to investigate the distinction between Paget’s disease of the breast (PDB) and malignant tumor invasion of nipple-areolar complex (MTION) with Magnetic resonance imaging (MRI) findings without the need for skin punch biopsy.Materials and Methods:MRI findings of 16 patients with pathologically proven PDB and 11 patients with pathologically proven MTION were reviewed retrospectively. MRI images were assessed for nipple morphological changes; areolar-periareolar skin changes; thickness, classification, and kinetic characteristics of the nipple-areolar complex (NAC) enhancement; morphological pattern, size, and pathological diagnosis of concomitant malignant lesions; kinetic characteristics of the concomitant malignant lesions enhancement; continuity of enhancement between the nipple and closest concomitant malignant lesion; similarity of enhancement kinetics of the NAC and concomitant malignant lesions; and nipple-to-malignant lesion distance in both patient groups.Results:Areolar-periareolar skin thickening was statistically different between the patient groups. Enhancement kinetic pattern was classified as persistent in four patients with MTION and plateau in seven patients with PDB. Moreover, NAC enhancement kinetic characteristics were statistically different between the groups. Invasive ductal carcinoma was detected in three patients with PDB and five patients with MTION. A statistically significant difference in malignant lesion pathological types was detected between the patient groups.Conclusion:The significant MRI findings in patients with MTION diagnosed as invasive ductal carcinoma were areolar-periareolar skin thickening and asymmetric NAC enhancement with persistent kinetics pattern. In patients diagnosed with ductal carcinoma in situ, a plateau pattern of asymmetric NAC enhancement without any areolar-periareolar skin changes on MRI may indicate PDB. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/comparison-of-the-magnetic-resonance-maging-findin/47937 mribreast imagingnipple-areola complexbreast cancer |
| spellingShingle | Almila Coşkun Bilge Hale Aydın Işıl Esen Bostancı Özge Tanişman Diba Saygılı Öz Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola Complex European Journal of Breast Health mri breast imaging nipple-areola complex breast cancer |
| title | Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola Complex |
| title_full | Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola Complex |
| title_fullStr | Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola Complex |
| title_full_unstemmed | Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola Complex |
| title_short | Comparison of the Magnetic Resonance Imaging Findings of Paget’s Disease of the Breast and Malignant Tumor Invasion of the Nipple-Areola Complex |
| title_sort | comparison of the magnetic resonance imaging findings of paget s disease of the breast and malignant tumor invasion of the nipple areola complex |
| topic | mri breast imaging nipple-areola complex breast cancer |
| url |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/comparison-of-the-magnetic-resonance-maging-findin/47937
|
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