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Efficacy of Ultrasonography in Breast Cancer Screening
J Surg Ultrasound 2019;6:1-7
Published online May 31, 2019
© 2019 The Korean Surgical Ultrasound Society

Hyun Jo Youn, Ha Rim Ahn, Sang Yull Kang, Sung Hoo Jung

Division of BreastㆍThyroid Surgery, Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea
Correspondence to: Sung Hoo Jung
Division of BreastㆍThyroid Surgery, Department of Surgery, Chonbuk National University Medical School, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, Korea
Tel: +82-63-250-2133, Fax: +82-63-271-6197, E-mail: shjung@jbnu.ac.kr
Received February 11, 2019; Revised April 30, 2019; Accepted May 2, 2019.
Journal of Surgical Ultrasound is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A good screening test should be widely available, inexpensive, and have high sensitivity and specificity. Mammography is the only screening modality proven to reduce the mortality of breast cancer. On the other hand, with the increasing awareness of mammography limitations, particularly in a dense breast, supplemental screening for breast cancer with other imaging modalities has been expanding. Breast ultrasonography has the advantage of detecting mammographically occult breast cancers in a dense breast. On the other hand, operator dependence, false positive rates, and rising costs due to increased biopsy rates are a problem. Thus far, the guidelines for the implementation of screening breast ultrasonography have not been established. Physicians should be able to understand the efficacy of breast ultrasonography as the screening modality for breast cancer and perform risk-based screening approaches for individual women. This paper reviews the efficacy, limitations and implementation of screening breast ultrasonography for breast cancer.
Keywords : Breast neoplasms, Screening, Ultrasonography, Breast density