Ultrasound

criteria of
Breast lesion

Presented by :

DR Laith
Fadhel
M.B.ch.B ,
P.G.C.R

Breast ultrasound

1.

2.

3.
4.
5.

6.

Breast anatomy
Skin
subcutaneous
tissue
Glandular tissue
( ducts ,lobules )
lobes 20-30
Fatty tissue
Fibrous tissue
Vessels ,
lymphatic's
vessels- nods
Muscular layer

Breast lesion
types

Cystic lesion mass

lesion mixed
1- fibro adenoma
2- breast cyst
3- abscess mastitis
ductal ectasia
4- fibrocystic disease
5- tumor

Grossly
examination

lock for :
Nipple
Skin
Discharge

US procedure

High frequency liner

probe
7.5 12 MHZ

Mass US criteria

Benign
Shape oval, round
Smooth thin margin
Consistency texture
(
homogenous internal
echoes)
Not deep expansion ( wide )
No acoustic attenuation
No micro calcification
No ill-defined cystic changes
Normal vascularity ( by
Doppler )
No associated axially LNP

Malignant
Variable shape
Irregular margin
( spiculated irregular
lobulated )
Heterogeneous texture
Deep alignment /
expansion
Acoustic shadow present
With ill-defined cystic
changes
Micro calcification
Associated axially LNP

Malignant

Hypo echoic mass

Hyper vascular by
Doppler study

Different cases

Example of cystic
lesion
Breast abscess
Galactocele
Lipid cyst

Ductal

carcinoma

Spiculated , deep
alignment

Simple breast cyst

The first diagnostic

imaging study Is

mammography
But ultrasound is
important
To differentiate solid
from cyst

Fibrocystic lesion

Benign lesion

Management of
mass

See
diagram

Management of cyst

See diagram

Breast Cancer
Symptoms

There are often no

symptoms of breast
cancer, but sometimes
women may discover a
breast problem on their
own. Signs and
symptoms to be aware of
may include

A painless lump in the

breast.
Changes in breast
size or shape.
Swelling in the
armpit.
Nipple changes or
discharge.
Breast pain can also
be a symptom of
cancer, but this is not
common.

Breast Cancer: Why

Me?
The most obvious risk factor for breast
cancer is being a woman. Men get the
disease, too, but it is about 100 times
more common in women. Other top
risk factors include being over age 55
or having a close relative who has
had the disease. But keep in mind that
up to 80% of women with breast
cancer have no family history of the
illness.
Risk Factors in Your Control
Being overweight, getting too little
exercise, and drinking more than one
alcoholic beverage per day can raise
the risk of developing breast cancer.
Birth control pills and some forms of
postmenopausal hormone therapy can
also boost your risk. But the risk goes
back to normal after these medications
are stopped. Among survivors, good
lifestyle choices may be helpful.
Recent studies suggest that physical
activity may help lower the risk of a
recurrence and it's a proven moodbooster.

Breast Cancer Genes

Some women have a very
high risk of breast cancer
because they inherited
changes in certain genes.
The genes most commonly
involved in breast cancer
are known as BRCA1 and
BRCA2. Women with
mutations in these genes
have up to an 80% chance
of getting breast cancer at
some point in life. Other
genes may be linked to
breast cancer risk as well.