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Doctor insights on: Mammogram

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Dr. Barry Rosen
667 doctors shared insights

Mammogram (Overview)

A mammogram is the "gold standard" screening test for breast cancer. It's well established that yearly 'grams will DX cancers well before they are palpable, leading to earlier diagnoses and saved lives. All experts agree to begin yearly mammograms by age 50; many (including myself) believe the pro's outweigh the con's to begin at 40. Regrettably, less than half of all women in the us comply.


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Would mammography or mammogram procedure hurt?

Would mammography or mammogram procedure hurt?

You're overdue : It may be somewhat uncomfortable but tolerable and well worth it. Mammography has decreased breast cancer mortality by up to 50%. If you get one every year rather than every other your chances of dying from breast cancer go down 30%. 20% of cancers are in women in their 40's. What have you been waiting for? ...Read more

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Dr. Barry Rosen
667 doctors shared insights

Mammogram (Overview)

A mammogram is the "gold standard" screening test for breast cancer. It's well established that yearly 'grams will DX cancers well before they are palpable, leading to earlier diagnoses and saved lives. All experts agree to begin yearly mammograms by age 50; many (including myself) believe the pro's outweigh the con's to begin at 40. Regrettably, less than half of all women in the us comply.


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Can mammograms detect breast cancers?

Can mammograms detect breast cancers?

Yes most of the time: Accuracy of mammography in varies serious positive for ca any where from 78% to 90 % but over all not 100% as in biopsy. For the diagnosis other parameters are involved like specific findindings, besides age , family history, physical findings , genetic diseases , personal habits , medications etc regular breast examination , awareness is also essential for early diagnosis and cure. ...Read more

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Is breast thermography better than mammograms?

Is breast thermography better than mammograms?

No, it is not.: No. It is not indicated for screening mammography. Mammography is the best modality we have to diagnose breast cancer ...Read more

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Dr. Ester Kwok Dr. Kwok
13 doctors agreed:
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Mammogram with punctate pleomorphic calcifications. Is that breast cancer?

Dr. Ester Kwok Dr. Kwok
13 doctors agreed:
Mammogram with punctate pleomorphic calcifications.  Is that breast cancer?

Needs investigation: Although breast calcifications may not necessarily mean cancer, pleomorphic calcifications are suspicious. A biopsy should be done. Talk to your doctor. Pleomorphism means that something is of varying shape and characteristics. A non-cancerous or benign calcification will be read as "benign-appearing". Don't delay your biopsy. ...Read more

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Mammo shows Heterogeneously dense which may obsure sm masses Birads 2 breasts no suspicious masses dr wanting ultrasound report said annual mammo ?

Mammo shows Heterogeneously dense which may obsure sm masses Birads 2 breasts no suspicious masses dr wanting ultrasound report said annual mammo ?

Need sono: Mammo with heterogeneous dense mass needs evaluation as to whether a lesion is hiding in area of density. This can be accomplished by sono or MRI but resolution of density required. The sono can detect a specific region that could be suspicious and require bx. ...Read more

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Detecting breast cancer appropriate to have thermography for women vs mammogram?

Detecting breast cancer appropriate to have thermography for women vs mammogram?

The use of: mammography as a screening test has been validated by many years of outcomes data. Thermography, not so much. ...Read more

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Can a breast MRI miss breast cancer?

Can a breast MRI miss breast cancer?

Yes, it is: more than 90% sensitive for most cancers, but no test is 100%. ...Read more

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Cryoablation for breast fibroadenoma?

Cryoablation for breast fibroadenoma?

Do-able: Fibroadenomas are the most common benign breast tumor (removal optional). Standard rx is a surgical lumpectomy under twilight anesthesia. Cryoablation uses a needle probe placed via ultrasound under local anesthesia to freeze the tumor, after which it dies. This option has been around for over a decade. While i prefer the surgical route due to pain, my colleagues who do this often swear by it. ...Read more

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Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does then mean Heterogeneously dense breast ?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does then mean Heterogeneously dense breast ?

Breast tissue variab: The breast tissue density among women is quite variable and ranges from dense to lucent and any degree of mixed forms(that is what heterogeneous means as opposed to homogeneous). The breast that is very dense can sometimes hide a small breast Cancer . That is why such women are advised to have examination with an ultrasound in addition to mammography. You do not seem to have that problem. ...Read more

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Mammogram, ct, MRI and ultrasound tests for breast cancer - what is best?

