Volume 8 Supplement 1

Symposium Mammographicum 2006

Open Access

Feasibility of surgeon performing ultrasound in symptomatic breast clinics: the Brighton experience

  • RS Rathinaezhil1,
  • C Zammit1 and
  • G Rubin1
Breast Cancer Research20068(Suppl 1):P22

https://doi.org/10.1186/bcr1437

Published: 10 July 2006

Introduction

Breast ultrasound (US) is becoming increasingly used by surgeons in symptomatic breast clinics as an extended tool for diagnosis and as an adjunct to interventional procedures.

Aim

To assess the feasibility of surgeons performing breast US in symptomatic breast clinics either as an adjunct to triple assessment or on their own for diagnostic and therapeutic purposes.

Method

We analysed the results of one surgeon performing diagnostic and interventional US procedures after appropriate training as recommended by the Royal College of Radiologists and the support of a local radiologist between January 2004 and April 2005. One hundred and fifty-six patients underwent an US scan either on its own or as part of the triple assessment.

Results

See Table 1.

Table 1

72 patients (46%) had US only without needle procedure (as not deemed necessary on clinical grounds on first visit)

69 patients (96%) had normal findings and three patients (4%) had indeterminate or suspicious results subsequently downgraded by the radiologist

50 patients (32%) had US with fine needle procedure

49 patients (98%) had benign lesions (60% cysts, 40% solid) and one patient (2%) had a suspicious lesion, downgraded

21 patients (13%) had US with wider needle procedure

14 patients (67%) had malignant lesions, three patients (14%) had indeterminate lesions and four patients (19%) had benign lesions

Nine patients (6%) had US to assess response to endocrine treatment

In addition to clinical assessment

Four patients (3%) had US not double reported by the radiologist

Two patients had normal scans, one patient had fibroadenoma removed surgically and another had gynaecomastia

Conclusion

Of the three patients (2%) who had a recall by the radiologists, no cancer was missed. With appropriate training and support by the radiologist, and auditing one's performance, surgeons can safely perform US scans in the breast clinic.

Authors’ Affiliations

(1)
Royal Sussex County Hospital

Copyright

© BioMed Central 2006

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