[Real-time sonography in breast diagnosis. Indication and value]

Area of Science:

• Medical Imaging
• Diagnostic Ultrasound
• Breast Imaging

Context:

• Real-time sonography is increasingly vital for breast lesion evaluation.
• Ultrasound techniques have advanced, enhancing diagnostic capabilities.
• The study analyzed 200 patients undergoing sonographic breast examinations.

Purpose:

• To assess the utility and limitations of real-time sonography in breast lesion evaluation.
• To determine the effectiveness of sonography in differentiating between benign cystic and solid breast masses.
• To compare sonography's diagnostic yield with palpation and mammography.

Summary:

• Sonography is most effective for palpable breast masses, with lower yield in diffuse breast disease.
• The primary role of sonography is distinguishing between cystic and solid masses.
• Sonographic differentiation of solid tumors can be challenging, often necessitating biopsy confirmation.
• Palpation and mammography remain essential, with sonography serving as a complementary tool.

Impact:

• Highlights sonography's strengths in characterizing palpable breast lesions, particularly cystic vs. solid masses.
• Underscores the need for integrated diagnostic approaches, combining sonography with palpation and mammography.
• Informs clinical practice regarding the appropriate application and interpretation of breast sonography.