Doctor insights on:
What Is The Difference Between A Diagnostic And Screening Mammogram
Symptoms: A screening mammography is done as a routine exam. There are no symptoms. No masses have been felt. The patient is being screened. A diagnostic mammo is done because there is some reason other than routine. A mass has been felt, there is a discharge from the nipple, etc. Additional views may be taken. Sometimes a needle aspiration will be done at the same time. ...Read moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Issue vs no issue: A screening mammogram is one done without there being any patient or doctor concerns about the breasts. It's done in asymptomatic women on a schedule according to guidelines. A diagnostic mammogram is done in response to a patient complaint or finding on the exam. ...Read moreSee 2 more doctor answers
Screening mammo: is 4 standard views in an asymptomatic woman, looking for signs of cancer anywhere in both breasts. Diagnostic mammogram is a variable number of specialized views to fully evaluate a particular area of the breast identified as potentially abnormal on screening mammo or physical exam. ...Read moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
Confused by all the changes in recommendations for screening for women. Whats the latest for mammograms?
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
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