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