What are the ACR appropriateness criteria for male breast cancer imaging?

Updated: Apr 11, 2019
  • Author: Lars J Grimm, MD, MHS; Chief Editor: Eugene C Lin, MD  more...
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Answer

Answer

According to the American College of Radiology Appropriateness Criteria, for men younger than 25 years with an indeterminate palpable mass, ultrasound should be the first imaging modality used, because breast cancer is highly unlikely. Mammography should be performed if ultrasound findings are suspicious. For men who are 25 years or older or  have a highly concerning physical examination, usually begin with mammography, and then ultrasound is useful if mammography is inconclusive or suspicious. [21]


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