Ultrasound criteria of Breast lesion

Presented by :

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

Breast ultrasound

Breast anatomy1. Skin –subcutaneous

tissue 2. Glandular tissue

( ducts ,lobules ) – lobes 20-30

3. Fatty tissue 4. Fibrous tissue 5. Vessels , lymphatic's

vessels- nods 6. 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 importantTo differentiate solid from cyst

Fibrocystic lesion

Benign lesion

Management of mass

See diagram

Management of cyst

See diagram

Breast Cancer Symptoms • 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.

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

Breast Cancer: Why Me? • 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.

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 ControlBeing 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 mood-booster.