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Doctor insights on: Mammogram Repeat Reasons

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Instead of having a mammogram I have to have ultra sounds. What could be the reason for this?

Instead of having a mammogram I have to have ultra sounds. What could be the reason for this?

Uncertain: Screening mammography is currently the standard of care, even in women with dense breasts. I am not sure of the reason you would have been told to have ultrasounds instead of mammograms. Best to speak with your doctor. ...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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I had my first mammogram and they called me back for an ultrasound. What could be the reason?

I had my first mammogram and they called me back for an ultrasound. What could be the reason?

Very common: Ultrasound is often used to evaluate densities seen on a mammogram. Most often a round density on a mammogram is a benign cyst or benign breast tumor called a fibroadenoma. If the ultrasound suggests an alternative diagnosis it can be used to guide biopsy. Basically it is a second test used to provide additional information. ...Read more

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Mom mammogram done and has been asked to Come in for more images aday later. She has dense tissue in her earlier mammo. What's reason to call her again?

Mom mammogram done and has been asked to Come in for more images aday later. She has dense tissue in her earlier mammo. What's reason to call her again?

Additional imaging: To further evaluate a potential abnormality, or an area not clearly visualized, occurs in about 10% of all screening mammograms (and probably at least 15% of baselines). 80% of the time it turns out to be nothing of concern. Of the remainder that go to biopsy, 80% of those turn out benign. So the odds favor a benign etiology, but in a small percentage of cases there is a cancer. ...Read more

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60yo mom's mammogram found an irregular shaped, enlarged, non-fatty lymph node near breast. Any reason not cancer related? 4 masses in right breast only too

60yo mom's mammogram found an irregular shaped, enlarged, non-fatty lymph node near breast. Any reason not cancer related? 4 masses in right breast only too

Breast lump: There are other possible causes but a biopsy is necessary to make the diagnosis and get proper treatment underway. Even breast cancer has a high success rate for response in most cases, especially after menopause. ...Read more

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Mammagram came back suggested further evaluation. Mamagram in sept of last year was negative. Dr found lump but didn't show on mamagram is that reason?

Mammagram came back suggested further evaluation. Mamagram in sept of last year was negative. Dr found lump but didn't show on mamagram is that reason?

Maybe: The mammographic questionable finding may or may not be related to what your doctor felt. When you back for your diagnostic mammo show them where the palpable finding is so the radiologist can correlate with the mammo. ...Read more

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Mammogram showed abnormality. Was told due to density unsure if cyst or mass. Repeat testing in 6 months. Is this normal protocol?

Mammogram showed abnormality. Was told due to density unsure if cyst or mass. Repeat testing in 6 months. Is this normal protocol?

A step is missing: I think. If a mammogram reveals a density, it is important to determine where it is solid or cystic. A solid mass is more suspicious for cancer. That question can often be answered by performing an ultrasound exam. You don't give your age (perhaps waiting for this more acceptable in very young) but I would like the question of cyst vs solid clarified. Consider asking for ultrasound now. Stay well! ...Read more

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Had mammogram and was re-scheduled in a a couple of months for repeat of just nipple. What would this mean?

Had mammogram and was re-scheduled in a a couple of months for repeat of just nipple. What would this mean?

Ask your doc: Not sure. If they were recommending extra views based on the screening mammo, usually those are scheduled within a few days. If they are recommending short interval follow up of a probably benign finding, usually that is 6 months. Best bet is to discuss it with your doctor. ...Read more

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Large lump under armpit skin. Had mammogram 9mo ago. Should I repeat?

No: Large axillary nodes can be from many causes other than breast cancer. Infections, lymphoma, and breast cancer are a few causes. Large axillary ln should be examined by your doctor and if clinically suspicious for neoplasm they should be biopsied. Repeat mammography may or may not be needed. ...Read more

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Mammogram indicates bi-rads 3, and being followed every 6 months due to fibrocystic breasts. Do you have to repeat ultrasound also?

Mammogram indicates bi-rads 3, and being followed every 6 months due to fibrocystic breasts. Do you have to repeat ultrasound also?

It depends.: The 6 month follow up recommendation could mean mammogram or mammogram/ultrasound. The report should specify. Either one could conceivably be appropriate depending on the circumstances. If the lesion was seen on ultrasound, chances are ultrasound will also be done as follow up. ...Read more

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Should I be seeking a second opinion when the radiologist stated an area on my baseline breast scan to be within normal tissue after a repeat mammogram and ultrasound? He would like to see me again in 6 months to compare scans.

Should I be seeking a second opinion when the radiologist stated an area on my baseline breast scan to be within normal tissue after a repeat mammogram and ultrasound? He would like to see me again in 6 months to compare scans.

