{"id":5297,"date":"2021-02-23T18:51:24","date_gmt":"2021-02-23T17:51:24","guid":{"rendered":"https:\/\/www.idsein.fr\/breast-cancer-breast-reconstruction\/diagnostic\/"},"modified":"2026-01-05T12:51:18","modified_gmt":"2026-01-05T11:51:18","slug":"diagnostic","status":"publish","type":"page","link":"https:\/\/www.idsein.fr\/en\/cancer-and-reconstruction\/overview\/diagnostic\/","title":{"rendered":"Diagnosis of breast cancer"},"content":{"rendered":"<h3>La mammographie<\/h3>\n<p>La <span class='tooltipsall tooltip_post_id_custom_74c7fca9969264fcf507bfc7e2df4c9a classtoolTipsCustomShortCode' style='border-bottom:2px dotted #888;'>mammographie<\/span><script type=\"text\/javascript\">jQuery(\"document\").ready(function(){ toolTips('.tooltip_post_id_custom_74c7fca9969264fcf507bfc7e2df4c9a','Images du sein obtenues avec des rayons X'); });<\/script> est une radiographie des seins. C\u2019est l\u2019examen de r\u00e9f\u00e9rence du d\u00e9pistage du cancer du sein qui permet de d\u00e9tecter pr\u00e9cocement des petites tumeurs non palpables, \u00e0 un stade d\u00e9butant.<\/p>\n<p>Les images sont interpr\u00e9t\u00e9es par les radiologues, qui recherchent des anomalies suspectes (nodules, microcalcifications\u2026). Pensez \u00e0 apporter vos anciens clich\u00e9s pour que le radiologue puisse les comparer avec les nouveaux et rep\u00e9rer des modifications.<img decoding=\"async\" class=\"aligncenter wp-image-32689 size-full\" src=\"https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-mammo-idsein-paris.jpg\" alt=\"\" width=\"1626\" height=\"383\" srcset=\"https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-mammo-idsein-paris.jpg 1626w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-mammo-idsein-paris-300x71.jpg 300w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-mammo-idsein-paris-1024x241.jpg 1024w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-mammo-idsein-paris-1536x362.jpg 1536w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-mammo-idsein-paris-50x12.jpg 50w\" sizes=\"(max-width: 1626px) 100vw, 1626px\" \/><\/p>\n<p><b>Mammography <\/b><span style=\"font-weight: 400;\">is classified into 6 ACR categories (American College of Radiology BI-RADS Classification):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 0 : further investigations are necessary<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 1: normal <\/span><b>mammography<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 2 : typically benign findings, which does not require any supervision or additional examination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 3: probably benign findings. Short-term monitoring (4 to 6 months) is recommended<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 4: suspicious findings: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">required<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 5: highly suspicious findings: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">required<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 6: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">proven cancer<\/span><\/li>\n<\/ul>\n<p><b>Ultrasound<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The use of <\/span><b>ultrasound <\/b><span style=\"font-weight: 400;\">will allow either a more detailed analysis of abnormalities detected by <\/span><b>mammography<\/b><span style=\"font-weight: 400;\">, or to improve the analysis of dense breasts (most often in young women) and to perform targeted <\/span><b>biopsies <\/b><span style=\"font-weight: 400;\">in case of suspicious lesions.<\/span><\/p>\n<p><b>Ultrasound can <\/b><span style=\"font-weight: 400;\">also be used to explore the axillary areas, identify any suspicious nodes and biopsy them.<\/span><\/p>\n<p><b>Mammography <\/b><span style=\"font-weight: 400;\">and <\/span><b>ultrasound <\/b><span style=\"font-weight: 400;\">can detect suspicious lesions, but cannot confirm a diagnosis of breast cancer. A <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">is essential to confirm the diagnosis. It is performed by the radiologist under local anesthesia.<\/span><\/p>\n<p><b>MRI <\/b><span style=\"font-weight: 400;\">is <\/span><b>a complementary examination.<\/b><\/p>\n<p><b>MRI <\/b><span style=\"font-weight: 400;\">does not replace <\/span><b>mammography <\/b><span style=\"font-weight: 400;\">or <\/span><b>ultrasound<\/b><span style=\"font-weight: 400;\">. It is not a systematic examination, neither for screening nor for the diagnosis of breast cancer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is a complementary examination that the doctor sometimes prescribes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">As part of screening for certain patients at high risk of cancer (genetic mutation).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In case of suspicion of cancer to help in the diagnosis when standard imaging does not allow to conclude with certainty.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In case of confirmed cancer to better define the extent of the lesions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During treatment, especially in the case of pre-operative chemotherapy.