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Doctor insights on: Breast Exam Technique

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Is a mammogram with breast implants effective?

Is a mammogram with breast implants effective?

Yes: You will probably have to get a few extra views to visualize all breast tissue but this is not a big deal. ...Read more

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Dr. Eric Weisman
1 doctor shared a insight

Breast Exam (Definition)

To screen yourself for breast cancer start with a self exam: http://www.webmd.com/breast-cancer/guide/breast-self-exam If you feel anything ...Read more


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Can automated whole breast ultrasound be used for breast cancer screening?

Can automated whole breast ultrasound be used for breast cancer screening?

US vs Mammogram: Us is a good diagnostic tool, but is not as inexpensive and easy to perform on a mass screening basis that can be done with mammograms. Research is being done on using this modality on a larger basis, but you need more trained ultrasonagraphers or a better automated system than is currently available before can be cost-effective to use in mass screening. ...Read more

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What's the proper method to perform a breast self exam? Sitting, lying?

What's the proper method to perform a breast self exam? Sitting, lying?

Lying: It used to be suggested that they be done while in the shower with soap on your fingers to make it easier to feel things. But, in the past year, the new recommendations are to do the exam when lying down to get flattening of the breast tissue against the ribs. Use the fat part of the fingers and push the tissue against the rib cage. ...Read more

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What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

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Help with breast lump! what is diagnostic imaging?

Help with breast lump! what is diagnostic imaging?

Any X-ray 2 help see: Diagnostic imaging is any radiologic or other intervention used to help image the breast and establish a diagnosis. This includes x-ray, xeromaography, ultrasound, ct scan, mri, pet scan, etc. ...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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For breast which is best digital mammogram or sonogram?

For breast which is best digital mammogram or sonogram?

Depends, maybe both: A digital mammogram is the standard for mammograms. Sometimes an ultrasound may be added to get more information, especially if you have dense breast tissue. In younger women with dense breasts, a mammogram may no be done and then we go straight to ultrasound. A breast radiologist and breast surgeon will be able to make the appropriate recommendation for you. ...Read more

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Breast MRI effectiveness? Is a MRI the most effective breast imaging test?

Breast MRI effectiveness? Is a MRI the most effective breast imaging test?

Yes and no.: It is the most sensitive breast imaging study (detects the greatest number of lesions) but is not the most specific (a lot of these lesions are not malignant and some will need to be biopsied to prove that they are not malignant.) it is only recommended that a woman obtain a breast MRI if she is at high risk of breast cancer (strong family history, etc). Talk with your doctor about it. ...Read more

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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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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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Breast exam by dr- "mass" found- painful did an excisional biopsy, not seen on mammo, ultrasound, had to go deeper possible lipoma-in anyway cancer?

Breast exam by dr- "mass" found- painful did an excisional biopsy, not seen on mammo, ultrasound, had to go deeper possible lipoma-in anyway cancer?

Possibly: Sounds like you had a palpable breast mass that wasn't identified by either mammogram or ultrasound. You have had biopsy, which will provide a definitive answer to the question of "what is it?" mammogram and ultrasound are good, but not perfect, at identifying areas of concern.. Having a biopsy, as you did, is the only way to know for sure what this area is/was. ...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 clinical breast exams effective screening tools in women under 40 with no first degree family history?

Are clinical breast exams effective screening tools in women under 40 with no first degree family history?

Not very good.: No, they aren't that good. Exams have a low pick up rate compared to radiological AND the clinical ones are generally done very infrequently AND the overall risk is so very low.... so.. 40-45, CBE has some advantages over radiological and the two together are best. http://www.ncbi.nlm.nih.gov/pubmed/9709288 under 40... ONE or a FEW CBE to learn self-exam techniques, otherwise not so much ...Read more

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After benign breast lump removal is your breast puckered?

After benign breast lump removal is your breast puckered?

Rarely: Breast cancer surgeons have learned a lot from our plastic surgery colleagues and now try to apply many of the same principles that they follow with breast surgery so that we can, first and foremost, remove what we need to, but do so with minimal aesthetic changes. Of course, the size of the tumor relative to the breast and it's location will have an effect, but most patients have minimal changes. ...Read more

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Best specialist to perform breast biopsy for mass to rule out breast cancer?

Best  specialist  to perform  breast biopsy for mass to rule out breast cancer?

SurgeonOrRadiologist: Breast biopsies are best done by removing a small core of tissue under local anesthesia; if benign, no surgery is needed; if cancerous, surgical rx can follow. If the mass is palpable, either specialist can perform the biopsy equally well. If the mass can only be seen by mammography or ultrasound, the specialist would require expertise and access to these technologies. ...Read more

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Pregnant- sent for breast us of thick tissue. diangosis fibrocystic. Breast surgeon agreed at her exam. How confident this is not cancer vs fibrocystic?

Pregnant- sent for breast us of thick tissue. diangosis fibrocystic.  Breast surgeon agreed at her exam.  How confident this is not cancer vs fibrocystic?

Breast lumps/preg: Pregnancy is a confounding factor when dealing with different medical diagnoses. Hormonal shifts of pregnancy will affect the breast and cause different symptoms (changes in exam /pain). Fibrocystic disease is very common among young women, but all abnormalities need to be followed up on. Whether its repeat exams, u/s, diagnostic tests that are safer in the latter stages- follow up is the key. ...Read more

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