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Doctor insights on: Gynecologists Mammogram

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Would mammography or mammogram procedure hurt?

Would mammography or mammogram procedure hurt?

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 more

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Dr. Barry Rosen
663 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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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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Gynecologic oncology and a gynecologist?

Gynecologic oncology and a gynecologist?

Big difference: One is a cancer specialist and the other is not. Most invasive/malignant diseases will require a gynecologic oncologist to treat since this is a different specialty. ...Read more

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Mammo: focal asymmetry, sono: lipomas and adenopahies, surgeon recommend come back in 3 month, radiologist recommends mri:why?

Mammo: focal asymmetry, sono: lipomas and adenopahies, surgeon recommend come back in 3 month, radiologist recommends mri:why?

Depends...: Depends upon radiologists degree of suspicion. It seems as if the radiologist wants to better evaluate the area of focal asymmetry, especially if there are no prior mammograms for comparative evaluation. Does the surgeon have any information which the radiologist does not? For a definitive pathological evaluation, a stereotactic core biopsy would give the best answer, without a diagnosis delay. ...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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Aren't transvaginal ultrasounds good for checking ovarian cancer?

Aren't transvaginal ultrasounds good for checking ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...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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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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Do I see gynecologic oncology for breast lump?

Do I see gynecologic oncology for breast lump?

See a breast surgeon: Most breast cancer operations are performed in the us by general surgeons such as myself. However, some gynecologic oncologists perform breast surgery, as well. I recommend that you seek out a referral from your primary care doctor, gynecologist, or local breast center. Remember, while most breast lumps are benign, it is best not to delay evaluation. ...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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How often do mammograms miss breast cancer?

How often do mammograms miss breast cancer?

Approximately 10%: Mammograms are the best, most cost-effective method for identifying non-palpable breast cancers, but are by no means perfect. Some cancers (infiltrating lobular) are very difficult to see on mammography. Furthermore, some women have very dense breast tissue that obscures visualization of a cancer. Therefore, a normal mammogram should never determine how to evaluate a palpable breat lump. ...Read more

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Gynecologic oncology vs a gynecologist?

Gynecologic oncology vs a gynecologist?

Gyn vs gyn oncology: A gynecologist takes care of all ladys and health issues related to say "female issues": annual pelvic exams, pap smears, helping with birth control, treating stds, and helping lady's make it through menopause. Gyn oncologist treats ladys who have developed cancer of the cervix, uterus, vagina, vulva etc. ...Read more

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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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Mammogram yearly @ 65? Since 35, diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Mammogram yearly @ 65? Since 35,  diagnostic, reg mam & ultrasound. Dx yrs ago fibrocystic. Punctuate calcifications both breasts. CT MRI 2xyr re CRC.

Calcifications: Microcalcifications of the breasts are suspicious findings and usually require a minimally invasive breast biopsy. The majority of the biopsies will return a benign result but we can't assume that based on mammogram. MRI use in the US is very user dependent and should be reserved for high risk individuals or those with a proven cancer. ...Read more

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Can women who have breast implants get breast screening?

Can women who have breast implants get breast screening?

Yes, but...: Women with implants can have mammograms, but they are often less helpful because the implants obstruct some of the breast tissue we need to see. Depending on the size of the implants and the patient's risk for breast cancer, a breast MRI might be ordered to view all the breast tissue more thoroughly. ...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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1st mammogram ever and abnormal, family history breast cancer. Single group amorphous microcalcs in left breast. US BIRAD 3 and now going for MRI. Biopsy?

1st mammogram ever and abnormal, family history breast cancer. Single group amorphous microcalcs in left breast. US BIRAD 3 and now going for MRI. Biopsy?

A grouping: of amorphous calcifications is probably not appropriate for BIRAD category 3(probably benign). Although they are still likely going to be benign, stereotactic needle biopsy may be more appropriate management, and BIRAD 4 a more appropriate category. Breast MRI is generally not that useful in the imaging work up of microcalcifications. ...Read more

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