Before each examination, a detailed history and clinical examination of the breasts is mandatory.

     During the examination, gel is used as a medium between the skin and the probe in order to eliminate acoustic phenomena and disturbances caused by air.

     The most common and best position during the examination is in flat supination (when the patient lies on her back), arms are raised, hands are placed behind the neck. If the breasts are more voluminous, the scrotum to be examined must be raised half obliquely, according to the examiner.

     Interventional puncture and biopsy procedures are performed under ultrasound control.

Absolute indications for breast ultrasound:

• Palpable tumor
• Axillary lymphadenopathy
• Diagnostic approach for people under 40 years of age and for pregnant or lactating women
• Suspected abnormalities on mammography or magnetic resonance (MR);
• Suspicious nipple discharge
• Recent nipple indentation
• Breast skin retraction
• Mastitis
• Abnormalities in the area of the surgical scar after sparing surgery or mastectomy
• Abnormalities in the presence of breast implants
• Screening of high-risk women In cases where magnetic resonance is not performed
• Guide for percutaneous interventions (broad and fine needle biopsies, preoperative localization, seroma drainage)
• Follow-up of patients with breast cancer who received non-adjuvant therapy

Relative indications:

• Additional screening after mammography for women aged 40 to 74 with dense breasts (studies have shown that in women with dense, glandular breasts, ultrasound can detect 2 to 7 cancers that are not detected for every 1,000 mammograms).
• Screening of women with a previously mammographically verified occult tumor.
• A sensitive change that a woman feels but with a normal clinical examination
• Breast pain that is not related to the menstrual cycle Intraoperative identification of lesions