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Breast Imaging

E2394. Clinical Scenarios and Breast Imaging: What Gynecologists Need to Know

Hussien R1,  Narendra D1,  O'Connell A1,  Farkas R.2 1. University of Rochester, Rochester, NY; 2. Comprehensive Breast Care at Pluta, Rochester, NY

Address correspondence to A. Radwan Hussien (

Background Information: During patient visits to gynecologists, the doctor may perform a clinical breast examination and will evaluate any potential breast complaint. At our institution, gynecology residents are always willing to learn more about breast imaging. We realized that gynecologists or nurse practitioners in the area might lack knowledge of breast disease entities or the role of diagnostic imaging in those specific entities and the approach to choosing which imaging modalities to recommend. We also realized that the radiologist might follow the clinician’s imaging requisition, especially in young patients, without much discussion.

Educational Goals/Teaching Points: Guided with a survey completed by gynecology residents and with the help of American College of Radiology guidelines and radiology-clinical correlation, we want to increase awareness of the role of diagnostic breast imaging in different clinical scenarios among gynecologists and to emphasize this potential issue to radiologists. This would lead to more detailed case discussions between the radiologist and clinician in order to provide the best patient care.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques: We focus on several breast disease entities including palpable lump, pain, discharge, inflammatory breast cancer, mastitis, and breast abscess.

Conclusion: Awareness among gynecologists of the radiologist’s role in evaluation of different breast disease entities and the guidelines for diagnostic breast imaging may improve management of breast disease and early detection of breast cancer, especially in young women.