Determining the relative frequency of ultrasound findings in women under 30 years of age with a breast mass

INTRODUCTION: Mammography and ultrasound are the most reliable and common imaging techniques for early detection of breast mass. The aim of this study was to determine the relative frequency of ultrasound findings in women under 30 years of age by a feeling of mass in the breast. METHODS: This cross-sectional study was performed on women under 30 years of age with a feeling of mass in the breast. The result evaluated in this study was the final opinion of the radiologist on the ultrasound report, which was expressed in the form of Breast imaging-reporting and data system (BIRADS) based on one to five scores. Ultrasound status of patients was reported to be normal, fibrocystic changes, and tumors (solid-cystic-mixed). The obtained data were analyzed using SPSS statistical software version 23. Significance level was considered to be < 0.05. RESULTS: The most common reason for referral was palpable mass in the left breast (56.2%). The shape of the mass was oval in most cases (91.2%). The highest frequency in terms of mass margin was related to Macrolobulated (82.4%), Hypoechoic (85%), and Solid (87.6%). Most of masses belonged to 12 o’clock (21.2%). According to the standard sonography report based on BIRADS, the highest frequency belonged to B4a (57.5%). Pathology report showed that the highest frequency was related to fibroadenoma (71.4%). CONCLUSION: Considering that most of the cases in this research with a feeling of mass in the breast in women under 30 years of age were BIRADS 4, and among the cases that underwent biopsy, 14.5% were diagnosed with cancer pathology. Therefore, ultrasound examination is very important in these cases, even at a young age.