Diagnostic and Interventional Radiology
Breast Imaging - Original Article

Background parenchymal enhancement: is it just an innocent effect of estrogen on the breast?

1.

Department of Radiology, Maltepe University School of Medicine, İstanbul, Turkey

2.

Department of Radiology, (0000-0001-7030-4999), Maltepe University School of Medicine, İstanbul, Turkey

3.

Radiologica Imaging Center,(0000-0001-6692-0828), İstanbul, Turkey

Diagn Interv Radiol 2017; 23: 414-419
DOI: 10.5152/dir.2017.17048
Read: 393 Downloads: 74 Published: 03 September 2019

Abstract

PURPOSE: We aimed to retrospectively analyze whether background parenchymal enhancement (BPE) on breast magnetic resonance imaging (MRI) correlates with menarche, menopause, reproductive period, menstrual cycle, gravidity-parity, family history of breast cancer, and the Breast Imaging-Reporting and Data System (BI-RADS) category of the patient.

 

METHODS: The study included 126 pre- and 78 postmenopausal women who underwent breast MRI in our institute between 2011 and 2016. Patients had filled a questionnaire form before the MRI. Two radiologists blinded to patient history graded the BPEs and the results were compared and analyzed.

 

RESULTS: The BPE was correlated with patient age and the day of menstrual cycle (P < 0.01 for both). No correlation was found with menarche age, menopause age, total number of reproductive years, and family history of breast cancer. In the moderate BPE group, only 1 out of 35 patients and in the marked BPE group only 1 out of 13 patients were postmenopausal and had BI-RADS scores of 4 and 5, respectively.

 

CONCLUSION: Increased symmetrical BPE is mainly due to current hormonal status in the premenopausal women. High-grade BPE, whether symmetrical or not, is rarely seen in postmenopausal women; hence, these patients should be further investigated or closely followed up.

 

You may cite this article as: Arslan G, Çelik L, Çubuk R, Çelik L, Atasoy MM. Background parenchymal enhancement: is it just an innocent effect of estrogen on the breast? Diagn Interv Radiol 2017; 23: 414–419.

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