27 doctors weighed in:
Mammogram showed a suspicious mass 8 mm x 8 mm. What's the next step?
27 doctors weighed in

Dr. Michael Korona
Radiology - Interventional
7 doctors agree
In brief: Ultrasound
And then possible biopsy.

In brief: Ultrasound
And then possible biopsy.
Dr. Michael Korona
Dr. Michael Korona
Thank
1 comment
Dr. Sahba Ferdowsi
Great collaboration. Wishing you the very best.
Dr. Barry Rosen
Surgery
6 doctors agree
In brief: Biopsy
We use a grading system to categorize abnormalities on mammography.
"suspicious" means that it is a bi-rads 4 category, necessitating (nonsurgical) biopsy for definitive diagnosis. If this was seen on mammography and ultrasound, we usually guide the needle by ultrasound. While this is very anxiety-provoking, those abnormalities deemed "suspicious” are cancerous less than 30% of the time.

In brief: Biopsy
We use a grading system to categorize abnormalities on mammography.
"suspicious" means that it is a bi-rads 4 category, necessitating (nonsurgical) biopsy for definitive diagnosis. If this was seen on mammography and ultrasound, we usually guide the needle by ultrasound. While this is very anxiety-provoking, those abnormalities deemed "suspicious” are cancerous less than 30% of the time.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
Dr. Michael Gabor
Diagnostic Radiology
5 doctors agree
In brief: Mass
Probably ultrasound, and if confirmed on ultrasound, the radiologist can perform an ultrasound guided core biopsy to establish a diagnosis.
If not seen on ultrasound, a core biopsy can be performed by the radiologist with stereotactic guidance.

In brief: Mass
Probably ultrasound, and if confirmed on ultrasound, the radiologist can perform an ultrasound guided core biopsy to establish a diagnosis.
If not seen on ultrasound, a core biopsy can be performed by the radiologist with stereotactic guidance.
Dr. Michael Gabor
Dr. Michael Gabor
Thank
Dr. Sean Canale
Breast Surgery
5 doctors agree
In brief: U/s then biopsy
If the mammogram is "suspicious", then a biopsy is indicated to establish a diagnosis.
80-85% will still end up benign. In almost all cases the sampling should be by needle (core) biopsy. In general, one shouldn't go to the or without a diagnosis. An u/s may see the lesion and guide the bx. If not, then a stereotactic bx can be done. All are office procedures best done by a breast surgeon.

In brief: U/s then biopsy
If the mammogram is "suspicious", then a biopsy is indicated to establish a diagnosis.
80-85% will still end up benign. In almost all cases the sampling should be by needle (core) biopsy. In general, one shouldn't go to the or without a diagnosis. An u/s may see the lesion and guide the bx. If not, then a stereotactic bx can be done. All are office procedures best done by a breast surgeon.
Dr. Sean Canale
Dr. Sean Canale
Thank
Dr. Donald Collins
Family Medicine
2 doctors agree
In brief: Biopsy
If you truly have a suspicious mass on mammogram, the next step should be a biopsy.
Talk with your doctor about who should do this. Good luck!

In brief: Biopsy
If you truly have a suspicious mass on mammogram, the next step should be a biopsy.
Talk with your doctor about who should do this. Good luck!
Dr. Donald Collins
Dr. Donald Collins
Thank
Dr. Thomas Chen
Internal Medicine
In brief: Depends
Prior mammograms for comparison are critical.
Also depends on whether this is a screening versus diagnostic mammogram. Likely you will need additional x-rays and/or ultrasound, possibly biopsy. This needs to be evaluated by a doctor.

In brief: Depends
Prior mammograms for comparison are critical.
Also depends on whether this is a screening versus diagnostic mammogram. Likely you will need additional x-rays and/or ultrasound, possibly biopsy. This needs to be evaluated by a doctor.
Dr. Thomas Chen
Dr. Thomas Chen
Thank
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