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Doctor insights on: Digital Screening Mammogram

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Dr. Michael Korona Dr. Korona
Radiology - Interventional
29 years in practice
University of Virginia School of Medicine
1
Dr. Barry Rosen
662 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


Dr. Stephen Saponaro Dr. Saponaro
Radiology
years in practice
Jefferson Medical College of Thomas Jefferson University
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What do they do if my screening mammogram shows a problem?

What do they do if my screening mammogram shows a problem?

More tests: You can expect more mammogram images, possibly a breast ultrasound. A breast mri, other studies, and biopsy may also be required.

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Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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How does a diagnostic mammogram differ from a screening mammogram?

How does a diagnostic mammogram differ from a screening mammogram?

Screening mammo: Is 4 standard views in an asymptomatic woman, looking for signs of cancer anywhere in both breasts. Diagnostic mammogram is a variable number of specialized views to fully evaluate a particular area of the breast identified as potentially abnormal on screening mammo or physical exam.

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Dr. Bruce J. Stringer Dr. Stringer
Radiology
43 years in practice
State University of New York Downstate Medical Center College of Medicine
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What is the difference between a diagnostic vs screening mammogram?

What is the difference between a diagnostic vs screening mammogram?

Symptoms: A screening mammography is done as a routine exam. There are no symptoms. No masses have been felt. The patient is being screened. A diagnostic mammo is done because there is some reason other than routine. A mass has been felt, there is a discharge from the nipple, etc. Additional views may be taken. Sometimes a needle aspiration will be done at the same time.

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Dr. L. Collins Dr. Collins
Gynecology
32 years in practice
Loyola University Chicago Stritch School of Medicine
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What is the. Difference bet a diagnostic mammogram? And a screening mammogram? Thanks..

What is the. Difference bet a diagnostic mammogram? And a screening mammogram? Thanks..

Issue vs no issue: A screening mammogram is one done without there being any patient or doctor concerns about the breasts. It's done in asymptomatic women on a schedule according to guidelines. A diagnostic mammogram is done in response to a patient complaint or finding on the exam.

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Dr. Carl Decker Dr. Decker
Radiology
20 years in practice
George Washington University Medical School
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What if my screening mammogram shows a problem? Are there any problems with mammograms?

What if my screening mammogram shows a problem? Are there any problems with mammograms?

No perfect test: It is possible that what is picked-up on a mammogram is not cancer. Unfortunately, there is overlap between the benign and malignant. This is why additional tests (such as ultrasound) are necessary.

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Dr. Steven Ginsberg Dr. Ginsberg
Internal Medicine - Hematology & Oncology
33 years in practice
State University of New York Downstate Medical Center College of Medicine
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What are the dangers and limitations of mammograms and are there any alternative screening processes that you would recommend?

See below: Mammograms have not been associated with dangers. In conjunction with self-examination and health care examination, this is the best screen for breast cancer. Not all cancers are found on mammogram, and, if a lump is present and not seen on mammogram, additional evaluation will be necessary.

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Dr. David Masiello Dr. Masiello
Internal Medicine - Hematology & Oncology
14 years in practice
Boston University School of Medicine
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Confused by all the changes in recommendations for screening for women. What's the latest for mammograms?

Confused by all the changes in recommendations for screening for women. What's the latest for mammograms?

No change: The United States preventitiv task force back tracked and did not essentially change the recommendations. Every 2 years from 40-50, yearly after age 50.

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Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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I had a screening mammogram. I waited while the technician checked. She took 1 more pic but implied something not right. Why would she take one more?

I had a screening mammogram. I waited while the technician checked. She took 1 more pic but implied something not right. Why would she take one more?

Don't: Read too much into that. The technologists do not diagnose or work up abnormalities. When they take extra pictures on their own, it likely means that one of the pictures was technically inadequate, for example due to motion blurring or suboptimal positioning, and they are simply repeating it to get the best possible picture.

Dr. David Dang Dr. Dang
Radiology
10 years in practice
UC San Diego School of Medicine
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Some alternatives to mammograms for breast screening.

None: At present there are no definite good alternatives to mammograms for breast screening. Ultrasound and MRI are complimentary to mammograms but do not replace mammograms. Specifically microcalcifications are best seen on mammograms which have resolution of up to 70 microns. There are some advertised screening alternatives but none are as tried and true as mammograms.

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Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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What are some some alternatives to mammograms for breast screening.?

What are some some alternatives to mammograms for breast screening.?

Mammography: Is the standard of care. Screening MRI may be indicated in certain high risk patients. Screening ultrasound may be useful, but has not been validated by clinical studies at this point.

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Dr. Carl Decker Dr. Decker
Radiology
20 years in practice
George Washington University Medical School
12

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How do I know whether I should get a screening MRI rather than a screening mammogram?

How do I know whether I should get a screening MRI rather than a screening mammogram?

