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Annual screening with MRI and mammography beginning at age 30 for high-risk women is felt to be effective. Although breast cancer is relatively common and remains the second leading cause of death in women, the majority of findings discovered on imaging which undergo percutaneous biopsy are benign. Furthermore, when there is radiology-pathology discordance following image-guided biopsy, surgical excision is subsequently performed.

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Benign and malignant characteristics of breast lesions at ultrasound allow the classification as either malignant, intermediate or benign based on work published by Stavros et al. In all cases of lesions other than those which are absolutely benign, real time review by the radiologist is mandatory. Review of the mammogram is essential when interpretation of an ultrasound is performed.

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Breast cysts are round or oval structures filled with fluid. Most breast cysts are benign and do not increase your risk of breast cancer. They can be very tiny, or they can be large enough to feel through the skin or see on an imaging test a grossly evident cyst, or gross cyst.

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Because of the physiological changes that occur during pregnancy and lactation, diagnostic ultrasound of the breast during these periods is a challenge for physicians. Therefore, a comprehensive understanding of imaging, anatomy, and physiology of the breast is important to effectively diagnosing diseases that can arise in women who are pregnancy or lactating. The aim of this article was to review the physiological changes that occur in the breasts during pregnancy and lactation, as well as to describe the main features of the breast diseases that occur most frequently during these periods.

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A lump in the breast is a cause of great concern. High frequency, high-resolution USG helps in its evaluation. This is exemplified in women with dense breast tissue where USG is useful in detecting small breast cancers that are not seen on mammography.

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While all of the above modalities can potentially detect breast cancer, mammography is still the gold standard for early detection. Several benign breast conditions can produce a spiculated density which may be indistinguishable on mammography from carcinoma. On exam, you find lumps that feel cystic in nature. The patient has no risk factors for breast cancer.

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A breast lump is a growth of tissue that develops within your breast. Different types of breast lumps can vary in the way they look and feel. Sometimes, a breast lump is a sign of breast cancer.

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The fear this sentence creates is real, but can be quieted by facts. Most abnormalities on a mammogram are NOT breast cancer. During a screening mammogram, the breast is X-rayed in two different positions: from top to bottom and from side to side. When a mammogram is viewed, breast tissue appears white and opaque cloudyand fatty tissue appears darker and translucent semitransparent.


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