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Doctor insights on: Breast Ultrasound

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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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Dr. Michael Gabor
2,286 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Can ultrasounds miss breast cancer?

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 testicular ultrasound a transrectal ultrasound!?

Is testicular ultrasound a transrectal ultrasound!?

No: Testicular us looks for abnormalities of the testicle. Transrectal us is used to evaluate either the anal sphincter mechanism or stage rectal rumors. ...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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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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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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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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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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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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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 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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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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Can breast cancer be detected by ultrasound?

Can breast cancer be detected by ultrasound?

Yes,: breast ultrasound can detect breast cancer. Reported sensitivities vary, but in general the overall sensitivity for detecting breast cancer ranges from 60-80%, and is similar to mammography.There is some data to suggest ultrasound may perform better than mammography in younger women and in women with dense breasts. ...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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Silicone breast implants can couse breast cancer?

Silicone breast implants can couse breast cancer?

No but.....: There is no direct link but there are concerns with the potential for implants to interfere with the detection of cancer. Particularly using mammograms. Special views (eklund) must be obtained. Alhtough there may be a delay in diagnosis, there has not been shown to be any effect on survival. With mri, surveillance is improved and may supplant mammography. As stated, alcl may be increased but rare. ...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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What's the difference between mammogram and ultrasound for breast cancer detection?

What's the difference between mammogram and ultrasound for breast cancer detection?

Complementary: A mammogram is an excellent screening test, designed to find cancers before they are palpable. An ultrasound is best utilized for determining the severity of what was seen on mammography. Using the info from both studies, we can then decide if biopsy is necessary. Ultrasound is also a tool to supplement physical exams--it's like a stethoscope for breast surgeons. ...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