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Doctor insights on: Abnormal Mammogram Calcifications

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Abnormal mammogram, but lesion couldn't be found at biopsy. Is this unusual?

Abnormal mammogram, but lesion couldn't be found at biopsy. Is this unusual?

It is unusual,: But it can sometimes happen. Options include more imaging (for example breast mri) to re-evaluate and determine if there actually is a lesion, and re-biopsy. The bottom line is that mammogram abnormality must still be explained, and the first biopsy unfortunately was unable to do that.

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Dr. Barry Rosen
661 Doctors shared insights

Mammogram (Definition)

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 ...Read more


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What does an abnormal mammogram look like?

What does an abnormal mammogram look like?

It varies: There are a variety of ways for a mammo to look abnormal: microcalifications, a mass, a distortion of the normal architecture, an asymmetry, skin thickening, abnormal lymph nodes, dilated ducts, global or regional stromal changes.

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What is the probability of having an abnormal mammogram when your previius mammogram was abnormal?

What is the probability of having an abnormal mammogram when your previius mammogram was abnormal?

Mammogram: Not sure I understand. If there was an abnormality previously, if it was not treated or evaluated it will probably still be there.

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If I had an abnormal mammogram with ny first mammogram can I have an abnormal mammogram with my second?

If I had an abnormal mammogram with ny first mammogram can I have an abnormal mammogram with my second?

It's possible: If the abnormality was not fully evaluated/treated it will probably still be there. Also, having an abnormality one year does not decrease the probability that you could have a different abnormality the next year.

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After an abnormal mammogram and an abnormal ultrasound, what are the chances of the MRI coming back abnormal?

After an abnormal mammogram and an abnormal ultrasound, what are the chances of the MRI coming back abnormal?

If there is: A specific abnormality identified on both ultrasound and mammography, it will probably be visualized on MRI as well.

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Can you still get breast augmentation with abnormal mammogram?

Can you still get breast augmentation with abnormal mammogram?

Sort it out: It is important to figure out what's going on in the breast and causing the abnormality - before having any cosmetic breast procedure.

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Can a 57 year old woman have breast cancer if last mammogram was 1.5 years ago and normal? Never had an abnormal mammogram. What stage cancer?

Can a 57 year old woman have breast cancer if last mammogram was 1.5 years ago and normal? Never had an abnormal mammogram. What stage cancer?

Yes: The normal mammograms in the past won't protect you from future breast cancer. Also, mammograms are about 80% sensitive for detecting cancer, so 20% of cancers won't be seen. 1.5 years is enough time for a cancer to double in size 6 times. If you have a lump, see your doctor. If not, please resume your screening mammography.

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I have few scattered calcific foci in bilateral breast. No other focal lesion seen in mammogram of both breasts. Should I get worried?

I have few scattered calcific foci in bilateral breast. No other focal lesion seen in mammogram of both breasts. Should I get worried?

Concerned: And follow-up. To be calcified, these have existed for a while. Self and professional exams are important, along with excellent mammograms. Your gyn and / or breast specialist will follow with you.

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After a mammogram I was recalled I had a further 6 mammograms and was told I had calcification?

After a mammogram I was recalled I had a further 6 mammograms and was told I had calcification?

Calcifications: There are many causes of breast calcification, most of them benign. Howver, some cancers can cause calcifications. Radiologists determine the level of suspicion, if any, by the size, shape, and distribution of the calcifications. Follow up with your doctor to determine whether these calcifications need to be biopsied, or can safely be ignored, or need to be followed up.

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My mammogram shows clustered pleomorphic calcification should I be worried?

Be concerned!: By your description a biopsy would be indicated. This can be performed with ultrasound guidance if there are findings by u/s in the region, or if not, with stereotactic guidance. These can easily be performed by a radiologist skilled in these procedures, or by a breast surgeon. This should be done as soon as possible.

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Mammogram report:benign appearing calcification are present on the left.2 obscured masses are seeing 0.7 and 1.0cm. Is the rprt describing dif finding?

Mammogram report:benign appearing calcification are present on the left.2 obscured masses are seeing 0.7 and 1.0cm. Is the rprt describing dif finding?

Without the: Benefit of the full report, hard to say for sure, but it sounds like they are describing three findings: a benign calcification of no concern, and two partially visualized masses measuring 0.7 and 1cm. It is probable that the partially obscured masses will need additional evaluation with specialized mammographic views and possibly ultrasound.

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What could cilateral vascular calcification seen on mammogram mean?

Vascular: Calcifications on a mammogram are benign in terms of breast cancer detection. However, in a young woman, it could be a sign of diabetes or other condition causing early atherosclerosis. Talk to your doctor about it.

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My wife had a mammogram over a year ago. Had small calcification. Now has grown through skin draining smelly fluid. She won't go to dr. What is it?

Need a Doctor: This sounds serious. Maybe you can enlist another family member or close friend to help convince her to see a doctor or go to the emergency room.

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Is it normal to have a second mammogram if you have calcifications?

Is it normal to have a second mammogram if you have calcifications?

Yes: Calcs are a very common usually benign mmg finding. Additional views help to characterize the calcifications by their appearance (i.e. Pleomorphic, crushed stone, punctate, etc) which is easier with higher magnfication and compression to smooth out surrounding tissue. Comparing to previous studies helps detect change over time. If they appear benign and there are no priors, a short repeat is ok.

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Should I be concerned if small calcifications show up on a digital mammogram?

Maybe: The majority of times calcifications seen on mammogram represent benign (not cancer) changes. However, new calcifications, or those that are different shapes/sizes or appear to be distributed along the length of a milk duct could indicate cancer so needle biopsy is sometimes recommended. Comparison to old mammograms can be helpful to determine if biopsy is needed or not.

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If small calcifications show up on a digital mammogram, should you be concerned?

Not necessarily: The majority of women undergoing mammography will have calcifications on their mammogram. A small percentage will need to be looked at closer and may require a biopsy.

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Magnified mammogram due to multiple calcifications?

The size, shape,: And distribution of the microcalcifications is important in determining the level of suspicion. Specialized magnification mammograms use a smaller focal spot and smaller field of view. This increases the spatial resolution of the mammogram and increases the conspicuity of the calcifications, so the radiologist can more accurately evaluate these features. It is the standard of care for calcs.

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My 2013 mammogram result: some calcifications no changes from 2012. Dr said is good since no chng but I'm worried. Wat r calcifications?

My 2013 mammogram result: some calcifications no changes from 2012. Dr said is good since no chng but I'm worried. Wat r calcifications?

Calcifications: Are tiny calcium deposits in the breast. There are multiple causes, most of them benign. Most of the calcifications that show up on mammography are of no concern. Some will require follow up or biopsy. Based on their size, shape, and distribution, the radiologist will be able to determine how the calcifications should be handled.

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I just had a mammogram. I am only 41. Technician saw micro calcifications. Am I too young to have this? Will I need to go back in 6 months if benign

Breast: Calcifications are common and have many causes, most benign. It is not appropriate for the technologist to comment on findings like microcalcifications. Depending on the number, size, shape, and distribution of the calcs (likely following additional magnification views), the radiologist will determine whether they are benign and can be ignored, need short interval followup, or need biopsy.

Dr. Debra Rosenblatt
1 Doctor shared a insight

Abnormal Mammogram (Definition)

An abnormal mammogram doesn't always indicate cancer, especially on a screening mammogram. However, the radiologist saw something concerning enough to recoommend further ...Read more