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What Do These Mammogram, Ultrasound And Biopsy Reports Indicate?
Question: I had my first mammogram at 40 and since have had several follow ups on my right breast due to dense, fibroglandular , assymetric tissue. They have been trying to establish my baseline and monitor any changes. This 4th one I had this week used the new 3d technology to review layers of tissue and I have now been called back for an ultrasound. I've called the doctors office and have found the reports online in the portal to be more explanatory. This last report has me a bit concerned as to whether a change was identified and/or whether I can see a possible biopsy in the horizon. I understand that dense tissue is not so uncommon, wondering if that is so for just 1 breast vs. both displaying dense tissue? Also, I'd like to better understand what the ultrasound may be able to identify/rule out vs. the 3d test just completed.
My results are attached. Thank you!
My results are attached. Thank you!
Brief Answer:
Ultrasound study call, post-3d mammography /Under Evaluation
Detailed Answer:
Brief Ans-Ultrasound study call, post-3d mammography /Under Evaluation
Hi,Dear !! Thanks for your updates of the text reports to HCM.
Read and reviewed query facts in context to your health concerns and in context to your Mammography updates- about the Ultrasound advised after 3d mammography done lately.
Brief up of My Impression and Comments-
Dear,I reviewed your reports over last 3 sessions with the 4th one in waiting and not yet received by you-
the first mammography-which is a Screening Mammography- and is done to detect more information than that from the clinically suspicious dens breast in right upper quadrant.
Second Mammography was diagnostic and was with comparative study with the Screening Mammography test done last time.
Usually regular screening is done annually, but the call back/ or recall- is done in your case after 6 mths-as you had fibroglandular assymetric stomal density in right upper quadrant of the breast.
Such changes could be normal dense stromal densities / or could be site for future breast cancers, and hence as a standard protocol you are being called after Second Mammography, for the 3-d mammography.
The 3 d Mammography was done as the Second Mammography-which was a diagnostic mammography,has given a lead that definite stromal density was there, which needs to be studied in more details.
This further test is done-as standard protocol-with 3 d mammography, where the overlapping of the surrounding breast tissue and fat does not affect much and the assessment of the breast density is more clearly done with help of tomosynthesis of 3 d picture of the breast, giving more clear idea than and better than Second mammography-which only involves- 2 d-digital mammography, which gives less information.
Why Ultrasound after 3 d Mammography study-
So after 3-d study in your case-whose latest report is yet to be received by you,the recall for Ultarsound in this scenario indicates and suggests, that your fibroglandular densities in right upper quadrant , though not indicative of XXXXXXX cancer picture, needs more detailed studies from the Ultrasonologist-who is a radiological expert doctor, and with whom more incremental Cancer detection rate could be expected from this Ultrasonography study in right breast density.
So You better co-operate for ULRASONOGRAPHY study scheduled at the centre.
Usually Mammographies are done by technicians,though with FDA approved softwares to sustain the quality and the work loads.
3d-mammogrpahy is technologically more advanced study giving more clear cancer detection assessments -almost 2 times more- than the 2 d mammography-routinely done.
Reply to your specific question-
Q- What can the ultrasound detect that the 3d mammogram would not be able to show?
Ans-Ultrasound is more advanced study and is advised as a standard protocol to be used only in suspicious cases of mammography negative breast densities, detected after 3-d mammography report.
What after the Ultrasound Study?
After this Ultrasound study, your density could be placed for Biopsy if need be
or could be followed with Annual Mammography Screening Schedules.
So better update Me the latest 3-d mammography report soon,so that after study of the 3 d-mammography report,I could be able to assess more and reply your query in more details and clarity,for You.
Do's Suggested-
So just keep Cool and Co-operate with radiologists for scheduled ULTRASOUND at the centre,as you are in the right hands and they are doing their jobs with all responsibilities and sincerity.
Don't be under anxiety of your density being cancer.All is done to find out in the best possible way,so that cancer if present could be tackled in the bud and removed with better results.
So Don't Worry but co-operate and keep Cool.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Ultrasound study call, post-3d mammography /Under Evaluation
Detailed Answer:
Brief Ans-Ultrasound study call, post-3d mammography /Under Evaluation
Hi,Dear !! Thanks for your updates of the text reports to HCM.
Read and reviewed query facts in context to your health concerns and in context to your Mammography updates- about the Ultrasound advised after 3d mammography done lately.
Brief up of My Impression and Comments-
Dear,I reviewed your reports over last 3 sessions with the 4th one in waiting and not yet received by you-
the first mammography-which is a Screening Mammography- and is done to detect more information than that from the clinically suspicious dens breast in right upper quadrant.
Second Mammography was diagnostic and was with comparative study with the Screening Mammography test done last time.
Usually regular screening is done annually, but the call back/ or recall- is done in your case after 6 mths-as you had fibroglandular assymetric stomal density in right upper quadrant of the breast.
Such changes could be normal dense stromal densities / or could be site for future breast cancers, and hence as a standard protocol you are being called after Second Mammography, for the 3-d mammography.
The 3 d Mammography was done as the Second Mammography-which was a diagnostic mammography,has given a lead that definite stromal density was there, which needs to be studied in more details.
This further test is done-as standard protocol-with 3 d mammography, where the overlapping of the surrounding breast tissue and fat does not affect much and the assessment of the breast density is more clearly done with help of tomosynthesis of 3 d picture of the breast, giving more clear idea than and better than Second mammography-which only involves- 2 d-digital mammography, which gives less information.
Why Ultrasound after 3 d Mammography study-
So after 3-d study in your case-whose latest report is yet to be received by you,the recall for Ultarsound in this scenario indicates and suggests, that your fibroglandular densities in right upper quadrant , though not indicative of XXXXXXX cancer picture, needs more detailed studies from the Ultrasonologist-who is a radiological expert doctor, and with whom more incremental Cancer detection rate could be expected from this Ultrasonography study in right breast density.
So You better co-operate for ULRASONOGRAPHY study scheduled at the centre.
Usually Mammographies are done by technicians,though with FDA approved softwares to sustain the quality and the work loads.
3d-mammogrpahy is technologically more advanced study giving more clear cancer detection assessments -almost 2 times more- than the 2 d mammography-routinely done.
Reply to your specific question-
Q- What can the ultrasound detect that the 3d mammogram would not be able to show?
Ans-Ultrasound is more advanced study and is advised as a standard protocol to be used only in suspicious cases of mammography negative breast densities, detected after 3-d mammography report.
What after the Ultrasound Study?
After this Ultrasound study, your density could be placed for Biopsy if need be
or could be followed with Annual Mammography Screening Schedules.
So better update Me the latest 3-d mammography report soon,so that after study of the 3 d-mammography report,I could be able to assess more and reply your query in more details and clarity,for You.
Do's Suggested-
So just keep Cool and Co-operate with radiologists for scheduled ULTRASOUND at the centre,as you are in the right hands and they are doing their jobs with all responsibilities and sincerity.
Don't be under anxiety of your density being cancer.All is done to find out in the best possible way,so that cancer if present could be tackled in the bud and removed with better results.
So Don't Worry but co-operate and keep Cool.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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