Breast SOGs: Difference between revisions

From Clinical Guide Wiki
Jump to navigation Jump to search
(Created page with "===Mammography=== Indications and Views * <30 y/o or pregnant: ultrasound first, mammo only if needed * <6 mo since l...")
 
No edit summary
Line 11: Line 11:


===Ultrasound===
===Ultrasound===
Breast Ultrasound
[[:File:SOG_BreastUSRev02-14-2017.pdf|Breast Ultrasound]]
Axillary Ultrasound
[[:File:AxillaryUSSOG_rev_1-13-2017_Final.doc|Axillary Ultrasound]]
* Performed (ipsilateral) with breast u/s for BI-RADS 4c or 5 lesions AND lesion is >=2cm
* Performed (ipsilateral) with breast u/s for BI-RADS 4c or 5 lesions AND lesion is >=2cm
* Performed (ipsilateral) for new diagnosis of invasive breast cancer and specifically requested
* Performed (ipsilateral) for new diagnosis of invasive breast cancer and specifically requested
* If multiple abnormal nodes, number them from inferior to superior
* If multiple abnormal nodes, number them from inferior to superior


Ultrasound Guided Biopsy
[[:File:SOG_USGuidedCoreBiopsy.doc|Ultrasound Guided Biopsy]]
* Radiologist fills out specimen pathology sheet
* Radiologist fills out specimen pathology sheet



Revision as of 14:45, 31 October 2018

Mammography

Indications and Views

  • <30 y/o or pregnant: ultrasound first, mammo only if needed
  • <6 mo since last mammo: spot/mag CC, spot/mag MLO, ML
  • >= 6 mo: as above but add routine CC, MLO
  • 1 view findings: rolled CCs, ML, spot in view where seen
  • No post-bx mammo required for age <30 and either no prior mammo, or clip clearly seen with ultrasound

ACR Practice Guideline for Mammography

Ultrasound

Breast Ultrasound Axillary Ultrasound

  • Performed (ipsilateral) with breast u/s for BI-RADS 4c or 5 lesions AND lesion is >=2cm
  • Performed (ipsilateral) for new diagnosis of invasive breast cancer and specifically requested
  • If multiple abnormal nodes, number them from inferior to superior

Ultrasound Guided Biopsy

  • Radiologist fills out specimen pathology sheet

MRI

Diagnostic Breast MRI MRI Breast Biopsy

Other

Outreach Policies Suboptimal Image Quality Patient Result Notification Scheduling Patients with Implants