Is it accurate to do breast ultrasound examination one week before menstruation?

Is it accurate to do breast ultrasound examination one week before menstruation?

The most common diseases among women are gynecological inflammation and breast diseases. Under normal circumstances, women need to undergo regular physical examinations to check gynecological and breast conditions. The menstrual period is an important period for women, and there are many demands during the period, and the female body needs to adjust. But there should be requirements for breast examinations, so women can avoid serious deterioration of their condition during the examination. Is it accurate to do a breast ultrasound examination a week before menstruation?

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, facing a breast ultrasound examination report full of professional terms, how can we 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, that is, "talking about the picture" (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 of all, in the “ultrasound description”, there is a lot of information that we need to perceive. 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 a patient, "Your tumor is larger than 2 cm, and surgery is recommended." This means that any one of the three diameters of the tumor is larger than 2 cm.

4. Echo: In breast ultrasound, nodules generally have four types of echo:

(1) Highly echogenic nodules: Indicates the presence of calcification foci in breast tissue. The calcification foci that can be detected by B-ultrasound are generally large, while some small calcification foci are sometimes difficult to detect by B-ultrasound. At this time, Dr. Fu will recommend a mammography examination. Some patients become particularly nervous when they see "calcification foci". In fact, calcification lesions can be divided into benign and malignant. Benign calcification foci include fibroadenomas similar to stones with hard and coarse calcifications, residual calcium salt deposits from milk stasis, exudates and necrotic substances from breast inflammation, etc. Malignant calcifications are the most common imaging manifestation of malignant tumor cells in breast cancer.

(2) Hypoechoic nodules: The most common, representing solid nodules of the breast, commonly known as "solid" nodules. Whether surgical treatment is required depends on other descriptions.

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