Doctor insights on:
Clustered Microcalcifications On Mammogram
My sister got a mammogram result of "suspicious cluster microcalcifications". Is that a cancer sign?
Biopsy Needed for Dx: A mammographic report of "suspicious microcalcifications" warrants a stereotactic (nonsurgical) biopsy to definitively diagnose the abnormality. This is categorized by radiologists as a bi-rads 4 abnormality, which should be listed on the report. These are found to be cancerous approximately 15-30% of the time. ...Read more
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
Details mammogram result word for word wife just had a mammogram which reads: a moderately dense stromal pattern is noted. Occassional benign type calcifications noted. No suspicious microcalcifications, architectural distortion or dominant mass. No skin
OK: Above wordings on a mammogram indicate that the radiologist did not identify any sucious findings on this mammogram. Usually they assign a category number. If they assigned a category 1 or 2 then she can repeat her mammogram in one year. But please clarify the findings with your health care provider. Please also realize that even with a normal mammogram a clinical breast exam is also avisable. Some clinical fndings may not be seen on the mammogram. ...Read more
Can you have breast cancer without microcalcifications? Mammogram shows nodules, but no microcalcifications. 3mm, 9mm, and 7mm. All asymmetry
See Disclaimer: A typical mammogram will often cite a disclaimer stating something like a negative mammogram cannot exclude a malignancy. That means you cannot draw broad blanket conclusions, one way or the other, about micro-calcifications. You should have your breasts evaluated further by a breast surgeon. ...Read more
Be concerned!: By your description a biopsy would be indicated. This can be performed with ultrasound guidance if there are findings by u/s in the region, or if not, with stereotactic guidance. These can easily be performed by a radiologist skilled in these procedures, or by a breast surgeon. This should be done as soon as possible. ...Read more
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
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
Awaiting 6 month FU mammogram (cluster amorphous microcalcs L breast). L breast now abnormally larger than R, visible veins. Cud b cancer or hormonal?
Hormonal: MicroCa when more than 6-8 in tight region might represent DCIS but not invasive Ca which would show up for the most part as a lesion on mammo. Larger breast probably hormonal but visible veins might represent Mondors disease. This condition is a rare entity characterized by a sclerosing thrombophlebitis which might contribute to altered breast shape. ...Read more
Go see a doctor: You need to have a clinical breast examination done by a nurse or a doctor. Further, a biopsy of your breast may be needed as clustered calcium deposits can be caused by early breast cancers called ductal carcinoma in situ (dcis). Ask your doctor to help you investigate this further. ...Read more
Are new clusters of faint, amorphous microcalcifications bilaterally that are indeterminate most likely malignant? Bi-rad 4. Waiting to have biopsies
Microcalcs: Just follow your doctor's advice and have the biopsies performed. Once you know what's there you can make an educated decision on how to handle this situation. Best of luck. ...Read more
Is there any difference between "grouped microcalcifications" and "clustered microcalcifications" in breast?
But, either description of the micro calcifications is suspicious and warrants further workup - magnification mammograms at least.
Depending on what those show, a biopsy may be required to make a final diagnosis.
Please complete the workup! ...Read more
I have 2 large clusters of indeterminate microcalcifications in right breast. I'm 49, no fam. History or risk factors for BC. What % is benign?
Most: However, do not lose sight of the fact that most breast cancers are sporadic. That is not family related. A stereotactic core biopsy of these calcification will change from indeterminate to I know what you are. Although most calcification are benign you cannot be certain until the science says so ...Read more
Possibly: While stable calcifications over time (ie years) on a mammogram are less likely to be due to cancer, any changing calcifications are likely to come with the recommendation for a biopsy because of the correlation between changing calcifications and cancer. The pattern of calcifications is interpreted by the radiologist as suspicious or benign. ...Read more
What type of biopsy is more accurate for large clusters of microcalcifications in the breast, stereotactic core biopsy or wire guided open surgery?
Open biopsy: Is considered the historic "gold standard", but the accuracy of stereotactic biopsy approaches that of excisional biopsy, with less risk, less complications, less cost, and no disfigurement or significant scarring. It avoids unnecessary surgery. About 75% or so of all microcalcification biopsies turn out benign. Image-guided needle biopsies are the standard of care for a variety of reasons. ...Read more
Is there any connection between a swollen lymph node in the breast and clustered pleomorphic microcalcifications?
