Doctor insights on:
How Accurate Is An Ultrasound For Breast Cancer
Very: When ultrasounds are used to evaluate a palpable lump or a mammographic abnormality, a directed ultrasound can very accurately differentiate a benign tumor from a malignant one. Nevertheless, it is best to not rely exclusively on an ultrasound and to proceed to tissue diagnosis via biopsy, especially for women over age 40. ...Read more
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
It is a complementry: Ultrasound is useful test commonly done after a mammogram. It can make a distinction between solid (likely to be cancer) and cystic (usually benign)strutures. The accuracy of ultrasound is operator dependent...So a good/experienced radiologist can make good use of this test for accurate dignosis. ...Read more
This depends on if your are looking for local recurrence in the breast (ultrasound can help) or distant recurrence (in other organs outside the breast)-pet is better.
They are both great tests. If you have concerns, I recommend contacting your oncology team and consider getting a second opinion. ...Read more
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
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
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
Sometimes...: Ultrasound is most useful as a directed test to evaluate a mass seen on mammography or palpated on (self) exam. Info from the ultrasound helps us decide if biopsy is necessary to check for cancer. Ultrasound is also being used to screen for cancers; preliminary results are encouraging, especially in women with dense breasts. ...Read more
Yes: Occasionally something will show up on ultrasound and not be visible on mammography. The reverse can also be true, and you also cannot assume a palpable lump is benign if it does not appear on either. ...Read more
Density, age, fam hx:
No and ultrasound alone can't detect all breast cancer.
Under 30yo w no fam hx, ultrasound is a good first test. Over 40yo with dense breasts (40% of women) than a 3d tomosynthesis mammogram or 2d mammogram with breast ultrasound. Over 40, not dense, than 2d mammogram. If you have fam hx of breast cancer then you should speak with your doctor about yr risk and possible MRI. ...Read more
My ultrasound shows multiple ovoid lesions in both breasts features may present fibrodenomas. Does it increase future risk of breast cancer?
Depends: Simple fibroadenomas do not increase risk of breast cancer. However, some fibroadenomas are complex and do have a small increased lifetime risk for cancer. The practical issue is how many, how large and how many to biopsy/sample and how to follow up if they are not removed. Go see a surgical onoclogist or general surgeon with experience and special interest/expertise on breast disease ...Read more
SCREENING BREAST CA:
Mammogram is the gold standard for breast cancer screening, ultrasonds are used to differenciate solid/fluid filled cysts and serve that purpose. Ultrasond can miss cancers more often. Mammogams can also miss some early cancers, and has well recognised limitations.
So ultrasond and magnetic resonance imaging is used along with mammograms in high risk patients. ...Read more
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
I want to know what is the difference between mammogram and ultrasound when it comes to breast cancer detection?
Xrays vs ultrasound: Mammograms are images obtained by compressing the breast and exposing the breast tissue to x rays from several directions. Various findings on these X-ray images could be a sign of cancer. Ultrasound images are obtained by sending high frequency sound waves into (breast) tissue and capturing reflected sound waves back. These are then used to generate an image. Breast cancer can often be detected. ...Read more
Swollen l suprclav node for 3mo. Ultrasound shows it to be1.5cm. Dr says its benign. No breast cancer. What now?!
1.5 cm and benign?:
Normally, any lymph node greater than 1 cm in the neck is considered suspicious.
If it has not grown in three months, that is somewhat reassuring. If it shows any more growth, I would certainly biopsy it.
If you biopsied it now, there is probably over a 90% chance that your doctor is right. Weight loss, night sweats, unexplained fevers, sore throat, difficulty swallowing or hoarseness? ...Read more
If you have a first degree relative (mother or sister) who was diagnosed at age <50 then take the age at diagnosis and subtract 10 years. So if your mother was diagnosed at age 46, you would start at age 36.
Otherwise, all women should start annual screening mammograms at age 40. ...Read more
Unlikely @ your age: Except in cases with strong family history of breast and other cancers. Your test will likely be fine but do get it done, ok? Best to you. ...Read more
I had a breast lump almost a year ago. Got it checked, the ultrasound didn't show anything. Could it be breast cancer? I turned 17 this year
Unsure: At your age a breast cancer is unlikely but still possible. If the lump is still present you should see your doctor for re-evaluation. ...Read more
I had Ultrasound trucut biopsy of breast & histopath report showed Papillary Neoplasm with Calponin & P63 stains negative. Do I have breast cancer?
No enough info.: Papillary neoplasms of the breast can be benign or malignant. When found, these lesions need to be excised both to fully evaluate whether cancer is present and if not, to prevent cancer from forming as they can be pre-malignant. If breast cancer if present, papillary breast cancers usually have a very good prognosis. ...Read more
Maybe fibre, irregular shape in my right breast when doing an ultrasound. Mom had breast cancer 4yrs ago and her aunt before. Is a mammogram needed?
Probably not: For the average risk woman, screening mammo should begin at 40. For very high risk patients, for example BRCA gene carriers, screening can begin earlier. Have your doctor assess your risk profile to see where you fit in. ...Read more
What to do if I'm 40 yrs old and I'm freaking out thinking I may have breast cancer. How bad is it if I have to have an ultrasound-guided breast biopsy?
Can the radiologist tell breast cancer from a fibroadenoma during a ultrasound, or do you need a biopsy?
Would metastatic cervical cancer in the breast appear the same as breast cancer on mammogram and ultrasound?
