23 doctors weighed in:
Mammogram with punctate pleomorphic calcifications. Is that breast cancer?
23 doctors weighed in

Dr. Ester Kwok
Internal Medicine
13 doctors agree
In brief: 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.

In brief: 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.
Dr. Ester Kwok
Dr. Ester Kwok
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Dr. Sean Canale
Breast Surgery
6 doctors agree
In brief: Oxymoron
Microcalcifications are usually described as either punctate (benign) or pleomorphic (in determinant to suspicious) not both.
Ultimate definitive diagnosis may require tissue sampling that is best done via stereotactic guided core biopsy. See a breast surgeon for further evaluation.

In brief: Oxymoron
Microcalcifications are usually described as either punctate (benign) or pleomorphic (in determinant to suspicious) not both.
Ultimate definitive diagnosis may require tissue sampling that is best done via stereotactic guided core biopsy. See a breast surgeon for further evaluation.
Dr. Sean Canale
Dr. Sean Canale
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1 comment
Dr. Barry Rosen
The mammogram report should include a classification category called BI-RAD. BI-RAD 3 abnormalities warrant short-term mammographic follow-up; BI-RAD 4 abnormalities should be biopsied (non surgically). While most breast calcifications are benign, pleomorphism is usually a "trigger" to recommend biopsy.
Dr. Joseph Woods
Pathology
5 doctors agree
In brief: Depends, not likely.
Usually, calcifications do not mean cancer, and are not themselves cancerous.
However, tight clusters of microcalcifications are seen with breast cancer. Many times, a repeat mammogram would be done in about 6 months to see if there are changes. If there were, a biopsy would be done. At this point, it would appear that no suspect changes are noted. Check with your doctor to be sure.

In brief: Depends, not likely.
Usually, calcifications do not mean cancer, and are not themselves cancerous.
However, tight clusters of microcalcifications are seen with breast cancer. Many times, a repeat mammogram would be done in about 6 months to see if there are changes. If there were, a biopsy would be done. At this point, it would appear that no suspect changes are noted. Check with your doctor to be sure.
Dr. Joseph Woods
Dr. Joseph Woods
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Dr. Michael Gabor
Diagnostic Radiology
3 doctors agree
In brief: You can't
be sure it's cancer until it's biopsied.
"Punctate" and "pleomorphic" are mutually exclusive terms, so the description of the microcalcifications doesn't make sense. It's like calling something square and round at the same time....it is impossible. Moreover, punctate usually implies benignity, and pleomorphic is suspicious. Were they called suspicious? Was a biopsy recommended?

In brief: You can't
be sure it's cancer until it's biopsied.
"Punctate" and "pleomorphic" are mutually exclusive terms, so the description of the microcalcifications doesn't make sense. It's like calling something square and round at the same time....it is impossible. Moreover, punctate usually implies benignity, and pleomorphic is suspicious. Were they called suspicious? Was a biopsy recommended?
Dr. Michael Gabor
Dr. Michael Gabor
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Dr. Michael Korona
Radiology - Interventional
1 doctor agrees
In brief: Maybe
Probably need biopsy.
See breast surgeon.

In brief: Maybe
Probably need biopsy.
See breast surgeon.
Dr. Michael Korona
Dr. Michael Korona
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