Check with your Doc: A mammogram is a screening tool & an ultrasound and magnified views of a breast area would have given the radiologist more information. If no concerning areas are found, your doc has to correlate your risk factors with your clinical exam to decide if a repeat in 6 months is appropriate. Do this first & if still concerned, then feel free to seek a second opinion. Take good care of yourself. ...Read more

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My mother 61 was operated for breast conservation surgery followed by chemo and radiation. How often should she get repeat mammograms?

My mother 61 was operated for breast conservation surgery followed by chemo and radiation. How often should she get repeat mammograms?

Annually: Often one or more mammograms are done on a 6 month interval on the affected/operated side until one is satisfied that a stable scar has been established. Beyond that, annual mammography remains the interval of standard on both the affected and non-affected side. ...Read more

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Mammogram for breast tenderness results were benign gynecomastia. Received letter today saying it's time for six month repeat test. Is this normal?

Mammogram for breast tenderness results were benign gynecomastia. Received letter today saying it's time for six month repeat test. Is this normal?

The prior: mammogram report likely recommended a 6 month follow up to monitor stability. This is not unusual. However, if you think it is a mistake, call your doctor and check before having the mammo. It may not be necessary to monitor gynecomastia with serial mammograms. ...Read more

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Left breast lump found on BSE; had mammogram followed by U/S. Complex cyst w/debri (5mm) identified. Told to have repeat mammogram in 1 year but how do I know for sure the "debri" isn't worrisome? Should I get 2nd opinion or request biopsy?

Left breast lump found on BSE; had mammogram followed by U/S. Complex cyst w/debri (5mm) identified. Told to have repeat mammogram in 1 year but how do I know for sure the "debri" isn't worrisome? Should I get 2nd opinion or request biopsy?

Breast cyst.: Given that your age does put you at risk for breast cancer, unfortunately, with or without a family history of such, a second opinion wouldn't hurt. Complex cysts are a bit more worrisome than simple cysts as they have some contents. I wouldn't panic right now, but a second opinion or a breast MRI wouldn't be a bad idea. ...Read more

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What is mammogram?

What is mammogram?

X ray: A mammogram is a low dose x ray of the breasts used to screen for breast cancer. ...Read more

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What is a mammogram?

What is a mammogram?

A Breast X-ray: A mammogram is a special x-ray of the breast used to detect breast cancer. ...Read more

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Are mammograms painful?

Are mammograms painful?

Yes but not for long: A woman's breast is squeezed as flat as possible for a couple seconds while the X-ray is taken. It hurts, but it doesn't last long. Most women have no problem tolerating it. It shouldn't keep you from having it done if your doctor recommends it. ...Read more

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What is a mammogram like?

What is a mammogram like?

Needs compression: Most centers in the us take two images. One is oblique (called a medial lateral oblique or mlo) and one is head to toe (called craniocaudal or cc). Compression is required in both projections and this part can be painful. Once the images are obtained they are evaluated by a radiologist who has satisfied certain criteria established by the fda. A report should be available that day or within 1 week. ...Read more

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Do mammograms really hurt?

Do mammograms really hurt?

Not necessarily hurt: In order to take a good picture breast tissue must be flattened by providing pressure to one direction. This should be explained to patient and performed gently. A large volume breast may need more pressure, but this can be done gently. ...Read more

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Do men get mammograms? How?

Do men get mammograms? How?

Yes, they do: Yes, men get mammogram as well if there is any suspicion on the clinical exam. Mammogram is done on the same exact procedure both in men and women. ...Read more

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How are mammograms done on men?

Same as women: There is no difference in the technique, only the volume of tissue available to be imaged. ...Read more

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What happens during a mammogram?

What happens during a mammogram?

Compression!: A screening mammogram involves taking two pictures of the breast (top-down and side-to-side) to get a complete view of the breast. This is done with the breast tissue "squished" for a few seconds so as to get the best images. I am told that it is as painful as it sounds but the pain usually is gone quickly. Most importantly, we can find cancers much earlier with a high probability for cure. ...Read more

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How is a mammogram done digitally?

No film: Mammo read off of special computer screen. Obtained same way. See radiologyinfo. Org. ...Read more

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Where can I go to get a mammogram?

Where can I go to get a mammogram?

ACR: Go to the a American College of Radiology Website (acr. Org) where you will find an interactive tool to find accredited mammography facilities near you. ...Read more

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How often should I get a mammogram?

How often should I get a mammogram?

Start annually age40: Annual mammography starting at age 40 is recommended by majority.
This is recommendation of the american cancer society, the american college of radiology, the american college of obstetrics and gynecology, as well as many others.
If one has relatives (specially first-degree relatives) with breast cancer in young age, screening should start earlier. ...Read more

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Should men get mammograms regularly?

