Doctor insights on:
Breast Exam Technique
Can photoacoustic breast imaging solve the conventional challenge in diagnosing breast cancer for patients with dense breast tissues?
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 moreSee 3 more doctor answers
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
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 moreSee 9 more doctor answers
2 breast lumps, movable, 34y/o, likely fibrocystic or breast cancer? No family history. Ultrasound scheduled this week.
Are 4 samples using an 18 gauge core needle for 4mm breast lesion sufficient? Came back benign breast tissue with lactational change. Concordant.
Yes, if it: Was performed by a properly trained specialist. It sounds like you had one, if you had 4 samples for a 4 mm lesion. ...Read more
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
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
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
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 moreSee 2 more doctor answers
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 moreSee 8 more doctor answers
IT MAY TAKE LONGER: But it should be fine.Get a more detailed answer ›
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 moreSee 1 more doctor answer