When is breast ultrasonography indicated?

Updated: Jan 24, 2017
  • Author: Durre Sabih, MBBS, MSc, FRCP(Edin); Chief Editor: Mahan Mathur, MD  more...
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Ultrasound is primarily used in the diagnostic setting in the presence of a palpable abnormality or when a previous mammogram has demonstrated a focal lesion. To its advantage, both dense and fat replaced breasts can be well evaluated.

Major indications include the following:

  • Palpable abnormality

  • Focal abnormality on mammography

  • Breast pain

  • Nipple discharge

  • Follow-up of lesions not biopsied (mostly BIRADS-3 lesions)

  • Determination of lesion extent in patients with suspicious or malignant nodules

  • Assessment of regional lymph nodes in patients with suspicious or malignant lesions

  • Guiding interventional procedures

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