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Doctor insights on: Breast Calcifications On Mammogram

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Mammogram with punctate pleomorphic calcifications. Is that breast cancer?

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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Dr. Barry Rosen
663 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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Suspicious clusters of pleomorphic calcifications found on one breast only during mammogram?

Suspicious clusters of pleomorphic calcifications found on one breast only during mammogram?

Needs biopsy: Suspicious cluster opleomorphic microcalcifications on mgram may be due to breast cancer. Therefore you need to undergo a biopsy. Usually they sggest a stereotactic biopsy which is a type od percutaneous needle biopsy n a special x-ray table. Please follow with a breast carer specialist or a radiologist experien in this procedure. ...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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Would metastatic cervical cancer in the breast appear the same as breast cancer on mammogram and ultrasound?

Would metastatic cervical cancer in the breast appear the same as breast cancer on mammogram and ultrasound?

Possibly on imaging: Cervical cancer (the tissue at the end of the vaginal canal) rarely metastasizes to the breast. Rather breast cancer may metastasize to many areas of body, such as bone, lung, brain, lymph nodes. That being said, any abnormal growth in the breast, though mostly breast tissue, could look similarly by mammogram or ultrasound. The bottom line is if there is an abnormality, must be biopsied. ...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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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 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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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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Are breast cancer lumps round?

Are breast cancer lumps round?

Yes possible: to be round usually irregular , if you find a lump must see your doctor ,if no recent mammography must have it ( in recent sensational study all woman who had lump had mammography ) if indicated biopsy is the option not delay for best out comes ...Read more

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What's breast density effect on mass detection?

For in the harbor: The analogy i often use is of a fog in the harbor. The thicker the fog the harder it may be to see a small dingy - but it's still there. As you move up to a speedboat or yacht it becomes easier to find. Eventually even in the densest pea soup fog one will know an ocean liner is present and blowing its horn. ...Read more

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1st mammogram ever and abnormal, family history breast cancer. Single group amorphous microcalcs in left breast. US BIRAD 3 and now going for MRI. Biopsy?

1st mammogram ever and abnormal, family history breast cancer. Single group amorphous microcalcs in left breast. US BIRAD 3 and now going for MRI. Biopsy?

A grouping: of amorphous calcifications is probably not appropriate for BIRAD category 3(probably benign). Although they are still likely going to be benign, stereotactic needle biopsy may be more appropriate management, and BIRAD 4 a more appropriate category. Breast MRI is generally not that useful in the imaging work up of microcalcifications. ...Read more

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Lump found in rt. Breast at 5:30 position on 3/2012. Biopsy said fibroadenoma. Next us found lump at 7:30. Biopsy says fibroadenoma. Same lump?

Lump found in rt. Breast at 5:30 position on 3/2012. Biopsy said fibroadenoma. Next us found lump at 7:30. Biopsy says fibroadenoma. Same lump?

Possibly: This is hard to answer without knowing more information. Was the first one completely exised or just biopsied? The breast radiologist should be able to answer your question. Regardless, both are benign so i would not worry. Fibroadenomas are not uncommon in young women. ...Read more

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Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Yes: Core needle biopsy is routine procedure for any mass found on mammography or ultrasound. It doesn't sound like it is cancer, but the reason you had the ultrasound in the first place is to see if there were anything that your doctor can't feel on exam, right? Now that they see something, you need to find out what it is. By doing a biopsy, you will know for sure. ...Read more

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Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does  Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Uniform dense breast: In the young female the breast is extremely dense and consists of mostly breast tissue. With age, the breast tissue is dispersed with fatty tissue so that over 35yo mammo can be performed and one can visualize breast tissue. In some patients over 50 the mammo shows only sheets of dense breast tissue with no fat spread interstitially. Here a small lesion can only be detected by ultrasound. ...Read more

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2 breast lumps, movable, 34y/o, likely fibrocystic or breast cancer? No family history. Ultrasound scheduled this week.

2 breast lumps, movable, 34y/o, likely fibrocystic or breast cancer? No family history. Ultrasound scheduled this week.

Most: palpable lumps turn out benign, probably around 90%, but there is no way to be sure without having the appropriate imaging studies and proceeding from there. ...Read more

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What could a "7x4mm hypo-echoic vascular area" on breast sonogram be? Biopsy said benign breast tissue wit lactational change. Vascular?

What could a "7x4mm hypo-echoic vascular area" on breast sonogram be? Biopsy said benign breast tissue wit lactational change. Vascular?

See your Radiologist: The radiologist who performed your biopsy is familiar with the imaging features of what was biopsied & able to appropriately correlate imaging findings with pathologic results after a biopsy. Establishing concordance-careful imaging-pathology correlation & appropriated post-biopsy management is done after every breast biopsy. This could have been just normal breast tissue, but need to see imaging. ...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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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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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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