21 doctors weighed in:

How can a ultrasound miss breast cancer?

21 doctors weighed in
Dr. Yash Khanna
Family Medicine
7 doctors agree

In brief: SCREENING BREAST CA

Mammogram is the gold standard for breast cancer screening, ultrasonds are used to differenciate solid/fluid filled cysts and serve that purpose.
Ultrasond can miss cancers more often.Mammogams can also miss some early cancers, and has well recognised limitations. So ultrasond and magnetic resonance imaging is used along with mammograms in high risk patients.

In brief: SCREENING BREAST CA

Mammogram is the gold standard for breast cancer screening, ultrasonds are used to differenciate solid/fluid filled cysts and serve that purpose.
Ultrasond can miss cancers more often.Mammogams can also miss some early cancers, and has well recognised limitations. So ultrasond and magnetic resonance imaging is used along with mammograms in high risk patients.
Dr. Yash Khanna
Dr. Yash Khanna
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1 comment
Dr. Wendell Goins
ultrasound may also miss small areas of microcalcifications which may be related to ductal carcinoma in-situ.
Dr. Deanna Attai
Breast Surgery
6 doctors agree

In brief: Dense Breast Tissue

The breast can be difficult to image due to dense glandular tissue.
In addition, some tumors are very hard to see. No imaging test is perfect, and often we will use a combination of mammogram, ultrasound, and mri, depending on the density of the breast tissue and other risk factors. It is important that if you feel a lump even if your imaging is "negative", to see a specialist.

In brief: Dense Breast Tissue

The breast can be difficult to image due to dense glandular tissue.
In addition, some tumors are very hard to see. No imaging test is perfect, and often we will use a combination of mammogram, ultrasound, and mri, depending on the density of the breast tissue and other risk factors. It is important that if you feel a lump even if your imaging is "negative", to see a specialist.
Dr. Deanna Attai
Dr. Deanna Attai
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1 comment
Dr. Michael Sinclair
YES! The ultrasound IS NOT a screening exam for breast cancer. It is used to evaluate a lump or to add information to something seen on a mammogram. Trying to replace a mammogram with an ultrasound will not work.
Dr. Satinder Aggarwal
Internal Medicine
6 doctors agree

In brief: It can

Breast ultrasound is used to distinguish cystic vs solid mass and then decide need for biopsy.
Mammogram is used for diagnosing breast cancer and yes it may sometime miss cancer.

In brief: It can

Breast ultrasound is used to distinguish cystic vs solid mass and then decide need for biopsy.
Mammogram is used for diagnosing breast cancer and yes it may sometime miss cancer.
Dr. Satinder Aggarwal
Dr. Satinder Aggarwal
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Dr. Andrew Turrisi
Radiation Oncology
2 doctors agree

In brief: With standard U/S

It is directed by the mammo to an area to define size shape, solid/cystic.
Emerging technology: breast u/s tomo uses an array of detectors similar to ct...Very sensitive even in dense breast, but not available most places.

In brief: With standard U/S

It is directed by the mammo to an area to define size shape, solid/cystic.
Emerging technology: breast u/s tomo uses an array of detectors similar to ct...Very sensitive even in dense breast, but not available most places.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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1 comment
Dr. Kathryn Wagner
US is based on sound waves, mammo on Xrays, totally idfferent technologies looking at different things. Mammo picks u different abnormalities than US which is why they are complementary tests and not sustitutable. MRI is based on blood flow and requires and injection of contrast agent called Gadolinuim. It also is complementary to US & Mammo.
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Dr. Arnon Rubin
Board Certified, Internal Medicine
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