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Doctor insights on: Change In Breast Tissue On Mammogram

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Just diagnosed with asymmetrical breast tissue. Mammogram looked different from last year, breast is painful, should I be worried? What can it be.?

Just diagnosed with asymmetrical breast tissue. Mammogram looked different from last year, breast is painful, should I be worried? What can it be.?

Asym breast tissue: Could be nothing but a change in mammogram warrants further testing - either a biopsy or additional imaging such as an MRI or 3D mammogram. In my opinion ANY abnormal breast issue needs to be investigated even if it is something as simple as more frequent mammograms. I would discuss this with your doctor - you could always get an opinion of a breast surgeon. ...Read more

Dr. Barry Rosen
664 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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Can an area of dense breast tissue just appear within a year of a mammogram and can the area disappear?

Can an area of dense breast tissue just appear within a year of a mammogram and can the area disappear?

Yes: Dense breast tissue can come and go depending on when the mammogram was performed as it relates to your menstrual cycle. Changes in weight can also effect breast density as well as the technical issue of how much the breast was compressed (squeezed) when the mammogram was performed. Lots of variables. ...Read more

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What is breast tissue dense breast tissue pleaz help got my mammogram back it said I have dense breast tissues what is that?

What is breast tissue dense breast tissue pleaz help got my mammogram back it said I have dense breast tissues what is that?

Dense Breasts: Dense breasts are common in younger women. It is a term meaning that you have more fibrous tissue and not much fatty tissue. It is common and not considered abnormal. ...Read more

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Had to redo mammogram because breast tissue wasn't compressed & looked suspicious. Caused great anxiety. Why not done properly 1st time?

Had to redo mammogram because breast tissue wasn't compressed & looked suspicious. Caused great anxiety. Why not done properly 1st time?

Yes, it is possible: Initial mammogram may have not had enough compression an area, or the overlapping structures may have caused a summation shadow.

The original mammogram may have been performed well but the radiologist saw something and wanted extra views.

Extra/spot views provide focal compression over the area of concern and spread out the tissues more, to make sure there is nothing of concern in that area. ...Read more

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53 yrs old. Recent digital mammogram informed I have dense breast tissue, negative for ca. Should the results be trusted because of density.

53 yrs old. Recent digital mammogram informed I have dense breast tissue, negative for ca. Should the results be trusted because of density.

Probably: If you have no added risk factors such as a history of brca gene positive, strong family history, prior breast cancer, palpable mass etc. Then all you need is annual breast exam/mammogram. Added risk factors may indicate need for MRI and, in that case, you may want to discuss this concept with your doctor. ...Read more

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Mammogram showed grape size white area. Had view redone because breast tissue wasn't compressed. 2nd test the "grape" not there. Why? Concerned?

Mammogram showed grape size white area. Had view redone because breast tissue wasn't compressed. 2nd test the "grape" not there. Why? Concerned?

Try not to worry: This is common and a big source of confusion and concern for patients. When taking the picture of the breast, tissue sometimes randomly overlaps and will appear denser (white) than it should. This happens roughly 10% of the time. The only way to know this isn't cancer is to take another picture. If it disappears (it usually does) then you know it's tissue overlap, not cancer. I hope this helps! ...Read more

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Dr said it takes 3 months for breast tissue to go back to normal after stopping breastfeeding which is why I have to wait for mammogram. True?

True: This is true but if you have an abnormal lump, the an ultrasound can be done. At 25 (if this is your real age), you should not need a mammogram unless you are high risk. ...Read more

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I have two lumps on r. Lower breast so I had a mammogram and ultrasound where they confirmed the lumps but not much breast tissue. Is there concern?

I have two lumps on r. Lower breast so I had a mammogram and ultrasound where they confirmed the lumps but not much breast tissue. Is there concern?

It depends: It all depends on what the lumps looked like on mammo and ultrasound. They could have benign features, or suspicious features. No way to tell without further information. ...Read more

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Will I need to keep getting mammograms after breast reconstruction? Is there enough of my own breast tissue left after mastectomy and breast reconstruction to make imaging worthwhile? .

Will I need to keep getting mammograms after breast reconstruction? Is there enough of my own breast tissue left after mastectomy and breast reconstruction to make imaging worthwhile? .

Yes and No: If you had a single breast complete mastectomy, no more mammogram on that side. However, if you did not have both breast mastectomies, you still have the other bresst that is at increased risk given the history. So you need to continue screening mammograms for the other breast. ...Read more

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Grandma had lobular BC, worried that I have it. Thickening in breast tissue and pain for 5 mths. Mammogram and ultrasound fine. Should I get MRI?

Grandma had lobular BC, worried that I have it. Thickening in breast tissue and pain for 5 mths. Mammogram and ultrasound fine. Should I get MRI?

Risk: Pain needs to be addressed. Family history is important but do not necessarily indicate you inherited risk. You may consider genetic testing for BRCA especially if any other direct family members has Breast CA ...Read more

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Had repeat breast core biopsy done, it came back as the same as the previous one-benign breast tissue with lactation changes. Are two biopsies accurate?

