Breast SOGs
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Mammography
- <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
- Radiologist fills out specimen pathology sheet