Skip to content


Breast Cancer Research

Volume 10 Supplement 3

Symposium Mammographicum 2008

Open Access

Only skin deep: a pictorial review of skin and subcutaneous lesions

  • P Moyle1,
  • M Hunt1 and
  • P Britton1
Breast Cancer Research200810(Suppl 3):P47

Published: 7 July 2008

Many skin and subcutaneous lesions can be demonstrated on screening mammograms, and may mimic malignancy. Careful clinical history and meticulous annotation is paramount to avoid pitfalls in mammographic interpretation, inappropriate recall and further evaluation. The National Health Service Breast Screening Programme [1] states that radiographers should note on the screening sheet any significant or relevant symptoms reported by the women or observed during the examination.

We shall illustrate 20 examples of radiographer-annotated lesions and correlate them with their corresponding mammograms and ultrasounds. Examples include sebaceous glands, seborrhoeic keratosis, skin tags, dimples from underlying malignancy, surgical scars, artefacts mimicking microcalcification, distended veins of Mondor's disease, central venous thrombosis, iliac vein thrombosis as well as peau d'orange.

Correct annotation can help to avoid misdiagnosis, unnecessary recall, anxiety and further investigations. The importance of meticulous radiographer annotation is emphasized.

Authors’ Affiliations

Cambridge Breast Unit, Addenbrooke's Hospital, Cambridge, UK


  1. NHSBSP National Quality Assurance Coordinating Group for Radiography: Information and Advice for Health Care Professionals in Breast Screening. NHSBSP Publication No. 53, section 8.1. 2002Google Scholar


© BioMed Central Ltd 2008