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2025 | OriginalPaper | Buchkapitel

38. Mammasonographie

verfasst von : Prof. Dr. med. Bernhard-Joachim Hackelöer, Dr. med. Hans Heino Hille, Priv.-Doz. Dr. med. André Farrokh

Erschienen in: Ultraschalldiagnostik in Geburtshilfe und Gynäkologie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die Mammasonographie stellt ein sowohl komplementäres, zu anderen bildgebenden Methoden ergänzendes als auch ein eigenständiges diagnostisches Verfahren dar. Durch ihre den anatomischen Gegebenheiten nahen Darstellung des Drüsengewebes besitzt die Mammasonographie Vorteile in der diagnostischen Differenzierung gegenüber Methoden wie der Mammographie, die Überlagerungen der Bildebenen anwendet und die Diagnose mehr aus Sekundärphänomenen der Tumorentwicklung ableitet. Da der diagnostische Prozess „real time“ abläuft, hängt die Leistungsfähigkeit der Mammasonographie – neben der technischen Ausrüstung – entscheidend von der Kompetenz des Untersuchers ab. Sind diese Voraussetzungen erfüllt, erreicht die Mammasonografie sowohl bei der symptomatischen Patientin (mit Tastbefund) als auch bei der asymptomatischen Patientin (Früherkennung) eine hohe diagnostische Treffsicherheit (Sensitivität). Zur definitiven (histologischen) Diagnosesicherung bedarf es der ultraschallgesteuerten Stanzbiopsie. Aufgefundene Herdbefunde werden nach den Kriterien der DEGUM (analog dem ACR BI-RADS Atlas) nach Merkmalen beschrieben und einer Kategorie analog BI-RADS 1–6 entsprechend von benigne bis hochsuspekt, bzw. histologisch gesichert maligne, zugeordnet.
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Metadaten
Titel
Mammasonographie
verfasst von
Prof. Dr. med. Bernhard-Joachim Hackelöer
Dr. med. Hans Heino Hille
Priv.-Doz. Dr. med. André Farrokh
Copyright-Jahr
2025
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-67373-7_38