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Doctor insights on: New Calcifications On Mammogram

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Suspicious clusters of pleomorphic calcifications found on one breast only during mammogram?

Suspicious clusters of pleomorphic calcifications found on one breast only during mammogram?

Needs biopsy: Suspicious cluster opleomorphic microcalcifications on mgram may be due to breast cancer. Therefore you need to undergo a biopsy. Usually they sggest a stereotactic biopsy which is a type od percutaneous needle biopsy n a special x-ray table. Please follow with a breast carer specialist or a radiologist experien in this procedure. ...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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What does new asymmetrical density findings on a mammogram report mean?

What does new asymmetrical density  findings on a mammogram report  mean?

Needs Further Eval: Asymmetry implies that there may be an underlying tumor where the breast tissue is more prominent. The next step is to get a diagnostic mammogram +/- ultrasound to see if this is just a "shadow" or an abnormality that warrants a biopsy (these turn out to be shadows most of the time). Please discuss this further with the doctor that ordered your mammogram. ...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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Dr. Le Wang Dr. Wang
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Had breast microcalcifications biopsied last year-benign. What if mammo shows new calcs? Will I have to do another biopsy every time new ones show up?

Dr. Le Wang Dr. Wang
2 doctors agreed:

Depends on the risk: Many calcifications detected by mammo are benign and require no further evaluation. Some patterns of microcalcification are more suspecious for cancer than others, thus require a biopsy for diagnosis. Usually, when microcalfications are detected, radiologist will attempt to stratify their level of suspecion to improve predictive value of biopsy by certain criteria or using other imagings. ...Read more

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Would metastatic cervical cancer in the breast appear the same as breast cancer on mammogram and ultrasound?

Would metastatic cervical cancer in the breast appear the same as breast cancer on mammogram and ultrasound?

Possibly on imaging: Cervical cancer (the tissue at the end of the vaginal canal) rarely metastasizes to the breast. Rather breast cancer may metastasize to many areas of body, such as bone, lung, brain, lymph nodes. That being said, any abnormal growth in the breast, though mostly breast tissue, could look similarly by mammogram or ultrasound. The bottom line is if there is an abnormality, must be biopsied. ...Read more

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Dr. John To Dr. To
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2 new nodules on a CT report on a colon cancer patient , why are not measurements stated?

Dr. John To Dr. To
1 doctor agreed:
2 new nodules on a CT report on a colon cancer patient , why are not measurements stated?

Complicated: Measurement of lesions at CT is not a trivial task. Measurement in the axial plane in two dimensions may not reflect the volume of the lesion. The measurement is affected by slice thickness and window and level settings. RECIST 1.1 is a standard for tumor measurement, but it seems outdated with modern CT. Development of new lung lesions in high risk colon ca is bad, size willnot affect therapy. ...Read more

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What does it mean if a new focal asymmetry on screening mammogram "flattened into benign pattern" on diagnostic mammogram? I have very dense breasts.

What does it mean if a new focal asymmetry on screening mammogram "flattened into benign pattern" on diagnostic mammogram?  I have very dense breasts.

No abnormality: It generally means that the original appearance on the screening mammogram was due to a coincidental overlapping of normal breast structures, causing the false appearance of a possible abnormality. On the diagnostic images,the overlapping structures spread out and look normal again, proving that the original "abnormality" was not real. A true mass would not flatten or spread out on the diag mammo ...Read more

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Ultrasound on lump done. Report says birad1, tissue looks fibrocystic. what does that mean? ultrasound done 3x in 2 mths. Change of missing cancer?

Ultrasound on lump done. Report says birad1, tissue looks fibrocystic. what does that mean? ultrasound done 3x in 2 mths. Change of missing cancer?

Lump cancer?: It means it is compared of fibrocystic tissue. Not cancer. Where is it? Most likely lipomas which is almost never cancer. Discuss with your Dr. ...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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3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

3cm hypoechoic solid vascular thyroid nodule with a cluster of hurthle cells, fna benign, follow up ultrasound now shows microcalcifications. Cancer?

