RADIO-IMAGISTIC INVESTIGATIONS ALGORITHM IN BREAST CANCER
Abstract:
We define algorithm as a complex of rules and operations that have to be performed in a certain order to establish a precise/accurate diagnosis in a useful therapeutic time. Regarding the women under 30 years old, after the clinical examination, ultrasonography represents the first investigation which usually has to be made. We also recommend echography as a first investigation in pregnant women, in women after birth, in order to monitor the breast implants and, in general, regarding any kind of breast with high density. After the age of 30, breast examination is made by associating breast echography to mammography, especially in the cases with high density breasts or in the presence of unconvincing mammography. After menopause, we recommend the periodical examination (screening) of women, which should be performed first mammographically, and in the unclear cases, we recommend the use of other ultrasound investigations or investigations which should offer a correct diagnosis in 90-95% of the cases. Mammography still remains the first screening method, and it is uncertain that, in the near future, it will be replaced with the new techniques in the imagistic diagnosis of breast cancer. Bioptic puncture is the method which finally will certify the benignity or malignity of the lesion.
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