“…The first problem is particularly important in young women, in whom the role of ultrasound – as the authors noted – cannot be overestimated due to the structure of the breasts. For example, a 20-year-old female patient presents with a lump in the breast, for an ultrasound test, and does not expect to receive a diagnosis by biopsy; therefore a senologist-ultrasonographer is faced with the dilemma whether to classify the condition as BI-RADS 3 or BI-RADS 4, considering that the risk of developing breast cancer within 10 years from the age of 20 is 1:1760 (0.06%) ( 5 ) . The second issue concerns the nature of counselling offered to the patient, because if the US permits identification of the gene expression patterns of different molecular subtypes of BC, the patient must be informed of the specific diagnosis and associated course of treatment before undergoing biopsy and receiving the associated histopathological result.…”