Role of Ultrasound in Management of Breast Cancer
Islam Mahmoud Hazzaa;
Abstract
It is well known that cancer breast is the second cause of death among females and the most type of cancers in ladies with exception of skin cancers.
Breast is one of the most important symbols of femininity and its removal has a great psychological effects.
The breast was one of the first organs examined with sonography.
Ultrasonography is an indispensable tool in breast imaging and is complementary to both mammography and magnetic resonance imaging of the breast.
Breast US is used as an adjunct to the physical examination, to guide biopsies and to guide surgical procedures.
US is routinely used to guide breast biopsies and is also emerging as a supplemental screening tool in women with dense breasts and a negative mammogram.
Ultrasound is a less expensive imaging technology that can be used for many organ systems.
The advantages of using US in a breast practice include accurate surgical Planning when the preoperative diagnosis is known, ability to remove benign lesions and the fact that it does not require radiation and contrast and is readily available and easy to repeat to allow comparison with previous findings.
The use of two-dimensional and 3D intra-operative US may decrease the incidence of positive margins and decrease re-excision rates.
Breast US can clarify abnormalities found on physical examination. US Imaging can help to determine if the abnormality is single or multiple, solid or cystic, can give its accurate measurements, can look at the ductal system for causes of nipple discharge and also identify benign and malignant features of the abnormal area.
Ultrasound is currently the primary imaging modality recommended Not only to guide interventional breast procedures such as cyst aspiration, large core biopsies but also intraoperative such as needle localization, lumpectomy, sentinel node procedures and brachytherapy devices.
US-guided FNA can be done for other fluid collections of the breast such as lymphoceles, abscesses, seromas and hematomas. FNA of solid masses also can be performed with US-guidance.
Ultrasound is more sensitive than physical examination alone in determining axillary lymph node involvement during preliminary staging of breast carcinoma.
Axillary ultrasonography is increasingly being used to improve the staging of breast cancer patients who have negative axillary lymph nodes on physical examination.
US-guided FNA of non-palpable indeterminate and suspicious axillary lymph nodes is a simple, safe, feasible, time-saving, sensitive, minimally invasive, and reliable technique for the initial determination of axillary lymph node status in breast carcinoma.
Nowadays, Preoperative sentinel lymph node identification with Ultrasound using microbubbles in patients with breast cancer.
Future directions such as Intravenous US micro bubbles contrast agents have been used to enhance US diagnosis by means of analysis, enhancement patterns, the rate of uptake and washout, and identification of tumor angiogenesis.
Breast is one of the most important symbols of femininity and its removal has a great psychological effects.
The breast was one of the first organs examined with sonography.
Ultrasonography is an indispensable tool in breast imaging and is complementary to both mammography and magnetic resonance imaging of the breast.
Breast US is used as an adjunct to the physical examination, to guide biopsies and to guide surgical procedures.
US is routinely used to guide breast biopsies and is also emerging as a supplemental screening tool in women with dense breasts and a negative mammogram.
Ultrasound is a less expensive imaging technology that can be used for many organ systems.
The advantages of using US in a breast practice include accurate surgical Planning when the preoperative diagnosis is known, ability to remove benign lesions and the fact that it does not require radiation and contrast and is readily available and easy to repeat to allow comparison with previous findings.
The use of two-dimensional and 3D intra-operative US may decrease the incidence of positive margins and decrease re-excision rates.
Breast US can clarify abnormalities found on physical examination. US Imaging can help to determine if the abnormality is single or multiple, solid or cystic, can give its accurate measurements, can look at the ductal system for causes of nipple discharge and also identify benign and malignant features of the abnormal area.
Ultrasound is currently the primary imaging modality recommended Not only to guide interventional breast procedures such as cyst aspiration, large core biopsies but also intraoperative such as needle localization, lumpectomy, sentinel node procedures and brachytherapy devices.
US-guided FNA can be done for other fluid collections of the breast such as lymphoceles, abscesses, seromas and hematomas. FNA of solid masses also can be performed with US-guidance.
Ultrasound is more sensitive than physical examination alone in determining axillary lymph node involvement during preliminary staging of breast carcinoma.
Axillary ultrasonography is increasingly being used to improve the staging of breast cancer patients who have negative axillary lymph nodes on physical examination.
US-guided FNA of non-palpable indeterminate and suspicious axillary lymph nodes is a simple, safe, feasible, time-saving, sensitive, minimally invasive, and reliable technique for the initial determination of axillary lymph node status in breast carcinoma.
Nowadays, Preoperative sentinel lymph node identification with Ultrasound using microbubbles in patients with breast cancer.
Future directions such as Intravenous US micro bubbles contrast agents have been used to enhance US diagnosis by means of analysis, enhancement patterns, the rate of uptake and washout, and identification of tumor angiogenesis.
Other data
| Title | Role of Ultrasound in Management of Breast Cancer | Other Titles | دور الموجات فوق الصوتية في تشخيص وعلاج سرطان الثدى | Authors | Islam Mahmoud Hazzaa | Issue Date | 2015 |
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