A BREAST MASS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

WOMAN 45YO,  BY BREAST PALPATION, DETECTED  HERSELF  A MASS INSIDE HER RIGHT BREAST.

MAMMOGRAPHY IS NORMAL.

BUT BREAST ULTRASOUND DETECTED A MASS OF 2,5 CM AT  INTERNAL LOWER QUADRANT, HYPOECHOIC, IRREGULAR BORDER, WITHOUT POSTERIOR ENHANCEMENT. COLOR DOPPLER SHOWED ARTERIAL FEEDING  WITH ABNORMAL DOPPLER SPECTRAL PATTERN AS HIGH PEAK SYSTOLIC VELOCITY.

QUESTIONS:

1.  WHAT IS YOUR SUSGESTION?
2.  WHAT IS THE MEANING OF DOPPLER SPECTRAL PATTERN IN THIS CASE?

UPDATING=

A CORE BIOPSY HAD DONE FOR THIS CASE  AND  IT IS A BREAST CANCER.

ANSWERS

1. Basic B mode ultrasound diagnostic breast cancer is more sensitive than mammography.

2.  COLOR DOPPLER with spectral waveform detected high flow is high malignancy. Vmax is prognostic factor. With Vmax more than 25cm/s,  5 year survival is low ( 36,6%) in comparison to lower Vmax (82,3% ).