Breast ultrasound

Breast ultrasound helps assess breast tissue, palpable lumps and other abnormalities. At Tartaczna 2 Medical Centre in Gdańsk, examinations are performed by radiologists Dr Ewa Kołyszko and Dr Jakub Morawiec. Ultrasound uses sound waves and does not expose you to X-rays.

What can a breast ultrasound show?

The examination shows a lesion's location, size and features, including whether it is fluid-filled, solid or a combination of both. The doctor also assesses the milk ducts and regional lymph nodes, particularly in the armpits. Ultrasound can help identify cysts and assess lumps with features of benign conditions, such as fibroadenomas.

Ultrasound cannot always distinguish a benign lesion from cancer with certainty. Further investigations, including a biopsy and examination of the tissue, may be needed. Having a breast lump does not necessarily mean you have breast cancer.

When might you need a breast ultrasound?

• A new lump or thickening in the breast or armpit.
• Localised pain, a change in breast shape or a newly inverted nipple.
• Spontaneous nipple discharge, particularly if bloodstained.
• Follow-up of a previously identified lesion, as advised by your doctor.
• Further assessment of findings on mammography or other imaging.
• Investigation of concerning breast symptoms during pregnancy or breastfeeding.

Do not wait for your next routine check if you notice a new lump or concerning nipple discharge. Men may also have a breast ultrasound when there is a clinical reason to investigate breast changes.

Breast ultrasound and mammography

Ultrasound and mammography provide different information. Ultrasound does not replace screening mammography, and some abnormalities, particularly microcalcifications, are better seen on a mammogram. The choice and frequency of examinations depend on your age, symptoms, breast tissue and individual risk. Annual ultrasound is not a universal screening schedule for every woman.

How to prepare for a breast ultrasound

You do not need to fast. Bring previous reports and any available ultrasound, mammography or MRI images, together with biopsy results. Tell the doctor about breast surgery, implants, treatment and any family history of cancer. Wear clothing that makes it easy to uncover the area being examined.

What happens during the scan, and what is BI-RADS?

You lie on an examination couch with your arms positioned as instructed. The doctor applies gel and moves a probe over the skin. We use a GE LOGIQ E10 ultrasound system; Doppler assessment may provide additional information about blood flow when needed. Pressure over a tender area may cause discomfort.

The report describes the findings and recommended next steps. BI-RADS is a classification used in breast imaging to guide decisions about follow-up, additional imaging or biopsy. A BI-RADS category is not a histopathology result.

Breast ultrasound in Gdańsk – doctors and appointments

Examinations are performed by Dr Ewa Kołyszko and Dr Jakub Morawiec. Breast ultrasound forms part of the breast assessment services available at our centre.

Book through the Tartaczna 2 Medical Centre reception team. Call +48 58 719 10 25 or email kontakt@tartaczna2.pl.