The role of echography in the diagnosis of diffuse fibroadenomatosis of the mammary glands

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Abstract

Traditional methods of examining the mammary glands do not provide a sufficiently high level of diagnostics of the pathology of this organ. It is necessary to use new techniques, including ultrasound research. Echography has ample opportunities in the diagnosis of various diseases of the mammary glands, and with diffuse fibroadenomatosis it is the preferred method. The author noted the main advantages of an ultrasound study, and also developed quantitative criteria that make it possible to more clearly diagnose pathology and determine the severity of the disease.

About the authors

I. A. Solntseva

Medical Center SUE "Admiralty Shipyards",

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, St. Petersburg

References

Supplementary files

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1. JATS XML
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2. Rice. 1. Technique for measuring the thickness of the ferrous layer

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3. Rice. 2. Methods for measuring echo density indicators: 25, 27, 29 - indicators of echo density of glandular tissue, 17, 18 - indicators of echo density of adipose tissue

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4. Rice. 3. Echogram of the mammary gland of a 25-year-old patient. Reproductive type of structure. The thickness of the glandular tissue layer is 14 mm. Echo density indicators are average (26-28). There are no phenomena of age-related involution.

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5. Rice. 4. Echogram of the breast of a 45-year-old patient. Premenopausal type of structure. The thickness of the glandular tissue layer is 10 mm. Echo density indicators - increased (35-37). Phenomena of age-related involution - in the form of a partial fatty transformation of the glandular tissue.

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6. Rice. 5. Echogram of the breast of a 63-year-old female patient. Postmenopausal type of structure. The thickness of the fibrous tissue layer is 6 mm. Echo density indicators are significantly increased (41-44). Phenomena of age-related involution - in the form of fatty transformation and fibrosis of breast tissue.

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7. Rice. 6. Echogram of the glandular variant of diffuse fibroadenomatosis in a 30-year-old patient. Thickening of the glandular tissue layer up to 19 mm. Echo density indicators are average (28-30). There are no phenomena of age-related involution.

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8. Rice. 7. Echogram of the cystic variant of diffuse FAM in a 42-year-old patient. The thickness of the glandular tissue layer is 10 mm. Echo density indicators - increased (35-37). Small cysts.

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9. Rice. 8. Echogram of the fibrous variant of diffuse FAM in a 34-year-old patient. Thickening of the glandular tissue layer up to 16 mm. Echo density indicators are significantly increased (41-43).

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10. Rice. 9. Echogram of a mixed variant of diffuse FAM in a 40-year-old patient. Thickening of the glandular tissue layer up to 22mm. Cyst. Echo density indicators - increased (35-37). Ductectasia. There are no phenomena of age-related involution.

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