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Doctor insights on: Mammogram Tutorial

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39 yo extremely dense fibrocystic breasts w/well-circumscribed macrolobulated hypoechoic mass 11:00 left breast 3cm above nipple BIRAD 4? Cancer?

39 yo extremely dense fibrocystic breasts w/well-circumscribed macrolobulated hypoechoic mass 11:00 left breast 3cm above nipple BIRAD 4? Cancer?

No easy answer: It is imperative that you talk with the physician who took care of you. There are many possibilities and I would have to know more about these findings to give you my best opinion. ...Read more

Dr. Barry Rosen
665 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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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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Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does  Heterogeneously dense breast mean? my dr wants a ultrasound is it needed?

Uniform dense breast: In the young female the breast is extremely dense and consists of mostly breast tissue. With age, the breast tissue is dispersed with fatty tissue so that over 35yo mammo can be performed and one can visualize breast tissue. In some patients over 50 the mammo shows only sheets of dense breast tissue with no fat spread interstitially. Here a small lesion can only be detected by ultrasound. ...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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What happened at komen foundation for breast cancer screening?

What happened at komen foundation for breast cancer screening?

Still there: The komen foundation still provides money to organizations to provide screening mammograms. I recommend checking iwth your local health department to programs. Komen relies on donations to keep providing this worthwhile services. ...Read more

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Lump found in rt. Breast at 5:30 position on 3/2012. Biopsy said fibroadenoma. Next us found lump at 7:30. Biopsy says fibroadenoma. Same lump?

Lump found in rt. Breast at 5:30 position on 3/2012. Biopsy said fibroadenoma. Next us found lump at 7:30. Biopsy says fibroadenoma. Same lump?

Possibly: This is hard to answer without knowing more information. Was the first one completely exised or just biopsied? The breast radiologist should be able to answer your question. Regardless, both are benign so i would not worry. Fibroadenomas are not uncommon in young women. ...Read more

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Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does then mean Heterogeneously dense breast ?

Mammo shows Heterogeneously dense breasts Birads 2 Benign finding what does then mean Heterogeneously dense breast ?

Breast tissue variab: The breast tissue density among women is quite variable and ranges from dense to lucent and any degree of mixed forms(that is what heterogeneous means as opposed to homogeneous). The breast that is very dense can sometimes hide a small breast Cancer . That is why such women are advised to have examination with an ultrasound in addition to mammography. You do not seem to have that problem. ...Read more

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Breast lump, core needle biopsy, I am 17 female, please help?

Breast lump, core needle biopsy, I am 17 female, please help?

The probability: is, at your age, it will be benign. You may have to wait several days for the results, but keep in mind that the odds are in your favor by a wide margin. ...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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Can a breast MRI miss breast cancer?

Can a breast MRI miss breast cancer?

Yes, it is: more than 90% sensitive for most cancers, but no test is 100%. ...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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Mammogram doubts neoplastic process, scan shows well lobulated solid mass,wider than taller,family history of 2 sis of breast cancer..d/d plz ?

Mammogram doubts neoplastic process, scan shows well lobulated solid mass,wider than taller,family history of 2 sis of breast cancer..d/d plz
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It sounds: like you had a breast ultrasound as well. Obviously limited info and incomplete description, but based on those descriptors, it is probably a BIRADS category 3 lesion(98% or greater chance of being benign). Most commonly, a mass with this description is a benign fibroadenoma. ...Read more

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Mammo: focal asymmetry, sono: lipomas and adenopahies, surgeon recommend come back in 3 month, radiologist recommends mri:why?

Mammo: focal asymmetry, sono: lipomas and adenopahies, surgeon recommend come back in 3 month, radiologist recommends mri:why?

Depends...: Depends upon radiologists degree of suspicion. It seems as if the radiologist wants to better evaluate the area of focal asymmetry, especially if there are no prior mammograms for comparative evaluation. Does the surgeon have any information which the radiologist does not? For a definitive pathological evaluation, a stereotactic core biopsy would give the best answer, without a diagnosis delay. ...Read more

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40yo mammo, dense tissue. MRI show 7mm mass 10:00. U/S didn't find that but 5mm "cyst" @11:00. Being sent to breast surgeon. What liklihood of cancer?

40yo mammo, dense tissue. MRI show 7mm mass 10:00. U/S didn't find that but 5mm "cyst" @11:00. Being sent to breast surgeon. What liklihood of cancer?

Probably low: It sounds like the findings are the same finding. But it is better to be safe and see that they are one and the same thing. MRI is very sensitive so it may see something the other tests didn't. So it is better to see what the surgeon says. Don't be surprised if he wants it out to be certain what it is . Good luck ...Read more

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Dr. Ester Kwok Dr. Kwok
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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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Ultrasound: Left Breast=scattered benign appearing cysts, an adjacent nonvascular hypoechoic nodule compatible w a fibroadenoma is noted. ACR BIRADS Category2, No further imaging workup is necessary, Fibrocystic changes, 25 yrs old. I'm scared HELP?

Ultrasound: Left Breast=scattered benign appearing cysts, an adjacent nonvascular hypoechoic nodule compatible w a fibroadenoma is noted. ACR BIRADS Category2, No further imaging workup is necessary, Fibrocystic changes, 25 yrs old.  I'm scared HELP?

The BiRads: Category 2 indicates benign findings and from your reports, I would agree with that. Cysts are common and benign, and fibroadenomas are quite well identified on ultrasound. This is supported by it being non-vascular...without blood supply. Cancers have a blood supply. I would continue to monitor your breasts and return to your doctor for an exam in 6 months. And then stop worrying ...you're ok. ...Read more

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