Should men get mammograms regularly?

No, the: Incidence of breast cancer in men is too low to warrant a general screening program. Individual men with high risk profiles, however, might be candidates for screening. ...Read more

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When should a woman get a mammogram?

When should a woman get a mammogram?

Yearly age 40 and up: New information suggests a shortened "sojourn" time in younger women. Meaning cancers can grow faster in women in their 40's. While cancers are less common in this group, more frequent screening is important. Risk of breast ca goes up with age, so yearly testing is suggested. Women with strong family history may need to start earlier. ...Read more

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At what age can you get a mammogram?

At what age can you get a mammogram?

Screening mammo: According to the American Cancer Society, American College of Radiology, and others, annual screening mammography should begin at age 40. Screening may begin sooner if you are a BRCA carrier or are otherwise at high risk. I see you are 44, you should consider getting one soon. ...Read more

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How often should you get a mammogram?

How often should you get a mammogram?

At least every 2 yrs: This is unclear, because a well-done study showed little difference between yearly or every 2 year mammograms in women ages 50-69. The age to start mammograms is also unclear. For women under 50, it takes 1, 904 mammograms to prevent one death from breast cancer. Most groups recommend starting at age 40, but ask your doctor to explain your personal risks and benefits based on your history. ...Read more

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Where can I get a painfree mammogram?

Accredited unit: Most mammograms are almost painfree or associated with little discomfort. Some people experience more pain. Use a mammography service that has accreditation. Some services offer a soft pad on the machine which makes it slightly more comfortable. Talk to the technician before the procedure and alert her/him of your pain threshold.. ...Read more

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How can mammograms be given to males?

How can mammograms be given to males?

The exact same: Technique as with females. A mammogram can be performed on virtually anyone with even minimal tissue in the breast regions. ...Read more

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Why is it necessary to do a mammogram?

Mammogram: It is not necessary to get a mammogram. A mammogram is a screening test for breast cancer and considered preventive medicine. 1 in 8 women will get breast cancer, including those with strong family history of (maternal side) breast cancer. Since finding breast cancer in the early stages increases the cure rate, it is to a woman's advantage to get screened. ...Read more

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How long is the result of a mammogram?

Not very: It is increasingly the norm that a patient will be given an initial impression of the mammogram study before they leave the imaging facility. A final report to the patient will routinely follow by mail in a few days along with a report to the referring physician. ...Read more

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Are mammograms really completely safe?

Are mammograms really completely safe?

Mammo Safety: Very little in life is 'completely' safe. We make risk/benefit decisions all the time, without even being conscious of it. For example driving a car, or taking an antibiotic for an infection, carries some risk. With mammography, there is a minimal increased risk of radiation induced cancer. However, medical consensus is that the risk is far outweighed by the potential benefit of early Ca detection ...Read more

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What age is mammogram no longer needed?

What age is mammogram no longer needed?

It depends: There is no clear cut answer. If you are in relatively good health, no matter what your age, you should probably continue screening. If you have a terminal medical condition, it may not provide much benefit to continue screening. ...Read more

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What does a shadow on a mammogram mean?

Mammogram: Anything above the density of fat, including normal fibroglandular breast tissue, shows up as a "shadow" on a mammogram. The shape and the margins of the shadow are among the features of the shadow that determine if it is suspicious and/or requires additional evaluation. ...Read more

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How are women prepared for a mammogram?

Not as important: Some studies claim that mammograms are better performed at a certain time of the menstrual cycles. More important is the reading... Age, density of the breast, comparison with previous mammograms...
Risk factors as age, family history, previous cancer..... Are important in determining the frequency...
Consult with your doctor.... ...Read more

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Is 17 too young to get a mammogram done?

Yes: Unless there is a obvious mass in the breast, mammography is not done. If a 17 year old has a mass, then evaluation and possible biopsy would be a better choice. ...Read more

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Why do people say mammograms save lives?

Early detection: Mammography detects cancers up to several years before they can be felt. In general, the earlier the diagnosis - the better (and easier) the treatment. ...Read more

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What is the mammogram typically used for?

What is the mammogram typically used for?

Screen breast cancer: Mammogram is an xray technique used to evaluate the breast tissue and ascertain that it's appearance is normal. It is useful to detect very early changes in the tissues that are consistent with cancer of the breast. This changes are not usually palpable by the patient or the doctor on routine exams. ...Read more

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What is the right age to get a mammogram?

Mammogram age?: If your family history has women with early breast cancer (mother, grandmother, sister) age 35 is appropriate for a digital mammogram. If your family history is negative for breast cancer, age 40 would be appropriate. If you have dense heavy breasts, annual mammograms after 40 is suggested. ...Read more