Sclerosing adenopathy of the breast can have nodular strong echoes. Sclerosing adenopathy of the breast, also called nodular sclerosis and adenopathy tumor, is a benign proliferative breast disease, characterized by central lobular ductal hyperplasia with interstitial collagen fibers and other hyperplasia, which leads to different degrees of pressure, deformation, and narrowing of the ducts, resulting in the formation of well-demarcated, tough, and small nodules, which may be accompanied by micro-calcified foci, and may be manifested as punctate echoes on ultrasound examination. Therefore, patients with sclerosing adenopathy of the breast are easily misdiagnosed as breast cancer. Therefore, when patients have punctate strong echoes, they should go to the hospital in time for further examination, pay attention to differentiate sclerosing adenopathy of the breast from invasive carcinoma of the breast, and under the guidance of professional doctors, carry out active treatment.