We reviewed the sonographic findings of 42 benign papillary lesions of the
breast and correlated them with pathologic findings. Sonography detected 95
% of papillomas (22 intraluminal masses, four extraductal masses, nine pure
ly solid masses, and five mixed type masses). The sonographic margins of th
e mass were well defined in 20 lesions and poorly defined in 14 lesions. Po
orly defined margins on sonography were frequent in papillomas with patholo
gic pseudoinvasion and in juvenile papillomatosis. Most benign papillary le
sions of the breast have the sonographic findings suggestive of intraductal
origin. The sonographic findings of papillary lesions correlated well with
pathologic findings.