Local lesions occurring after conservative surgery for breast neoplasm
s require diagnostic means capable of detecting and assessing the recu
rrence of such cancers. In the present color-coded Doppler was used in
20 women who had under gone conservative surgery (mean 4 years before
) to screen all suspect lesions. Among the 14 malignant lesions assess
ed histologically, one or more arterial vessels were detected inside o
r beside the lesion in 13. Among the 6 benign lesions, only of one art
erial vessel was detected, in all cases far from the lesion (12.5 to 3
.3 mm). No significant difference was observed for systolic velocities
and resistance index. These results indicate high accuracy of color c
oded Doppler examination associated with echotomography and mammograph
y for positive diagnosis of recurrent lesions in post-conservative fol
low-up of breast cancer.