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Doctor insights on: Screening Mammogram Ultrasound

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Dr. Michael Gabor
2,193 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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What is the difference between a screening mammogram, a diagnostic mammogram, and an ultrasound?

What is the difference between a screening mammogram, a diagnostic mammogram, and an ultrasound?

A screening: mammogram is a study of both breasts that is performed on asymptomatic women to try and detect signs of breast cancer. A diagnostic mammogram consists of special views, and is usually targeted to a specific area of the breast, to further evaluate a potential abnormality seen on screening mammo or felt on clinical exam. ...Read more

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What is the difference between screening mammogram and diagnostic mammogram? Why does the diagnostic one have to be done with breast ultrasound?

What is the difference between screening mammogram and diagnostic mammogram?  Why does the diagnostic one have to be done with breast ultrasound?

Purpose: The purpose of a screening mammogram is to identify breast cancer in women who have no signs of disease, while the purpose of a diagnostic mammogram is to obtain more detail on a known abnormality identified on prior physical exam or imaging study. A diagnostic mammogram need not always be done with an ultrasound. ...Read more

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What are the dangers and limitations of mammograms and are there any alternative screening processes that you would recommend ?

What are the dangers and limitations of mammograms and are there any alternative screening processes that you would recommend ?

See below: Mammograms have not been associated with dangers. In conjunction with self-examination and health care examination, this is the best screen for breast cancer. Not all cancers are found on mammogram, and, if a lump is present and not seen on mammogram, additional evaluation will be necessary. ...Read more

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How do I know whether I should get a screening MRI rather than a screening mammogram?

How do I know whether I should get a screening MRI rather than a screening mammogram?

High risk individual: Current guidelines recommend the following patients get screening MRI in addition to screening mammogram. 1. Brca mutation 2. First-degree relative of a brca carrier 3. Lifetime risk of breast cancer is 20-25% or greater 4. Radiation to chest between age 10-30 5. Li-fraumeni syndrome, or a first-deg relative 6. Cowden syndrome, or a first-deg relative 7. Bannayan-riley-ruvalcaba syndrome. ...Read more

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Why would a fibroadenoma require followup magnified mammogram and ultrasound 6 months after diagnosis if can't become malignant?

Why would a fibroadenoma require followup magnified mammogram and ultrasound 6 months after diagnosis if can't become malignant?

Better Safe Than...: Rarely, what is presumed to be a fibroadenoma is a sarcoma-like tumor (phyllodes tumor). Therefore, if the tumor is growing on the 6-month follow-up study, excision will be recommended. Remember: common things happen most commonly. Chances are it will not grow and be of no concern. ...Read more

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Would you have a partial mastectomy if your biopsy says big cell reaction and recently had mammogram and ultrasound and still adnormal?

Would you have a partial mastectomy if your biopsy says big cell reaction and recently had mammogram and ultrasound and still adnormal?

Not enough info: I am not sure i understand the question. Did the biopsy show benign giant cell reaction? If so that is a benign foreign body reaction. Abnormal radiology findings by themselves does not indicate a need for partial mastectomy. But sometimes an open excisiobal biopsy is done if a needle biopsy result does not correlate to the x-ray findings. ...Read more

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How often are ultrasounds ordered the same time a mammogram is?

Ultrasound: With the recognition of breast density as a risk factor for breast cancer, and the limitations of mammo in the setting of dense breasts, it is becoming more and more common for adjunct screening breast ultrasounds to be requested in addition to screening mammograms.The traditional role of ultrasound, as a problem solving tool and biopsy facilitator, is changing. So this is an evolving situation. ...Read more

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Calcifications found in mammogram - should I get an ultrasound?

Calcifications found in mammogram - should I get an ultrasound?

Depends : Calcifications are not seen on an ultrasound. If you have a lump, then an ultrasound is helpful. You may need a biopsy to determine if the calcifications are cancerous or not. Speak to your doctor and radiologist for guidance. ...Read more

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Why do I have to have a mammogram instead of an ultrasound or a thermogram?

Because it's best!: Your best chance of early detection of a breast cancer is with mammography. Ultrasound is helpful for evaluating lesions detected by mammography or physical exam but not for screening. Thermography's role is less clear. So, if you are going to be screened, you should use the modality that has been shown time and time again to reduce mortality from breast cancer - mammography. ...Read more

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Dr. Barry Rosen
638 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


Dr. Payam Mehranpour
1 doctor shared a insight

Screening (Definition)

Examples are: colonoscopy for colon polyp or cancer; mammograms for breast lesions or cancer; psa a blood test that could indicate enlargement of cancerous prostate tissue; blood sugar or hemoglobin a!c for diabetes. Many think that scanning the whole body will pick up a cancer--in all likelihood, it will not. There also is no good blood test, yet, ...Read more