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Doctor insights on: Mammogram And Biopsy

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Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Yes: Core needle biopsy is routine procedure for any mass found on mammography or ultrasound. It doesn't sound like it is cancer, but the reason you had the ultrasound in the first place is to see if there were anything that your doctor can't feel on exam, right? Now that they see something, you need to find out what it is. By doing a biopsy, you will know for sure. ...Read more

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Dr. Barry Rosen
684 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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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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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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Mammogram shows macro calcifications but ultrasound is normal. Have a family history of bc and uterine cancer. Is biopsy needed for further evaluation?

Mammogram shows macro calcifications but ultrasound is normal. Have a family history of bc and uterine cancer. Is biopsy needed for further evaluation?

More info: is needed. Whether or not calcifications need to be biopsied depends on their size, shape, and distribution. If they are typically benign by those criteria, they don't need to be biopsied. ...Read more

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Mammogram showed macro calcifications but ultrasound is normal. Family history of bc and uterine. Is a biopsy required for further evaluation?

Mammogram showed macro calcifications but ultrasound is normal. Family history of bc and uterine. Is a biopsy required for further evaluation?

Not enough info: to make an assessment. Whether or not calcifications need to be biopsied primarily depends on their size, shape, and distribution. If they are typically benign based on those criteria, biopsy is usually not indicated. ...Read more

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Mammogram results-intramammographic benign lymph nodes. Huge family history of breast, ovarian, and cervical cancer. Should I be worried and pursue this?

Mammogram results-intramammographic benign lymph nodes.  Huge family history of breast, ovarian, and cervical cancer.  Should I be worried and pursue this?

BRCA: If you have a strong family history of breast and ovarian cancer you should ask for BRCA genetic testing. This tests your genetic risk for developing these cancers. There are several companies that do this test and individualized treatment plans can be created. Cervical cancer is not related to family history but rather exposure to the sexually transmitted HPV virus. ...Read more

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Breast exam by dr- "mass" found- painful did an excisional biopsy, not seen on mammo, ultrasound, had to go deeper possible lipoma-in anyway cancer?

Breast exam by dr- "mass" found- painful did an excisional biopsy, not seen on mammo, ultrasound, had to go deeper possible lipoma-in anyway cancer?

Possibly: Sounds like you had a palpable breast mass that wasn't identified by either mammogram or ultrasound. You have had biopsy, which will provide a definitive answer to the question of "what is it?" mammogram and ultrasound are good, but not perfect, at identifying areas of concern.. Having a biopsy, as you did, is the only way to know for sure what this area is/was. ...Read more

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Stage 2B idc breast cancer, triple positive. Us shows 6mm thyroid nodule with calcifications next to carotid. Should i insist on fine needle biopsy?

Stage 2B idc breast cancer, triple positive. Us shows 6mm thyroid nodule with calcifications next to carotid. Should i insist on fine needle biopsy?

Depends: This condition is unrelated to your breast cancer history. Ask your doctor what concerns or not are registered by the radiologists. Some type of thyroid calcifications are more likely to be benign. 6mm thyroid nodule is small & need to know risks of trying biopsy near carotid artery too. The doctor who ordered the study would know much more to help you than is able to be reported here. ...Read more

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Family history of breast cancer, when to get a mammogram and ultrasound?

Family history of breast cancer, when to get a mammogram and ultrasound?

See below: 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

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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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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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Mammogram shows Heterogeneously dense which may obsure small masses Birads 2 both breast no suspicious masses why is my dr sending me for a ultrasound?

Mammogram shows Heterogeneously dense which may obsure small masses Birads 2 both breast no suspicious masses why is my dr sending me for a ultrasound?

Dense: breasts lower the sensitivity of mammography for detecting cancers, by some studies to as low as 50%. Adding screening ultrasound in this setting may improve cancer detection. This is an evolving issue in the breast imaging community and there is currently no clear consensus. ...Read more

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After mamo and u/s showed microcalcifications in wife's breast, had biopsy with benign result. Now radiologist wants another biopsy?! is this needed?

After mamo and u/s showed microcalcifications in wife's breast, had biopsy with benign result. Now radiologist wants another biopsy?! is this needed?

I'm sorry, yes: They must not have removed the calcifications, so they didn't really biopsy the area of concern. This sometimes happens; the breast can be confusing terrain, and calcifications are very tiny. If the radiologist is recommending another biopsy, please have it done. I know from experience how uncomfortable it can be, but this is exactly what a good radiologist does. You want to be sure! ...Read more

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Will hematoma caused by MRI guided breast biopsy limit post biopsy sono or MRI image if suspicious area is very large would sono work inspite of hemat?

Will hematoma caused by MRI guided breast biopsy limit post biopsy sono or MRI image if suspicious area is very large would sono work inspite of hemat?

What is the reason: to look for the lesion on ultrasound after the biopsy? There should have been an ultrasound correlation prior to the MRI biopsy. Yes, the hematoma can limit a post biopsy ultrasound. If ultrasound is necessary, it might be best to wait a couple of weeks so the hematoma can resolve. ...Read more

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Should both mammogram and sonogram be done forlarge breasts?

Should both mammogram and sonogram be done forlarge breasts?

Maybe: Each is good for a specific problem. Start with the mammogram and if no abn. Findings then sono not necc. If area of question, sono can tell diff. Between a cyst or mass. ...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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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. Ester Kwok Dr. Kwok
13 doctors agreed:
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Mammogram with punctate pleomorphic calcifications. Is that breast cancer?

Dr. Ester Kwok Dr. Kwok
13 doctors agreed:
Mammogram with punctate pleomorphic calcifications.  Is that breast cancer?

Needs investigation: Although breast calcifications may not necessarily mean cancer, pleomorphic calcifications are suspicious. A biopsy should be done. Talk to your doctor. Pleomorphism means that something is of varying shape and characteristics. A non-cancerous or benign calcification will be read as "benign-appearing". Don't delay your biopsy. ...Read more

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Dr. Suzanne Galli
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Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more