<\/span><img decoding=\"async\" class=\"aligncenter wp-image-32684 size-full\" src=\"https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-nb-idsein-paris.jpg\" alt=\"\" width=\"1626\" height=\"296\" srcset=\"https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-nb-idsein-paris.jpg 1626w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-nb-idsein-paris-300x55.jpg 300w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-nb-idsein-paris-1024x186.jpg 1024w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-nb-idsein-paris-1536x280.jpg 1536w, https:\/\/www.idsein.fr\/app\/uploads\/2021\/11\/bandeau-diagnostic-nb-idsein-paris-50x9.jpg 50w\" sizes=\"(max-width: 1626px) 100vw, 1626px\" \/><\/li>\n<\/ul>\n<p><b>Mammography <\/b><span style=\"font-weight: 400;\">is classified into 6 ACR categories (American College of Radiology BI-RADS Classification):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 0 : further investigations are necessary<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 1: normal <\/span><b>mammography<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 2 : typically benign findings, which does not require any supervision or additional examination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 3: probably benign findings. Short-term monitoring (4 to 6 months) is recommended<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 4: suspicious findings: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">required<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 5: highly suspicious findings: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">required<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 6: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">proven cancer<\/span><\/li>\n<\/ul>\n<p><b>Ultrasound<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The use of <\/span><b>ultrasound <\/b><span style=\"font-weight: 400;\">will allow either a more detailed analysis of abnormalities detected by <\/span><b>mammography<\/b><span style=\"font-weight: 400;\">, or to improve the analysis of dense breasts (most often in young women) and to perform targeted <\/span><b>biopsies <\/b><span style=\"font-weight: 400;\">in case of suspicious lesions.<\/span><\/p>\n<p><b>Ultrasound can <\/b><span style=\"font-weight: 400;\">also be used to explore the axillary areas, identify any suspicious nodes and biopsy them.<\/span><\/p>\n<p><b>Mammography <\/b><span style=\"font-weight: 400;\">and <\/span><b>ultrasound <\/b><span style=\"font-weight: 400;\">can detect suspicious lesions, but cannot confirm a diagnosis of breast cancer. A <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">is essential to confirm the diagnosis. It is performed by the radiologist under local anesthesia.<\/span><\/p>\n<p><b>MRI <\/b><span style=\"font-weight: 400;\">is <\/span><b>a complementary examination.<\/b><\/p>\n<p><b>MRI <\/b><span style=\"font-weight: 400;\">does not replace <\/span><b>mammography <\/b><span style=\"font-weight: 400;\">or <\/span><b>ultrasound<\/b><span style=\"font-weight: 400;\">. It is not a systematic examination, neither for screening nor for the diagnosis of breast cancer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is a complementary examination that the doctor sometimes prescribes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">As part of screening for certain patients at high risk of cancer (genetic mutation).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In case of suspicion of cancer to help in the diagnosis when standard imaging does not allow to conclude with certainty.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">In case of confirmed cancer to better define the extent of the lesions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">During treatment, especially in the case of pre-operative chemotherapy.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In a non-menopausal woman, <\/span><b>MRI <\/b><span style=\"font-weight: 400;\">should ideally be performed between the 8th and 12th day of the cycle.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a post-menopausal woman on hormone replacement therapy, it is recommended to stop this treatment 6 to 8 weeks before the examination.<\/span><\/p>\n<p><b>MRI <\/b><span style=\"font-weight: 400;\">is non-irradiating and painless.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 1: normal <\/span><b>mammography<\/b><span style=\"font-weight: 400;\">ACR 2 : typically benign findings, which does not require any supervision or additional examination<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 5: highly suspicious findings: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\">required<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACR 6: <\/span><b>biopsy <\/b><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">proven cancer<\/span><\/span><b>Tumor genomics<\/b><span style=\"font-weight: 400;\">The genetic characteristics of a tumor can be studied through tumor genomics. This is a recent science that helps determine the best treatment to offer.<\/span><span style=\"font-weight: 400;\">Tumor genomics makes it possible to study the activity of certain genes in tumor tissue in order to extract personalized information. This information allows treatment to be adapted to each situation.<\/span><span style=\"font-weight: 400;\">Genetic testing can be performed on a tumor to assess the need for chemotherapy. There are many different types of tests, with results available in 8 to 15 days. If the genetic test indicates a low &#8220;risk of recurrence score,&#8221; chemotherapy can be avoided. Conversely, if the score is high, chemotherapy will decrease the risk of recurrence and will be offered.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>La mammographie La est une radiographie des seins. C\u2019est l\u2019examen de r\u00e9f\u00e9rence du d\u00e9pistage du cancer du sein qui permet de d\u00e9tecter pr\u00e9cocement des petites tumeurs non palpables, \u00e0 un stade d\u00e9butant. Les images sont interpr\u00e9t\u00e9es par les radiologues, qui recherchent des anomalies suspectes (nodules, microcalcifications\u2026). Pensez \u00e0 apporter vos anciens clich\u00e9s pour que le [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":5102,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/internal-page.php","meta":{"footnotes":""},"class_list":["post-5297","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Breast Cancer Diagnosis | Breast Institute Paris - Restitute<\/title>\n<meta name=\"description\" content=\"The diagnosis of definitive breast cancer is made by microscopic examination of suspect cells. Learn about the steps: clinical examination, mammography, ultrasound and biopsy. 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