Is ultrasound screening after tomosynthesis justified in patients with a personal history of breast cancer?

Abstract

Aim and Objectives: To evaluate the added value of breast ultrasound to screening tomosynthesis in women previously treated for breast cancer. Material and Method: In the study were included 100 patients with previously diagnosed and treated breast cancer. The patients were examined with tomosynthesis and breast ultrasound. BI-RADS assements were made after tomosynthesis and ultrasound and compared with the final assesment. Results: On tomosynthesis, 97% of the patients were normal or had benign changes (BI-RADS 1 or 2) and only 3 patients (3%) had highly suspicious for malignancy lesions (BI-RADS 5). On ultrasound, 97 patients (97%) had no pathological or benign finfindings, one had possible malignant finding (BI-RADS 4) and 2 had highly suspicious for malignancy lesions (BI-RADS 5). The major differencies between tomosynthesis and ultrasound were observed in BI-RADS 1 and 2 cases. Conclusion: if the screeing is performed with tomosynthesis, supplimentary ultrasound examination is of no benefit. Even in patients previously treated for breast cancer, ultrasound does not bring informations that would change the manegement of these patients.