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Doctor insights on: I Have A Pectus Excavadum And My Mammogram Is Always Incomplete What Can They Do For A Thorough Evaluation

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I have a pectus excavadum and my mammogram is always incomplete. What can they do for a thorough evaluation?

I have a pectus excavadum and my mammogram is always incomplete. What can they do for a thorough evaluation?

MRI: You could consider doing a bilateral breast MRI if for some anatomical reason they are unable to perform a mamogram. It is more expenisve, and dose appear to be a more sensitive test, but has a higher rate of false positive. Most insurers will deny this test for screening in patients who are not at a hightened risk of breast cancer, but it may be worth a try. ...Read more

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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Getting help for pectus excavatum?

Getting help for pectus excavatum?

Pectus evaluation: It is recommended that any pediatric or adult patient with pectus excavatum undergo an evaluation by a physician with expertise in congenital chest wall malformations. Most pediatric surgeons will be able to assess the patient and determine if any additional testing is necessary. Not all patients will need ct scan or cardiac imaging. Not all patients will need corrective surgery. ...Read more

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I have pectus excavatum, what can I do?

I have pectus excavatum, what can I do?

Discussion: Most pectus excavatum patients lead totally normal lives, and repair is done for cosmetic or psychological reasons. If there are symptoms related to the pectus, repair is indicated. ...Read more

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How to improve pectus excavatum without pt?

How to improve pectus excavatum without pt?

Pectus excavatum: Pectus excavatum can be surgically repaired, but surgery is usually reserved for people who have moderate to severe signs and symptoms. People who have mild signs and symptoms may be helped by physical therapy. Certain exercises can improve posture and increase the degree to which the chest can expand.
http://www. Mayoclinic. Org/diseases-conditions/pectus-excavatum/basics/treatment/con-20028599 ...Read more

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How would you measure how severe pectus excavatum is?

Cosmetic?: Pulmonary or cardiac function tests may be done to determine how severely the lungs and heart are affected.

This condition can be surgically repaired. Surgery is generally advised if you have other problems, such as trouble exercising. In addition, some people undergo surgery for cosmetic reasons. Your health care provider can help you make decisions about your therapy. ...Read more

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Is this a serious disease or it isn't? Pectus excavatum

Is this a serious disease or it isn't? Pectus excavatum

Pectus Excavatum: Pectus excavatum, also known as sunken or funnel chest, is a congenital chest wall deformity that creates a concave, or caved-in, appearance in the anterior chest wall. It can be mild or severe. Worsening of the chest’s appearance and the onset of symptoms are usually reported during rapid bone growth in the early teenage years. When severe, patients develop cardio-pulmonary symptoms. ...Read more

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Any pt, exercises or workouts to help ruduce the pectus excavatum?

Any pt, exercises or workouts to help ruduce the pectus excavatum?

No: Pectus is a problem with the cartilages that connect the ribs with the sternum. No exercise will reduce this. ...Read more

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Please help docs! Is pectus excavatum dangerous?

Please help docs! Is pectus excavatum dangerous?

Pectus Excavatum: The severity of the pectus will determine symptoms and risk of cardio-pulmonary problems.

Here are some links with helpful information:
http://emedicine. Medscape. Com/article/1004953-overview

http://www. Musckids. Org/pectus/conditions/pectus_excavatum

https://www. Researchgate. Net/profile/Andre_Hebra/publication/236595059_Nuss_Procedure_for_Pectus_Excavatum/links/0deec51ed6b91290fc000000.pdf ...Read more

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Is there sucha a thing as pectus excavatum repair?

Is there sucha a thing as pectus excavatum repair?

Pectus Excavatum repair can be achieved using minimally invasive surgical technique: A detailed review of the minimally invasive technique for repair of pectus excavatum can be found at:
http://emedicine. Medscape. Com/article/1970203-overview
the procedure is also known as mirpe or nuss technique. ...Read more

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Are there different types of surgical procedures for pectus excavatum?

Unsinking the chest: Some really good options are available for this procedure. Pediatric surgeons have advanced this treatment over the years. Now it is possible to have the procedure done in less time with great results. All kids with pectus excavatum do not need surgery. Your pediatrician and his/her surgical physicians can determine the timing and type of procedure. ...Read more

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What are the risks of nuss procedure for pectus excavatum?

Risks of surgery: The outcomes and risks related to the minimally invasive technique for repair of pectus excavatum (also known as mirpe or nuss technique) are described in detail in the following article:
http://emedicine. Medscape. Com/article/1970203-overview#showall
please refer to the section 'outcome' to obtain the information you are looking for. ...Read more

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Pectus excavatum affecting my breathing at high altitudes?

Pectus excavatum affecting my breathing at high altitudes?