Possibly on imaging: Cervical cancer (the tissue at the end of the vaginal canal) rarely metastasizes to the breast. Rather breast cancer may metastasize to many areas of body, such as bone, lung, brain, lymph nodes. That being said, any abnormal growth in the breast, though mostly breast tissue, could look similarly by mammogram or ultrasound. The bottom line is if there is an abnormality, must be biopsied. ...Read more
I have fibrocystic breasts and I only get mammograms and ultrasounds every 2 years. Is this enough? I am 34 with no family history of breast cancer.
More than enough:
There is controversy about mammography and some doubt that routine mammography reduces breast cancer mortality. What you are doing is more than recommended by preventive services task force. You may consult this site for more info:
http://www. Medscape. Com/viewarticle/712473 ...Read more
2 breast lumps, movable, 34y/o, likely fibrocystic or breast cancer? No family history. Ultrasound scheduled this week.
If breast cancer isn't rare in women under 40, why are there no screening methods offered? Shouldn't regular ultrasound or MRI be encouraged?
Breast screening: Women at higher risk can begin screening before age 40. This could entail mammography, sonography, or MRI, depending on the circumstances. Although younger women, and men, can get breast cancer, the likelihood is not high enough to warrant a general screening program. The costs ($$, unnecessary biopsies, etc...) would not be outweighed by the benefits. ...Read more
Nursing and had breast ultrasound. Tech saw either a small cyst or a duct but either way it was fine. Does this increase my risk breast cancer?
I had a mammogram and ultrasound and result in mail we're clear but doctors office was persistent that I keep appointment with breast cancer spec why?
Did your: Doctor feel something abnormal on exam? A small % of cancers are not seen on mammo/ultrasound, and are found only on exam. Speak with your doc about why you need to see the specialist. ...Read more
Mammo in March showed area of interest right breast. Had an ultrasound that the radiologist said was" probably" a cyst and said had no suspicious features. She told me to come back in 6 months for a follow up. Very nervous about breast cancer. 43F
Breast cyst: Although any abnormality on a mammo is frightening, a lack of suspicious features on ultrasound is very helpful. If you don't have any palpable abnormality or high family risk for early breast cancer, a six month recheck is very appropriate. ...Read more
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
Is it likely that I have breast cancer if the doctors took a mammogram, then an ultrasound, then a breast mri?
Maybe: It is possibe that this could still be benign, it sounds like the docs are checking up on an abnormal mammogram finding. If it was highly suspicious, you would have already have had a biopsy. Hopefully you will get the results soon - get a biopsy if needed, or hopefully, be reassured that it looks ok and have appropriate follow-up scheduled. ...Read more
I have been having twinges in my left breast. Have had mammo, ultrasound & mri. All normal. Breast tissue dense. Concerned about breast cancer. What followup do you recommend? Tests were done last August.
Twinges: First it is great news that all of the testing has been normal to this point. I know it is frustrating not having an answer about the cause of the twinges. I would imagine repeating the mammogram in 3-6 months would be reasonable. If there is an early breast cancer (which there doesn't seem to be) you would be catching it early, when it's very treatable. Would need more info about twinges... ...Read more
Will an ultrasound determine if I have breast cancer? How does cancer shape differ than fibre in the breast? I have PCOS & hormones aren't stable.
Ultrasound can: Detect suspicious lesions that might be breast cancer. When ultrasound detects a suspicious lesion, however, biopsy is necessary to confirm the diagnosis. Ultrasound alone can only estimate the probability that a lesion might be malignant. ...Read more
I am 28 My moms mom died at 61 from breast cancer and my mom at 46 had abnormal mam with normal ultrasound says it's lymph node what does that mean?
Repeat ultrasound 6m: If your grandmother had breast cancer at the age of 61 and your mom who is now 46 has an abnormal mammogram but a normal ultrasound, the recommendation would be to recheck the ultrasound in 6 months. If you can feel a lump are still concerned, it would be reasonable to do an ultrasound guided biopsy. It is very common to get lymph nodes that are abnormal on mammo but normal on ultrasound. ...Read more
Should I be worried about breast cancer? Breast discharge off and on from right breast. Mammo and ultrasound clear. No lumps according to OBGYN. 26/F.
Intraductal papiloma: See Gen Surgeon and possible ductile exploration and biopsy ...Read more
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
My mom had breast cancer, I'm 39 and I just had a mammogram and breast ultrasound and got called back to my doctor, should I be worried?
No just follow-up: You had a screening mammogram. This test is designed to determine if your mammogram is normal or abnormal. An abnormal mammogram does not mean you have breast cancer. You can have a fibroadenoma, a breast cyst or other benign breast condition which are much more common than breast cancer. The next step if the screening mammogram is abnormal is to perform a diagnostic mammogram of the area. ...Read more
Have bilateral breast tenderness for six months. Getting ultrasound and mammogram. Is breast cancer the primary concern with these symptoms.
More like Gynecomast: Breast cancer is typically not tender and is not likely to be bilateral in a male patient (does happen in female breast cancer but it is very rare). ...Read more
I'm a stage 3 breast cancer patient every how many months shall I have my xray. Liver ultrsound, breast ultrasound and bone scan?
No specific guidelines.
I don't routinely get scans. I do history and physical and lab tests (including tumor markers) regularly, depending on the patient and her disease features. If there is a new symptom or finding, scans will be obtained as appropriate. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more
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