How to grade breast nodules by ultrasound?

Dear female friends, you need to protect your breasts in daily life. There is a lot of work to do. Women working in the workplace are often under great pressure. If a woman is under high pressure for a long time, she is more likely to develop breast diseases, so emotional adjustment is very important. In addition, you should not stay up late often, try to avoid taking birth control pills, etc. If breast nodules appear, you must go to the hospital for examination in time. The most common examination is B-ultrasound. How are breast nodules graded clinically?

Ultrasound grading of breast nodules:

There are six levels in total.

Grade 1: Breast hyperplasia

Grade 2: There will be nodules, but no blood flow, which means that regular check-ups are sufficient if the tumor is not very large.

Grade 3: Nodules with visible bleeding, usually requiring surgery

Grade 4: Nodules, malignancy cannot be excluded

Grade 5: Nodules, high risk of malignancy

Stage 6: Breast cancer

Color Doppler ultrasound showed that the tumor was 0.5*0.5 cm, which was a bit small, and the puncture might not be accurate (but I don't know in which hospital the color Doppler ultrasound was done, and what the hospital used to grade it, because the grading methods are different, and the standards for evaluating benign and malignant tumors are different). It can be surgically removed and then pathologically examined.

Breast B-ultrasound is one of the most commonly used methods for breast examination. In clinical practice, almost every patient with breast disease needs to undergo B-ultrasound examination. Because B-ultrasound is non-invasive, convenient, and low-cost, it is more sensitive to nodular lesions. So, when faced with a breast ultrasound examination report full of professional terms, how can you get the information that the ultrasound doctor wants to convey from the report?

A qualified breast B-ultrasound report is divided into two parts. The first part is the ultrasound description, in which the ultrasound doctor describes the internal conditions of the breast based on the ultrasound imaging, which is also called "talking with pictures" (some hospitals will issue ultrasound reports with accompanying imaging pictures). The second part is the ultrasound prompt, which is the summary and judgment of the ultrasound imaging by the ultrasound doctor based on his professional knowledge and clinical experience, that is, "drawing a conclusion".

First, there is a lot of information to perceive in the "ultrasound description". Because it is "telling stories with pictures", you write down what you see, so the content of the description is relatively objective.

1. Location: left breast or right breast? There is no need for Dr. Fu to explain this in detail. As long as you know the words "left" and "right", you will know which breast is having problems.

2. Location: The direction of the breast where the lesion is located. There are currently two commonly used methods. One is more intuitive, such as "above, below, inside, outside", etc. The other is the "clock" method, which corresponds to the position of a clock. For example, 12 o'clock corresponds to the top, 6 o'clock corresponds to the bottom, 2 o'clock on the left breast refers to the upper and outer direction of the left breast, and 2 o'clock on the right breast refers to the upper and inner direction of the right breast. And so on.

3. Size: In the B-ultrasound report, the measurement of nodule size usually includes three diameters, namely "length*width*height". The simplest description of nodule size by breast doctors is to take the maximum value of the three diameters: "length, width, and height", rather than the product of the three. For example, Dr. Fu would tell patients that "the tumor is larger than 2 cm and surgery is recommended", which means that any one of the three diameters of the tumor is larger than 2 cm.