Is breast cancer risk increased with suspicious bilateral microcalcification clusters and large thickened nodule w/neg. Us? How much?
Walk B4 U Run: Breast microcalcifications are very common, some of which may be associated with cancer. Radiologists will deem those suspicious enough to warrant biopsy as "birads 4 or 5". If so, the next step is to have a (nonsurgical) biopsy for definitive diagnosis. A nodule seen on mammography but not on ultrasound will also be categorized as above. Your next step is to speak w/the dr. Who ordered the mamm. ...Read more
44 no fam hx breast cancer. Mammo shows small cluster microcalcifications. I do have fibroglandular density with birad 2. Don't smoke, high caffeine?
BiRads II?: If your mammogram was read as Birads 2 you have less to worry about. BI-RADS II is a benign category. A cluster of microcacifications can be worrisome for breast-cancer. You should probably clarify this result with your doc to make sure no further testing is needed as the results seem contradictory. Best wishes! ...Read more
No family history of breast cancer. 44 years old. Mammo shows small cluster of microcalcification in mlo view only of upper right breast. I do consume very high levels of caffeine. Do not smoke. Healthy diet and exercise. First abnormal Mammo. I do ha
This is a common:
Finding Mammograms pick up both in malignant and Non malignant Breast conditions. POINT IS IT ABSOLUTELY NEEDS FOLLOW UP by a Breast Specialist! The Provider who ordered the study should be your first contact!
Hope this helps!
Dr Z ...Read more
3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?
Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.) ...Read more
Normal mammogram. Report said scattered areas of fibrocystic density? Dr said u/s not needed. Is there different levels of density?
Yes: There are different patterns of abnormality on a mammogram--some of which are worrisome, some are not. Some abnormalities can show up on an ultrasound, some can't. An ultrasound is best used to further evaluate specific abnormalities to help ascertain whether a biopsy is needed, but it is not a good screening tool. ...Read more
Needs compression: Most centers in the us take two images. One is oblique (called a medial lateral oblique or mlo) and one is head to toe (called craniocaudal or cc). Compression is required in both projections and this part can be painful. Once the images are obtained they are evaluated by a radiologist who has satisfied certain criteria established by the fda. A report should be available that day or within 1 week. ...Read more
Not necessarily hurt: In order to take a good picture breast tissue must be flattened by providing pressure to one direction. This should be explained to patient and performed gently. A large volume breast may need more pressure, but this can be done gently. ...Read more
Compression!: A screening mammogram involves taking two pictures of the breast (top-down and side-to-side) to get a complete view of the breast. This is done with the breast tissue "squished" for a few seconds so as to get the best images. I am told that it is as painful as it sounds but the pain usually is gone quickly. Most importantly, we can find cancers much earlier with a high probability for cure. ...Read more
Mammogram: It is not necessary to get a mammogram. A mammogram is a screening test for breast cancer and considered preventive medicine. 1 in 8 women will get breast cancer, including those with strong family history of (maternal side) breast cancer. Since finding breast cancer in the early stages increases the cure rate, it is to a woman's advantage to get screened. ...Read more
Not as important:
Some studies claim that mammograms are better performed at a certain time of the menstrual cycles. More important is the reading... Age, density of the breast, comparison with previous mammograms...
Risk factors as age, family history, previous cancer..... Are important in determining the frequency...
Consult with your doctor.... ...Read more
Screen breast cancer: Mammogram is an xray technique used to evaluate the breast tissue and ascertain that it's appearance is normal. It is useful to detect very early changes in the tissues that are consistent with cancer of the breast. This changes are not usually palpable by the patient or the doctor on routine exams. ...Read more
Are tiny calcium deposits that can occur in various parts of the body, such as the breast and thyroid gland. There are a variety of causes, most benign, but certain cancers can also produce them. Generally, the shape and distribution determine the level of suspicion. Typically benign looking microcalcs can usually be ignored, and more suspicious microcalcs likely ...Read more
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