Mammogram, ct, MRI and ultrasound tests for breast cancer - what is best?

Situational: For screening: mammograms are the most valuable. For diagnosis (palpable mass, mammographic density): ultrasound can be very helpful. Mris are the most sensitive test for breast cancer, but their prohibitive cost makes this unaffordable for large-population screening. It is best used in high-risk patients, those with very dense breast tissue, and for evaluating the extent of a known breast cancer. ...Read more

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Would my annual bloodwork show breast cancer?

Would my annual bloodwork show breast cancer?

Not yet but coming..: Currently, the standard is physical examinations and mammograms annually. However, several companies are developing a blood test for breast cancer. This has the potential to detect tumor-associated antibodies and serum proteins that correlate with cancer cells in the breast prior to being detectable on routine imaging. This may be especially helpful in women with dense breasts. Stay tuned ...Read more

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Breast tumor biopsy revealed 'canercous change'?

Breast tumor biopsy revealed 'canercous change'?

Need more info: "cancerous change" can mean many things. There are different pre-cancerous changes seen on breast biopsies, such as ADH (vasopressin) or alh (atypical ductal or atypical lobular hyperplasia). There are early cancers called dcis or lcis (ductal carcinoma in situ or lobular carcinoma in situ). Hopefully this is nothing, but we need more information. Make sure to follow-up with your doctor! ...Read more

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39 yo extremely dense fibrocystic breasts w/well-circumscribed macrolobulated hypoechoic mass 11:00 left breast 3cm above nipple BIRAD 4? Cancer?

39 yo extremely dense fibrocystic breasts w/well-circumscribed macrolobulated hypoechoic mass 11:00 left breast 3cm above nipple BIRAD 4? Cancer?

No easy answer: It is imperative that you talk with the physician who took care of you. There are many possibilities and I would have to know more about these findings to give you my best opinion. ...Read more

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Is breast density a risk factor for breast cancer? Mammogram noted "extremely dense breasts".

Is breast density a risk factor for breast cancer? Mammogram noted "extremely dense breasts".

Yes, breast density: is a risk factor for breast cancer. The relative risk for extremely dense breasts is about 4x the relative risk of patients with almost entirely fatty breasts, and about 1.6x the RR for "average" density breasts. Find out all you need to know at http://www.breastdensity.info/ ...Read more

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Can ultrasounds miss breast cancer?

Yes: U/s is not a great screening test but an extension of the physical exam. It is very dependent upon the person (breast surg vs radiology tech?) doing the u/s, where they place the probe, how fast they move the probe, how much attention they pay to the screen, etc. U/s performed by a skilled breast surgeon can be very helpful and also used to guide sampling for definitive diagnosis and treatment. ...Read more

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Is mammogram or ultrasound best for early breast cancer detection?

Mammogram: Mammograms are generally better at screening for breast cancer. Ultrasound is used more for a focus evaluation of an area of the breast that might be suspicious or appear abnormal. ...Read more

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Are fibrocystic breast lumps cancerous?

Are fibrocystic breast lumps cancerous?

Not usually: Fibrocystic breast disease is a disorder aggravated by coffee and smoking. However it is not a precursor to malignancy. Fibrocystic breast disease makes mammogram interpretation more problematic. ...Read more

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Do mammograms show axillary nodes?

Do mammograms show axillary nodes?

Yes, often: Axillary lymph nodes will be seen on the mlo projection (sideways view) of the breast. ...Read more

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Could heart MRI detect breast cancer?

Could heart MRI detect breast cancer?

It is: possible, but a cardiac MR is not optimized for breast evaluation, so breast cancer detection on cardiac MR is likely to be accidental and imprecise. It cannot substitute for the standard breast imaging techniques such as mammography, sonography, and breast MR. ...Read more

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Mammogram results: 10mm lobulated nodule in left breast. Explain.

Mammogram results: 10mm lobulated nodule in left breast.  Explain.

That description: is not specific enough to venture a guess as to the level of suspicion. Other mammographic/sonographic features will determine how suspicious it is, and whether biopsy is indicated. Was this a screening mammo? Likely you will need additional mammo views and an ulltrasound for further evaluation. ...Read more

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