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Enhancement of intramammary lymph nodes with lymphoid hyperplasia: a potential pitfall in breast MRI
Authors:X Gallardo  M Sentís  E Castañer  X Andreu  A Darnell  J Canalías
Institution:(1) Department of Radiology, Consorci Hospitalari del Parc Taulí, SDI-UDIAT, Parc Taulí s/n, E-08208 Sabadell, Spain, ES;(2) Department of Pathology, Consorci Hospitalari del Parc Taulí, SDI-UDIAT, Parc Taulí s/n. E-08208 Sabadell, Spain, ES
Abstract:We present three cases of breast lesions labeled as probable intramammary lymph nodes that showed an increase in size on follow-up mammography. Contrast-enhanced MRI was performed and the three lesions showed strong and rapid uptake of the intravenous contrast. Core needle biopsy established the diagnosis of lymphoid hyperplasia in all three patients. Because intramammary lymph nodes affected by benign processes can present findings similar to malignant lesions, the usefulness of contrast-enhanced MRI in these cases is controversial. Received 7 July 1997; Revision received 16 January 1998; Accepted 30 March 1998
Keywords:: Breast MR  Breast lymph nodes  Lymphatic system hyperplasia  Breast biopsy  Breast neoplasms diagnosis
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