Breast Diagnosis

แมมโมแกรม 3 มิติ (3D Mammogram/DBT) คืออะไร ต่างจาก 2 มิติอย่างไร ใครควรตรวจ เจ็บไหม อธิบายโดยศัลยแพทย์เฉพาะทางเต้านม รพ.นมะรักษ์

Breast ultrasound is an imaging test that uses high-frequency sound waves. It does not use ionizing radiation. Ultrasound is commonly used to evaluate a lump or abnormal area in the breast, help distinguish a cyst from a solid mass, and complement mammography in many situations, especially for patients with dense breast tissue or breast symptoms. This article explains what breast ultrasound can detect, who may need it, and how it differs from mammography. What is breast ultra

Breast self-examination is the regular observation and palpation of one's own breasts. This helps to become familiar with normal features and to notice changes early. While it is not a screening test that can replace mammograms, it can help detect abnormalities early and allow for timely medical attention. How often should you perform breast self-examinations? It is recommended to check your breasts monthly. The best time is 7–10 days after your period starts, as your breasts

Breast cancer screening and diagnosis covers the whole pathway — from finding abnormalities in people without symptoms (screening) to confirming the result with imaging and biopsy (diagnosis). The goal is to detect cancer as early as possible, when it is most treatable. This guide brings together every step, with links to read each topic in detail. What are the screening methods? Screening is done in people without symptoms to find abnormalities early. The main methods are br

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Interpreting the results of a core needle breast biopsy. Assoc. Prof. Youwanush Kongdan, M.D. Interpreting a core needle breast biopsy means reading the pathology report to determine whether the tissue is benign or malignant. Results are often graded B1–B5 (from normal tissue to cancer) and assessed for “concordance” between the pathology and the imaging, which guides whether to monitor, repeat the biopsy, or proceed to surgery. An accurate interpretation is the key to precis

ไม่มีอายุที่ต้องหยุดตรวจแมมโมแกรมตายตัว แนวทางใหม่จาก USPSTF NCCN ACR และ ACS แนะนำให้พิจารณาจากอายุขัยคาดหวัง สุขภาพโดยรวม และความต้องการของผู้ป่วย ไม่ใช่เพียงตัวเลขอายุ

A breast biopsy is a procedure that takes a small sample of tissue from a suspicious lump or area in the breast so it can be examined under a microscope. It is the gold standard for diagnosing breast cancer — the only way to confirm whether a finding is benign or malignant. Most biopsies use only local anaesthetic, take about 15–30 minutes, cause minimal pain, require no hospital stay, and heal easily at home. Why is a breast biopsy necessary? “Imaging can only show probabili

การตรวจวิเคราะห์ ctDNA หรือ Liquid Biopsy เป็นเครื่องมือสำคัญในการดูแลผู้ป่วยมะเร็งเต้านมแบบเฉพาะบุคคล แม้จะยังไม่สามารถใช้ทดแทนการวินิจฉัยหลักได้ทั้งหมด แต่มีประโยชน์อย่างยิ่งในการติดตามการรักษา, ชี้แนวทางการใช้ยาแบบมุ่งเป้า และเฝ้าระวังการดื้อยา ซึ่งในอนาคตมีแนวโน้มที่จะกลายเป็นมาตรฐานในการดูแลผู้ป่วยต่อไป

Core Needle Biopsy Assoc. Prof. Youwanush Kongdan, M.D. A core needle biopsy uses a hollow, large-bore needle to remove small cores of tissue from a lump or abnormal area in the breast for laboratory examination. It gives more detailed information than fine needle aspiration (FNA) — both the cell type and biomarkers — and is performed under local anaesthetic in about 15–30 minutes, with no hospital stay required. Core needle biopsy is an important method for diagnosing brea

Breast biopsy Assoc. Prof. Youwanush Kongdan, M.D. Breast biopsy is an important procedure in breast cancer diagnosis. It allows the doctor...

Assoc. Prof. Youwanush Kongdan, M.D.. Breast cancer is one of the most common cancers in women worldwide. Breast cancer screening is an...

What is BI-RADS and how is it read? BI-RADS is the international standard for grading the level of suspicion of breast imaging (mammography and ultrasound), from category 0 to 6, which guides the next step — further tests, follow-up, or biopsy. Understanding it helps patients read their own results. Breast Imaging Report and Data System (BIRADs) Article by Assoc. Prof. Youwanush Kongdan, M.D. and Paweena Luadthai, M.D. Breast cancer screening through mammograms and ultrasou

Guidelines for Breast Cancer Screening By Assoc. Prof. Youwanush Kongdan, M.D. Breast cancer is one of the most prevalent cancers among women worldwide. Breast cancer screening is a crucial method for early detection, which can enhance treatment outcomes and reduce mortality rates. This article presents breast cancer screening guidelines based on international standards and the Thai Breast Disease Association, including recommendations from Namarak Hospital. International St