Abstract
Both normal and ectatic milk ducts are readily detected on breast sonograms (Fig. 2.1). Intraductal masses, however, cannot be reliably identified with ultrasound. As Fig. 2.2 illustrates, intraductal papillomas or carcinomas may produce internal echoes in dilated ducts, but these echoes are indistinguishable from the echoes that occur when the beam cuts normal duct walls tangentially. Thus, the presence of duct ectasia or a prominent ductal pattern on the sonogram of the nonlactating breast is an indication for further diagnostic evaluation by contrast ductography (see Chap. 5). It should be noted that large areas manifesting a ductal structure are less suspicious for disease than small, very prominent areas or isolated ectatic ducts.
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Hackelöer, BJ., Duda, V., Lauth, G. (1989). Benign Diseases. In: Ultrasound Mammography. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3476-0_2
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DOI: https://doi.org/10.1007/978-1-4612-3476-0_2
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