Abstract
In gynecological practice ultrasound has achieved a high significance for preventive breast diagnosis and in follow-up after breast cancer treatment. This is also represented in the new German S3 guidelines for early detection and for diagnosis and treatment of breast cancer. However, the use of this widespread and highly efficient method continuously gives rise to controversial discussions. Besides different medical political interests these discussions are also largely influenced by different standards and questions of quality control. Within the German mammography screening program ultrasound is only considered for evaluating suspect mammographic lesions. Apart from screening ultrasound is widely used in cases of diffuse benign disease, unclear clinical findings, unclear palpation findings, dense breast tissue and in general when mammography is problematic and for ultrasound-guided interventional diagnosis. Within the framework of gynecological tumor prevention ultrasound is also widely established for early cancer detection in non-symptomatic women.
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