Not necessarily...: The fact that FNA was reported as benign, the nodule is unlikely to be malignant. Small droplets of benign colloid often mimic "microcalcificatins" of papillary tumor, hence caution is advised. I would suggest repeating the FNA, and consider also collecting samples for gene profiling studies, such as, those manufactured by Veracyte and Asuragen (Note:I have no financial/other interest.) ...Read more

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Would calcified pleural plaques look the same as melanoma metastasis on a regular CT scan?

Would calcified pleural plaques look the same as melanoma metastasis on a regular CT scan?

No, they would: not look alike. Calcified plaques are very dense, melanoma density is often greater than normal soft tissue, but far below calcium. ...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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Can breast (benign) calcifications show up as a 2 mm lung nodule on CT w/o iodine? So scared! Node on CT in Apr. 14 and Oct. 14. Recheck tomorrow.

Can breast (benign) calcifications show up as a 2 mm lung nodule on CT w/o iodine? So scared! Node on CT in Apr. 14 and Oct. 14. Recheck tomorrow.

Unlikely: Benign calcifications in the breast are common but they should not cause or be mistaken for a lung nodule. Lung nodules can have many causes and are not necessarily malignant but the are not generally associated with benign breast calcifications. Hope this was some help. Best of luck. ...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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Mammo report NO INTERVAL CHANGES NOTED mean finding HETEROGENEOUSLY DENSE which may OBSCURE SMALL MASSES BIRADS 2 BENIGN FINDING why unltrasound ?

Mammo report  NO INTERVAL CHANGES NOTED mean finding HETEROGENEOUSLY DENSE which may OBSCURE SMALL MASSES BIRADS 2 BENIGN FINDING  why unltrasound ?

Report indicates: You should be followed by your doctor , due to dense breast tissue may not be able to see ' small masses ' so need a sonogram to make sure there no ' mass ' Even though the report is good you must go back to your doctor for follow up. ...Read more

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In complete assessment. Scattered fibroglandular elements in both breast that could obscure a lesion on mammography?

In complete assessment. Scattered fibroglandular elements in both breast that could obscure a lesion on mammography?

That is an: assessment of breast density, required to be included in the mammogram report in many states. It doesn't imply there is anything abnormal. The denser the breast, the less sensitive the mammogram is for detecting cancers. There are 4 density categories, A(least dense), B, C, and D(most dense). Yours would be considered a B by definition, therefore your breasts would not be considered "dense". ...Read more

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Colon cancer pt. old ct- nodule on left adrenal gland. ( was not met). New ct- new adrenal nodule . Are these the same or diffetent ones, ?

Must compare CT's: The best way to tell if these are the same nodule or if this is a new nodule would be to have the radiologist or your oncologist compare the CT's side-by-side. It may be obvious that they are or are not the same nodule. If it is not obvious, then further testing may be necessary, perhaps even a biopsy of the nodule if it is worrisome. Good luck. ...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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Are all breast lesions showing enhancement with wash out seen on breast MRI malignant?

Are all breast lesions showing enhancement with wash out seen on breast MRI malignant?

No: Radiologists say that one of the disadvantages of breast MRI is that its specificity appears is moderate (not high), although the specificity (specificity = % of abnormal lesions that are actually cancer) has been hard to determine. Published reports give specificity values of 37% to 97%, depending on the selection of both the MRI technique and the criteria for determining cancer. ...Read more

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I have few scattered calcific foci in bilateral breast.No other focal lesion seen in mammogram of both breasts.Should i get worried?

I have few scattered calcific foci in bilateral breast.No other focal lesion seen in mammogram of both breasts.Should i get worried?

Concerned: And follow-up. To be calcified, these have existed for a while. Self and professional exams are important, along with excellent mammograms. Your gyn and / or breast specialist will follow with you. ...Read more

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