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Breast ultrasounds may be used with or without a mammogram. Breast ultrasound is the use of medical ultrasonography to perform imaging of the breast. It can be used as either a diagnostic or a screening procedure. [38] It may be used either with or without a mammogram. [39]
Breast ultrasound is also used to perform fine-needle aspiration biopsy and ultrasound-guided fine-needle aspiration of breast abscesses. [8] Women may prefer breast ultrasound over mammography because it is a painless procedure and does not involve the discomfort of breast compression present in mammograms.
Staging breast cancer is the initial step to help physicians determine the most appropriate course of treatment. As of 2016, guidelines incorporated biologic factors, such as tumor grade, cellular proliferation rate, estrogen and progesterone receptor expression, human epidermal growth factor 2 (HER2) expression, and gene expression profiling into the staging system.
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A suspicious area on mammography or ultrasound. [9] This may include: Microcalcifications on MRI. [10] BI-RADS score of 4 or 5 on mammography, ultrasound, or MRI. [11] A suspicious hard palpable lump [9] Skin changes like crusting, scaling, or dimpling of the breast, which may signal an underlying breast cancer [9] Abnormal nipple discharge [7] [9]
The standard treatment of galactographically suspicious breast lesions is to perform a surgical intervention on the concerned duct or ducts: if the discharge clearly stems from a single duct, then the excision of the duct (microdochectomy) is indicated; [2] if the discharge comes from several ducts or if no specific duct could be determined ...
The "Egan technique", as it became known, enabled physicians to detect calcification in breast tissue; [68] of the 245 breast cancers that were confirmed by biopsy among 1,000 patients, Egan and his colleagues at M.D. Anderson were able to identify 238 cases by using his method, 19 of which were in patients whose physical examinations had ...
With automated whole-breast ultrasound, the ultrasound transducer is guided over the breast in an automatic manner. The position and speed of the transducer is regulated automatically, whereas the angle of incidence and the amount of pressure applied is set by the human operator.