How high.: Pulmonary inssuficiency symptoms associated with pectus deformities depends on several factors. Complete pulm. Funct. Test, echocardiogram, cat scan thorax will help assess symptoms. Obiously non smoker pectus pt. Cardiac compression by depressed sternum may produce dyspnoea on excertion as a symptom. Need to have all studies and an exercise tolerance assessment to assess baseline heart/pulmonary fx. ...Read more

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Is there any way to fix pectus excavatum without breaking bones?

Is there any way to fix pectus excavatum without breaking bones?

Yes: The nuss procedure involves placement of a bar under the breast bone to allow it to reform and remodel. The bar stays for about two years. The operation is minimally invasive. You can google nuss procedure or heck out youtube for videos of the operation. ...Read more

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How serious is my pectus excavatum?

How serious is my pectus excavatum?

Pectus Excavatum: Pectus Excavatum can range from very mild to severe. The symptoms are typically related to the severity of the pectus, ranging from completely asymptomatic to possible cardio-pulmonary problems.
You should be evaluated by a surgeon with expertise in the field.

Here is a link with helpful information:
http://emedicine. Medscape. Com/article/1004953-overview ...Read more

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Can pectus excavatum grt worse after 14?

A bit: It may deepen so long as a child is growing. The repair has improved significantly, implanting a titanium rod that lifts up like an umbrella, eliminating the pectus. I referred a 9-year-old
last year to an experienced pediatric thoracic surgeon last year, The repair took less than two hours and she recovered uneventfully without unusual pain. ...Read more

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Will bulking up affect a pectus excavatum?

Not really: But pectus can make the bulked up pectoralis muscles look assymetric. Also bulking up may make the pectus look worse if the pectoralis muscles as well as the abdominal muscles become more bulky, and the sunken sternum looks more sunken. Could also be coincidental if bulking up is done during teen years when the pectus is getting worse by itself. ...Read more

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What does it mean to have mild pectus excavatum?

A common finding: A pectus excavatum is a chest wall deformity where there is a bony indentation in the sternum/breastbone. You were likely born with the pectus and no further evaluation is required. If severe rarely surgery is done to correct the problem. ...Read more

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What are the social impacts of pectus excavatum?

What are the social impacts of pectus excavatum?

Pectus problems: Pectus excavatum usually does not become severe until early puberty and adolescence. The appearance of the chest can be very disturbing to young teenagers. Problems with self-esteem and body image perception are frequently reported in teenaged patients. Psychologic disturbances are not unusual in older patients primarily related to the perception ; appearance of the caved-in chest. ...Read more

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What happens if you don't treat pectus excavatum?

What happens if you don't treat pectus excavatum?

NoT much: Rarely does this cause any medical condition besides the cosmetic appearance. It is usually done in teenage boys for purely cosmetic and social reasons. ...Read more

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How can I measure how deep my pectus excavatum is?

Ruler: You can measure it with a ruler but a more accurate way is on a lateral chest x-ray. ...Read more

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Certain exercises help ruduce the pectus excavatum?

Depends: It depends on the edxtent of the defect. Certain excercises can increase chest muscle mass such as the pecs. This may also accentuate the defect. There are no excerceses that can remodel the chest/rib cage. ...Read more

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What is good chest protection for pectus excavatum?

What is good chest protection for pectus excavatum?

What reason?: Unless contact sports are involved, no special protection is needed. If sports are the issue, a flak jacket like quarterbacks wear should be sufficient. ...Read more

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Can someone tell me if pectus excavatum is dangerous?

No: Most pectus excavatum issues are cosmetic only. If there are symptoms, it is usually related to exercise intolerance. Surgical treatment is usually recommended after puberty to allow for any growth of the chest wall to occur. ...Read more

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How painfull is the pectus excavatum surgery?

How painfull is the pectus excavatum surgery?

Pectus surgery/pain: Pain is common after the surgery (minimally invasive as well as open surgery). For the first few days, patients will receive strong pain medicine in the vein (through an iv) and/or through a catheter placed in the spine (an epidural). After that, pain is usually managed with medicines (narcotics and nsad) taken by mouth. Hospital stay can be up to 7 days for pain management. ...Read more

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When does someone need surgery for their pectus excavatum?

When does someone need surgery for their pectus excavatum?

Pectus excavatum: Pectus excavatum can be surgically repaired, but surgery is usually reserved for people who have moderate to severe signs and symptoms. People who have mild signs and symptoms may be helped by physical therapy. Certain exercises can improve posture and increase the degree to which the chest can expand.
http://www. Mayoclinic. Org/diseases-conditions/pectus-excavatum/basics/treatment/con-20028599 ...Read more

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Any differences between a barrel chest and pectus excavatum?

Any differences between a barrel chest and pectus excavatum?

Yes: Pe is a sunken chest associated with deformed cartilages. I'm not sure what you are referring to when you say " barrel chest". People with emphysema often are described as having a "barrel chest". ...Read more

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Pectus excavatum- is it recommended to have surgery to fix it?

No: Rarely does this cause any medical condition besides the cosmetic appearance. It is usually done in teenage boys for purely cosmetic and social reasons. ...Read more