Role of Breast Ultrasound and Mammography in Evaluating Patients Presenting with Focal Breast Pain in the Absence of a Palpable Lump

INTRODUCTION: The four main roles of ultrasound in Breast imaging are-primary screening, supplemental screening, diagnosis and Interventional procedures. Palpable masses, abnormal nipple discharge and mammographic abnormalities constitute the most common indication for targeted Breast Ultrasound. AIM: To study the role of Ultrasound in evaluating Breast lesions and characterising them as Benign or Malignant. MATERIAL AND METHODS:This is a Retrospective analysis conducted in Department of Radiology, MGM Medical College and Hospital, Kamothey, Navi Mumbai from February 2021 to June 2021. A total of 136 patients with signs and symptoms related to breast lesions were screened. CONCLUSION: The advent of high frequency probe, easy accessibility, cost effectiveness, reliability and relatively easy to perform makes ultrasound as the prime modality of choice for screening breast lesions.

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Role of sonography done by clinicians/surgery residents in the diagnosis and management of clinically palpable breast lumps

Journal of Society of Surgeons of Nepal ◽

10.3126/jssn.v18i3.15329 ◽

2016 ◽

Vol 18 (3) ◽

pp. 57

Author(s):

AS Thapa ◽

R Ghimire ◽

R Joshi ◽

UMS Dongol ◽

DR Singh

Keyword(s):

Prospective Observational Study ◽

Breast Ultrasound ◽

Surgical Resident ◽

Institutional Review ◽

Breast Sonography ◽

Palpable Breast ◽

Breast Lumps ◽

The Individual ◽

Ethical Clearance

Introduction and Objective: The aim of the study is to correlate the sonographic findings of breast ultrasound done by clinicians/surgery residents with radiologists and also to correlate the sonographic findings of breast ultrasound with cytopathological or histopathological findings.Materials and Methods: A prospective observational study conducted at KMCTH from March 2014 to March 2015. All consecutive patients presenting with clinically palpable breast lumps were included in the study. A sample size of 30 patients was taken. All patients with clinically palpable solid breast lumps were subjected to ultrasound by a clinician/surgical resident. Ethical clearance was taken from the institutional review board and informed consent was taken from the individual patients.Results: We found that the sonography done by clinicians/surgery residents had 100% sensitivity, 84.6% specificity and PPV of 50%. There was significant correlation between the findings of the surgery residents and radiologists and the cytopathology/histopathology as well.Conclusion: Breast Sonography performed by clinicians/surgery residents is comparable to radiologists in the diagnosis of clinically palpable breast lumps. It has good correlation with cytopathological and histopathological findings.

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Current Status of Breast Ultrasound

Canadian Association of Radiologists Journal ◽

10.1016/j.carj.2010.07.006 ◽

2011 ◽

Vol 62 (1) ◽

pp. 31-40 ◽

Cited By ~ 9

Author(s):

Anat Kornecki

Keyword(s):

High Risk ◽

Breast Imaging ◽

Breast Ultrasound ◽

Current Status ◽

Axillary Lymph Nodes ◽

Axillary Lymph ◽

Tumour Extension ◽

The Status ◽

High Risk Populations

Ultrasound (US) has a significant role in diagnostic breast imaging. It is most commonly used as an adjunctive test in characterizing lesions detected by other imaging modalities or by clinical examination. US is recognized as the modality of choice in the evaluation of women who are symptomatic and younger than 30 years of age, pregnant, or lactating. Combined mammography and US appear to have a role in screening high-risk populations. The use of standard Breast Imaging Reporting and Data System US lexicon is helpful in guiding the differentiation between benign and malignant sonographic signs. Biopsy is warranted when benign features are absent or for any feature consistent with malignancy, despite other benign findings. Whole breast and axillary US are useful in assessing tumour extension, multifocality, and the status of axillary lymph nodes. US is the modality of choice for guiding interventional breast procedures. The role of US as a guidance tool for nonoperative breast treatment is being investigated.

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“A Study of Clinical and Ultrasonographic Findings of Patients Presented With Breast Pain”

International Journal Of Medical Science And Clinical Invention ◽

10.18535/ijmsci/v8i08.03 ◽

2021 ◽

Vol 8 (08) ◽

pp. 5574-5577

Author(s):

Waliur Rahman ◽

Shireen jabeen Sume ◽

Shamima Yasmin

Keyword(s):

Breast Cancer ◽

Nipple Discharge ◽

Axillary Lymph Nodes ◽

Axillary Lymph ◽

Age Group ◽

Breast Pain ◽

Duration Of Symptoms ◽

Palpable Mass ◽

Palpable Lump ◽

Study Results

Introduction: Breast pain also known as mastalgia is the dull acne in the breast, cause is multifactorial. It can affect any age group. Breast cancer is the most common site-specific cancer in women and is the leading cause of death from cancer for women aged 20-59 years worldwide. In India, breast cancer has ranked number one cancer among females, with age adjusted incidence as high as 25.8 per 100,000 women and mortality 12.7 per 100,000 women. Objective: To find out the Clinical and USG Findings of Patients Presented with Breast Pain. Settings and Design: Prospective cross-sectional descriptive study. Materials and Methods: Patients with complaints of breast pain in the age group 15 to 60 years with clinically no palpable mass attending to the Dept. of General Surgery, Chuadanga Sadar Hospital, Chuadanga, Bangladesh between January 2020 to December 2020 were included in the study. Detailed history with particular reference to age, duration of symptoms, Size, menstruation, marital status, parity, lactation, Nipple discharge and tenderness are recorded. Pain intensity was evaluated as mild, moderate and severe. Ultrasound of the breast including the axilla was done for all cases and findings recorded to correlate with clinical features. Results: Out of 90 patients studied, majority was in the age group (21-30) years, (43%) followed by (31-40 years) (40%) respectively. 57(63%) were married and 33(43%) were single. 21 patients had 1 child, 18 had 2 children with 6 of them having no children. Out of 90 patients only 3 attained menopause, rest of them have their monthly cycles. 51 patients had cyclical breast pain and 39 had noncyclical breast pain, 39 had pain on right breast, 36 on left side and bilateral in 15 patients. Pain was mild in 15 patients, moderate in 27 patients and severe in 6 patients. Various USG findings of the affected breast were normal study in 48 patients followed by duct ectasia and hetrogenous ectogenicity fibroadenosis, small cystic lesion and enlarged axillary lymph nodes etc. Conclusion: The study results show that majority of patients with breast pain without clinically palpable lump had normal USG study. But it also detects other early changes in the breast tissue. It can be used as a baseline investigation for any breast pain without palpable lump.

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