Evaluation of Breast Nodules by Ultrasound

Rodrigo Arrangoiz MS, MD, FACS, FSSO

1. You first evaluate the lesion for any of the 10 malignant signs:

  • Shadowing
  • Hypoechoic echotexture
  • Spiculation
  • Angular margins
  • Thick echogenic capsule
  • Taller than wider
  • Microlobulation
  • Duct extension
  • Branching pattern
  • Calcifications

2. Finding none, you move on to the second step in the evaluation process and specifically look for one of the three strictly defined benign signs, and if any of them is found, the lesion can be considered BI-RADS 3.

3. The three benign findings defined by Stavros are:

  • A purely hyperechoic lesion with no hypoechoic area larger than a normal duct or lobule.
  • Elliptical, wider than tall, well-circumscribed and thin echogenic capsule.
  • Gently lobulated, wider than tall, well-circumscribed and thin echogenic capsule.

– Combining the elliptical or gently lobulated shapes with the presence of a complete, thin echogenic capsule is necessary because many circumscribed carcinomas and most ductal carcinoma in situ are encompassed in a thin, echogenic capsule.

#Arrangoiz #BreastSurgeon #BreastCancer #CancerSurgeon #CASO #CenterforAdvancedSurgicalOncology

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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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