1/24/2024 0 Comments Birads 2 benign findings![]() It is the first cross-sectional study in Latin America to determine the association between suspected ultrasound malignancy by BIRADS classification and mastalgia.Ī cross-sectional study was performed out among women who underwent breast ultrasound between June 1 and December 31, 2018, at the Ultrasound Unit of the del Prado Clinic. The objective of the study is to know the prevalence of BIRADS among women with or without breast pain, to describe the demographic and clinical characteristics, and to determine the association between breast pain and BIRADS ultrasound report 4-5. In patients with mastalgia, biopsy by fine needle aspiration, cutting, or surgery is not justified 12. In the detection of cancer, ultrasound has a greater sensitivity compared to mammography (95.7% versus 60.9%) 12 ). For its part, the American College of Radiology (ACR) considers that ultrasound is indicated in the evaluation and characterization of palpable masses and other signs and / or symptoms related to the breast 11. In this regard, the National Comprehensive Cancer Network (NCCN) carries out clinical practice guidelines for the detection and diagnosis of breast cancer, and does not consider mastalgia an alarm sign 10. Since breast cancer is the most common cancer in women in the world, causing 521,907 deaths per year 8, breast pain becomes a cancer concern for many however, only in 2.5% of cases is there an association between the two 9. Mastalgia is associated with cysts and fibrocystic changes, which are seen on ultrasound as anechoic images with posterior enhancement, and imaging follow-up is not required for this cause 7. If the clinical examination is suspicious, mammography should be requested and ultrasound-guided biopsy is indicated in the event of the suspicious finding 6. ![]() Only when it falls outside these parameters is it considered pathological 4.īreast ultrasound is not indicated in mastalgia, however in many cases it is requested as the first line of study,even if no alterations have been found in the physical examination, being of choice for young women under 40 years of age or older with dense breast tissue 5. 70% of women suffer from breast pain at least once in their life 2 and it is the cause of medical consultation in 47% 3 ).Ĭyclic mastalgia is the most common and manifests as throbbing pain, tension or bilateral and cyclical breast discomfort with the menstrual period, of slight intensity and lasting less than five days, having little influence on daily life, it resolves spontaneously and does not requires more treatment than general measures. Breast pain is called "mastalgia" or "mastodynia" and is a common symptom among women who undergo breast ultrasound 1.
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