What does 4a mean in breast exam?

Many people go to the hospital for a breast ultrasound because of chest discomfort or because they touch a small nodule with their hands. When they get the test results, they see "breast mass 4a" written on it. What does this mean? Do you need surgery? A series of questions flashed through my mind. It is recommended that you read this article as soon as possible to find the answer. So what does breast exam 4a mean?

Generally speaking, when hospitals perform breast ultrasound examinations on patients, they usually classify their breast lumps into grades from 0 to 6.

Among them, grade 0 means that no disease can be detected and further imaging diagnostic examinations are needed to confirm the diagnosis, or it may be just a false alarm; grade 1 means that there are no abnormal signs and close attention is needed in daily life; grade 2 means that normal symptoms such as breast cysts, implants, intramammary lymph nodes, fibroadenomas, etc. are found, and the progression rate of these symptoms is 0%, and the probability of recovery is 100%; grade 3 often sees hyperplastic nodules, multiple complex cysts, etc., with a progression rate of less than 2%. Generally, no surgery is required, and regular observation and follow-up are sufficient; grade 4 can be further divided into 4a, 4b, and 4c, all of which indicate abnormal malignancy, with the probability of malignancy being 3%-10%, less than 50%, and 50%-94%, respectively; grade 5 indicates that the possibility of breast cancer is very high, exceeding 95%; grade 6 indicates that it is a disease that has been confirmed as malignant by puncture biopsy.

Seeing this, I believe everyone knows what breast ultrasound 4a means and what it represents, right?

Next, let’s talk about “whether breast ultrasound examination 4a requires immediate surgical treatment”.

Generally, doctors will advise not to rush into surgery, and it is best to decide whether to have surgery after confirming the condition.

When the breast ultrasound result is 4a, a fusion mammography or MRI examination is required, and if necessary, a lump puncture biopsy under ultrasound guidance is performed to immediately establish the condition. However, in reality, many women refuse to do puncture biopsy due to fear. Some women do not care about the results of the matter and do not take the doctor's advice to heart. They just go to some private plastic surgery organizations for massage and try to remove the lumps. As a result, they delay the treatment opportunity and aggravate the condition. It is not difficult to see that if the breast ultrasound result is 4a, you should follow the doctor's instructions for further examination to confirm the condition. Maybe it is not breast cancer, which is not impossible. After all, the probability of malignancy of 4a is only 3%-10%.