A.J. Maxwell, J.M. Pearson
Clinical Radiology 2010 65;3:218-222
Link to Journal
Nine women with breast cancer, seven with phyllodes, and six with papillomas were found.
No delayed diagnoses in those who had ultrasound would have been made if the following criteria had been applied to avoid needle sampling:
- age less than 25 years
- no known risk factors for breast malignancy
- mass not rapidly enlarging
- smooth discrete mobile mass on clinical examination, or lesion impalpable
- well-defined homogeneously isoechoic or mildly hypoechoic solid mass
- less than 3 cm in greatest dimension
- ovoid shape, aligned parallel to the skin surface
- smooth or gently lobulated contour (two or three lobulations only; no microlobulation
- thin echogenic pseudocapsule
- no calcification
- no acoustic shadowing
Needle sampling could have been safely avoided in approximately two-thirds of the women reviewed below the age of 25 with a solid breast mass
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