This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Leung, J. W. T. Articles by Gotway, M. B. Search for Related Content PubMed PubMed Citation Articles by Leung, J. W. T. Articles by Gotway, M. B.

Utility of Targeted Sonography in the Evaluation of Focal Breast Pain

Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (J.W.T.L., P.J.K.); and Department of Radiology, University of California, San Francisco, San Francisco General Hospital (M.B.G.).

Address correspondence and reprint requests to Jessica W. T. Leung, MD, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, L1, Boston, MA 02115.

Objective. To determine the utility of targeted sonography in the evaluation of patients with focal breast pain. Methods. From January 1995 through December 1999, 110 targeted sonographic examinations were performed in 99 patients for evaluation of focal breast pain in the absence of an associated palpable mass. The sonographic, mammographic, and clinical findings were reviewed. The hospital pathology database was searched to identify any interval cancers and false-negative interpretations. Results. No cancer was identified in any of the 110 examinations. Eighty-five (77.3%) of the examinations had negative findings. Cysts were identified in 15 cases (13.6%), and 3 solid masses (2.7%) were identified. Two of these 3 solid masses had biopsies and were shown to be benign, whereas the third mass was followed for 29 months without change. Most patients were premenopausal, had no family or personal history of breast cancer, and were not taking exogenous hormones. Eighty-five patients (77%) were referred by primary care physicians. Conclusions. In patients with focal breast pain without an associated palpable mass, sonography may be more useful for patient reassurance than for cancer detection.

Key Words: breast • breast, cyst • breast, sonography • sonography, focused

This article has been cited by other articles:

				J. H. Youk, M. J. Kim, E.-K. Kim, J. Y. Lee, K. K. Oh, and B. W. Park Recurrence of adenoid cystic carcinoma in the breast after lumpectomy and adjuvant therapy. J. Ultrasound Med., July 1, 2006; 25(7): 921 - 924. [Full Text] [PDF]