15 doctors weighed in:

Does an ultrasound of the breast mean I don't have to take a mammogram?

15 doctors weighed in
Dr. Richard Godt
Obstetrics & Gynecology
4 doctors agree

In brief: No

Ultrasound is used to further define mammographic findings.
It is not a substitute for the mammogram.

In brief: No

Ultrasound is used to further define mammographic findings.
It is not a substitute for the mammogram.
Dr. Richard Godt
Dr. Richard Godt
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Dr. William Banks Hinshaw
Obstetrics & Gynecology
2 doctors agree

In brief: No

As a diagnostic tool, an ultrasound usually supplements rather than replaces a mammogram.
However, if you are pregnant, only rather extraordinary circumstances would justify the exposure to x-rays entailed in a mammogram, so an ultrasound may be the first choice.

In brief: No

As a diagnostic tool, an ultrasound usually supplements rather than replaces a mammogram.
However, if you are pregnant, only rather extraordinary circumstances would justify the exposure to x-rays entailed in a mammogram, so an ultrasound may be the first choice.
Dr. William Banks Hinshaw
Dr. William Banks Hinshaw
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Dr. Jeff Livingston
Obstetrics & Gynecology
2 doctors agree

In brief: No

A breast ultrasound is usually done to evaluate a specific finding identified on physical exam or on a screening mammogram.
It does not count as an overall screening test for breast cancer. An annual mammogram still needs to be performed.

In brief: No

A breast ultrasound is usually done to evaluate a specific finding identified on physical exam or on a screening mammogram.
It does not count as an overall screening test for breast cancer. An annual mammogram still needs to be performed.
Dr. Jeff Livingston
Dr. Jeff Livingston
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Dr. Jose Bolanos
Obstetrics & Gynecology
2 doctors agree

In brief: No

A screening mammogram along with a doctor's examination are the current recommended first line screening modalities.
A mammogram may have up to a 15% false negative rate especially in women with dense breasts. A breast ultrasound may be performed if a lump is felt or a suspicious area is found on ultrasound. Sometimes a needle biopsy may be indicated. Sometimes a breast MRI is done.

In brief: No

A screening mammogram along with a doctor's examination are the current recommended first line screening modalities.
A mammogram may have up to a 15% false negative rate especially in women with dense breasts. A breast ultrasound may be performed if a lump is felt or a suspicious area is found on ultrasound. Sometimes a needle biopsy may be indicated. Sometimes a breast MRI is done.
Dr. Jose Bolanos
Dr. Jose Bolanos
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Dr. Padmavati Garvey
Obstetrics & Gynecology
2 doctors agree

In brief: No

It really depends on your age, your risk factors and why you got the ultrasound in the first place.
Ultrasounds are used to evaluate a breast mass that you can feel. They will not pick up microscopic breast cancer. Mammograms will pick up microscopic breast cancers (before you can feel it).

In brief: No

It really depends on your age, your risk factors and why you got the ultrasound in the first place.
Ultrasounds are used to evaluate a breast mass that you can feel. They will not pick up microscopic breast cancer. Mammograms will pick up microscopic breast cancers (before you can feel it).
Dr. Padmavati Garvey
Dr. Padmavati Garvey
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1 doctor agrees

In brief: No

The ultrasound and mammogram complement each other, but neither is fail proof on its own.
The mammogram is much better at picking up small microcalcifications or finding lumps. It is the best tool for screening. The us is good at characterizing lumps or differentiating cysts from solid lumps. The us is most helpful is something is felt on exam or seen on the mammogram.

In brief: No

The ultrasound and mammogram complement each other, but neither is fail proof on its own.
The mammogram is much better at picking up small microcalcifications or finding lumps. It is the best tool for screening. The us is good at characterizing lumps or differentiating cysts from solid lumps. The us is most helpful is something is felt on exam or seen on the mammogram.
Dr. Katherine Sutherland
Dr. Katherine Sutherland
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Dr. Michael Gabor
Diagnostic Radiology

In brief: No, they

are complementary tests, not mutually exclusive.
Sometimes one shows an abnormality not seen on the other. Mammography is still standard of care for screening. If you had a screening ultrasound, it would still be valuable to have a screening mammo, even if you have dense breasts.

In brief: No, they

are complementary tests, not mutually exclusive.
Sometimes one shows an abnormality not seen on the other. Mammography is still standard of care for screening. If you had a screening ultrasound, it would still be valuable to have a screening mammo, even if you have dense breasts.
Dr. Michael Gabor
Dr. Michael Gabor
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