As an important part of the two cancers screening, our department will cooperate with the ultrasound department to undertake the screening of breast disease in the two cancers screening, which often makes people nervous because breast cancer is in a high incidence in recent years. Many women are anxious because they cannot understand the words “nodules”, “cysts”, “masses”, “hypoechoic”, “calcification”, etc. in the report after physical examination, and they wonder if they have “cancer”. cancer”. Learning to understand medical examination reports can prevent women from unnecessary panic, so that they can better control their health. Nodules and masses Interpretation: “Nodules” is the most frequently appearing term in medical examination reports, mostly in breast ultrasound reports, and occasionally in simple touch examination reports and mammogram reports. The term “nodule” is a descriptive term used to describe a “small mass” found by various methods, and is not related to the benign or malignant nature of the mass, nor is it the name of the disease. The term “mass” is the opposite of “nodule” and is used to describe a “large mass”. Hypoechoic, anechoic, well-defined, poorly defined Interpretation: In breast ultrasound reports, nodules are often described as “hypoechoic” or “anechoic”, which is also descriptive language. On a black-and-white ultrasound image, it is natural for “nodules” of various natures to be either darker (hypoechoic) or darker (anechoic), and there does not seem to be a particularly objective criterion for defining them. The terms “well-defined” or “poorly defined” describe whether these “nodules” are clearly identifiable on the image. It is not possible to say that “indistinct” is malignant or “clear” is benign, but this requires specific analysis by the physician. Glandular structural disorders Interpretation: A descriptive term used to describe the image of the gland that is more commonly found in breast ultrasound or mammogram reports. If you imagine the breast as a bun, then the skin and subcutaneous fat tissue are the “skin” and the glands are the “filling”, and the images always clearly distinguish between the “skin” and the “filling”. The “skin” and the “filling” can always be clearly distinguished on the image, and the “filling” is the focus of our attention. If the image structure of the “filling” looks different from the normal one, we would describe it as a “glandular structural disorder”, mostly due to glandular hyperplasia (microscopic changes in cell number, arrangement and tissue structure), which is often referred to as “Of course, it cannot be excluded that a very small number of “structural disorders” are due to malignant changes in local cells. Cysts Interpretation: Similarly, in ultrasound reports, experienced ultrasonographers will judge a particularly typical “non-echoic” nodule as a “cyst”, which can be interpreted as a thin layer of skin wrapped around a packet of water, which is more common in cystic hyperplasia of the breast. This is more common in cystic hyperplasia of the breast and can be single or multiple. Most cysts are benign and harmless. BI-RADS Interpretation: This mysterious English word, which looks “high”, scares many patients, but what is even scarier is the different levels on its suffix – grade 1, grade 2, grade 3… …In fact, this is just an abbreviation for “Breast Imaging Reporting and Data System” (Breast Imaging Reporting and Data System), in order to make different doctors see the image report, there is a unified standard to follow, when graded ≥ 3, prompting physicians to carry out When the grade is ≥ 3, the physician is prompted to perform further diagnostic or surgical intervention. Calcification: Many patients are frightened by the word “calcification” on the mammogram report, not knowing that calcification is very common in breast films and that problematic malignant “calcifications” are very rare. Scattered, isolated, large, round calcifications (white dots on mammograms) are actually benign calcifications, and although they do not go away once they are created, they are not malignant for life and do not need to be managed. However, calcifications that are suspected to be malignant will definitely require further management by the physician. Any kind of examination is based on a comprehensive analysis of the condition, and no hasty conclusion should be made because of the results of one imaging examination! It is more important to make a comprehensive decision based on clinical symptoms, signs, ancillary tests, biopsy, coarse needle aspiration, and pathology. Nor should a patient ask her doctor to tell her whether it is cancer or not because of one examination, which is an uncritical attitude. With the gradual improvement of examination means, the empirical medicine in the past has been eliminated by the rolling wheel of history. Instead of seeing a patient based on guesswork and experience, a certain scientific basis and evidence-based medicine are needed to make a diagnosis for the patient and further improve the examination to reduce the harm to the patient’s life. Medical development is changing rapidly, doctors who do not learn are gradually being eliminated, and new medical knowledge overturns past experience with better treatment methods. Breast surgery is getting smaller and smaller, and the quality of patient survival is getting higher and higher. Early detection, early diagnosis, early treatment, and early prevention are the only ways to improve survival rates and benefit more women.