High risk individual: Current guidelines recommend the following patients get screening MRI in addition to screening mammogram. 1. Brca mutation 2. First-degree relative of a brca carrier 3. Lifetime risk of breast cancer is 20-25% or greater 4. Radiation to chest between age 10-30 5. Li-fraumeni syndrome, or a first-deg relative 6. Cowden syndrome, or a first-deg relative 7. Bannayan-riley-ruvalcaba syndrome.

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Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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What is the difference between a screening mammogram, a diagnostic mammogram, and an ultrasound?

What is the difference between a screening mammogram, a diagnostic mammogram, and an ultrasound?

A screening: mammogram is a study of both breasts that is performed on asymptomatic women to try and detect signs of breast cancer. A diagnostic mammogram consists of special views, and is usually targeted to a specific area of the breast, to further evaluate a potential abnormality seen on screening mammo or felt on clinical exam.

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Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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What does it mean if a new focal asymmetry on screening mammogram "flattened into benign pattern" on diagnostic mammogram? I have very dense breasts.

What does it mean if a new focal asymmetry on screening mammogram "flattened into benign pattern" on diagnostic mammogram? I have very dense breasts.

No abnormality: It generally means that the original appearance on the screening mammogram was due to a coincidental overlapping of normal breast structures, causing the false appearance of a possible abnormality. On the diagnostic images, the overlapping structures spread out and look normal again, proving that the original "abnormality" was not real. A true mass would not flatten or spread out on the diag mammo

Dr. Paul Hartlaub Dr. Hartlaub
Preventive Medicine
30 years in practice
University of Wisconsin School of Medicine and Public Health
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Are there alternatives to mammogram for breast cancer screening?

Are there alternatives to mammogram for breast cancer screening?

None as good: Mammograms are the best test for detecting breast cancer. It is not clear that breast exams by a health care provider add benefit (tho they may), and breast self exams have not been shown to be beneficial. Certainly, if you notice a bump, a change in skin, a nipple discharge or any abnormality that you are concerned about, you should get it checked out.

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Dr. Timothy Brown Dr. Brown
Obstetrics & Gynecology
40 years in practice
University of Colorado Denver School of Medicine
16
Dr. Eva Duckett Dr. Duckett
Radiology
27 years in practice
Howard University College of Medicine
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Should I start with a screening mammogram for a lump under my arm in rib area?

Should I start with a screening mammogram for a lump under my arm in rib area?

No - diagnostic: Wolf: whenever you are having a problem that could be related to the breasts you should ask for a "diagnostic" mammogram, not a screening. This means any extra imaging that might be needed can be done at the same visit and the radiologist will often talk with you about your results before you go. The sonogram is almost always done when you are feeling a lump as well as the mammogram.

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Dr. Sewa Legha Dr. Legha
Internal Medicine - Oncology
46 years in practice
Punjab University, Christian Medical College
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Had a screening mammogram on Tuesday and the results show a 12 mill. Asymmetry at middle depth in right breast. Having diag. Mam. Next week Help! .

Had a screening mammogram on Tuesday and the results show a 12 mill. Asymmetry at middle depth in right breast. Having diag. Mam. Next week Help! .

Further tests indica: Further testing as planned is indicated. Also get your doctor to examine your breasts for any palpable lump. The presence of a definite lump requires a biopsy to find its nature (benign versus cancer). We also need to know your age?

Dr. Michael Gabor Dr. Gabor
Diagnostic Radiology
29 years in practice
University of Connecticut School of Medicine
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I had a screening mammogram an it came back negative but report says heterogeneously dense breast, what does this mean and how accurate are the result?

I had a screening mammogram an it came back negative but report says heterogeneously dense breast, what does this mean and how accurate are the result?

Dense breasts: "Dense" breasts are normal, but decrease the sensitivity of the mammo for detecting cancers. Some studies show that the sensitivity of mammography in this setting can decrease to as low as 50%. Also, dense breasts are an independent risk factor for developing breast cancer, and cancers discovered in women with dense breasts tend to be more advanced.

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Dr. Steve Martinez Dr. Martinez
Breast Surgery
24 years in practice
University of Washington School of Medicine
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What is the difference between screening mammogram and diagnostic mammogram? Why does the diagnostic one have to be done with breast ultrasound?

What is the difference between screening mammogram and diagnostic mammogram? Why does the diagnostic one have to be done with breast ultrasound?

Purpose: The purpose of a screening mammogram is to identify breast cancer in women who have no signs of disease, while the purpose of a diagnostic mammogram is to obtain more detail on a known abnormality identified on prior physical exam or imaging study. A diagnostic mammogram need not always be done with an ultrasound.

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Dr. Creighton Wright
1 Doctor shared a insight

Screening (Definition)

Examples are: colonoscopy for colon polyp or cancer; mammograms for breast lesions or cancer; psa a blood test that could indicate enlargement of cancerous prostate tissue; blood sugar or hemoglobin a! c for diabetes. Many think that scanning the whole body will pick up a cancer--in all likelihood, it will not. There also is no good blood test, yet, ...Read more