Had repeat breast core biopsy done, it came back as the same as the previous one-benign breast tissue with lactation changes. Are two biopsies accurate?

Probably: You probably need a consult with a breast surgeon, but I would say that two biopsies of the same location that have come back benign are probably accurate with regard to what is going on in your breast. ...Read more

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Can 'benign breast tissue with lactational change' cause a vascular 7x4mm hypoechoic area on ultrasound?

Can 'benign breast tissue with lactational change' cause a vascular 7x4mm hypoechoic area on ultrasound?

Can't Answer this: Your biopsy was performed in an area that was of concern on mammogram, ultrasound, or both. The pathology report has to be correlated with those imaging studies. If there is a concern that the biopsy did not full explain the imaging concerns, then repeat biopsy may be necessary. The physician who performed your biopsy is responsible for this correlation. ...Read more

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Same breast lump 5plus years. Fluctuates in size during cycle Dr said granular tissue&fibrocystic changes. Can breast tissue feel like a lump? Worried

Same breast lump 5plus years. Fluctuates in size during cycle Dr said granular tissue&fibrocystic changes. Can breast tissue feel like a lump? Worried

Breast tissue: Doesn't, but your description is showing fluctuation in the size of the cystic changes, and possible solid component called a fibroma. Keep checking with your doctor and if grows needs to be rechecked, even if stable in the past. ...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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Breast lump outer quadrant feels long, soft in shower, firm when standing. Hx of fibrocystic changes. Does breast tissue feel like this?

Breast lump outer quadrant feels long, soft in shower, firm when standing. Hx of fibrocystic changes. Does breast tissue feel like this?

Breast lump: Most likely to be benign like a cyst or adenoma which is also benign. You may want to consider a ultrasound of the breast and or biopsy ...Read more

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Hypoechoic area on breast ultrasound came back as benign breast tissue with lactational changes. Can a mass come back as this? I'm worried. I'm nursing

Hypoechoic area on breast ultrasound came back as benign breast tissue with lactational changes. Can a mass come back as this? I'm worried. I'm nursing

Breast mass: It will be important to follow up with your physician to ensure that the images and the pathology report are concordant (that they agree) and, probably, get a follow-up ultrasound to ensure stability or resolution of the mass. ...Read more

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Tingly sensation in same nipple. Rarely in other. Ultrasound clear (dense breast tissue). No nipple changes. May occur more often during period. Norm?

Tingly sensation in same nipple. Rarely in other. Ultrasound clear (dense breast tissue). No nipple changes. May occur more often during period. Norm?

Hormonal fluctuation: As long as you were evaluated by a physician and had an imaging test to rule out any masses/cancers, then your symptoms are most likely normal and a result of hormonal fluctuations based on your menstrual cycle. If you'd like, you can prevent/control these changes by using birth control/contraception. Feel free to consult for more information on this and a prescription if needed. ...Read more

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How long can a cluster of cysts stay in the breast? I have had mine for 1.5 years. 3 mammograms & 1 u/s done already & no change in size.

How long can a cluster of cysts stay in the breast? I have had mine for 1.5 years. 3 mammograms & 1 u/s done already & no change in size.

Keep up with mammos: Stable cysts and lumps suggest a good prognosis. If not enlarging or if the cluster of calcifications is not suspicious, careful follow-up is the way to go. They may never go away. ...Read more

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I did mammogram for breast before a year and there was fibrocystic changes in my left breast and was not milignant. Till now I am feeling it is it ok?

I did mammogram for breast before a year and there was fibrocystic changes in my left breast and was not milignant. Till now I am feeling it is it ok?

Not sure I: Completely understand the question. Do you feel a new lump? Then you need to see your doctor. Ultrasound would be the imaging study of first choice at your age. ...Read more

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I had a mammogram n they found lumps then I had an ultrasound of my breasts n only found mass tissue that wasn't cancerous can tje mass tissue turn int?

I had a mammogram n they found lumps then I had an ultrasound of my breasts n only found mass tissue that wasn't cancerous can tje mass tissue turn int?

Unlikely need tests: At 44 yes have to be concerned, if you have any abnormality, will need close observation. Most likely you have thick dense breast tissue, if you have lumps and masses one will feel them which you don't have, you have densities by xray only. Speak to your md will advise you if need MRI of breasts or even core needle biopsy of the area, don't forget to go for follow up visits. Good luck. ...Read more

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I went to my doctor for breast pain he said he felt something there I have to get a mammogram It's in both breast change in meds have anything to do?

Mammogram: The pain is bilateral, but your doctor felt something on one side? Bilateral pain is generally not a sign of breast cancer. If your doctor felt something, however, it needs to be evaluated. At your age, ultrasound is typically the first imaging study, but mammogram not inappropriate either. ...Read more

Tissue (Definition)

The body is composed of tissue that are classically described as beiing derived from three basic embyonic layers known as the endoderm, mesoderm and ectoderm that then differentiate into the structures that compose the body such as skin, soft tissues, bone, muscle, organs, etc. Stem cells are not differentiated and have the potential to ...Read more