Ultrasound

When a suspicious site is detected in your breast through a breast self-exam or on a screening mammogram, your doctor may request an ultrasound of the breast tissue. A breast ultrasound is a scan that uses penetrating sound waves that do not affect or damage the tissue and cannot be heard by humans. The breast tissue deflects these waves causing echoes, which a computer uses to paint a picture of what’s going on inside the breast tissue (no radiation is involved). A mass filled with liquid shows up differently than a solid mass.

The detailed picture generated by the ultrasound is called a “sonogram.” Ultrasounds are helpful when a lump is large enough to be easily felt, and the images can be used to further evaluate the abnormality.

A breast ultrasound can provide evidence about whether the lump is a solid mass, a cyst filled with fluid, or a combination of the two. While cysts are typically not cancerous, a solid lump may be a cancerous tumor. Healthcare professionals also use this diagnostic method to help measure the exact size and location of the lump and get a closer look at the surrounding tissue. If it is determined that the lump is cancer, the measurement on imaging determines its “clinical” stage.

If your mammogram screening was abnormal, don’t panic. The free resource, Abnormal Mammograms and What to Do Next, details the different kinds of tests you may need and includes a list of specific questions to ask your doctor at your next appointment. Be prepared to understand your results and empowered with critical information about your next steps.

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