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Breast Cancer/ultrasound results

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Expert: - 3/26/2008


Question
i had a mammo that had an acr rating of 2- biopsy clip was noted(prior benign mass)no other changes- the ultrasound finding were the following:
very dense parenchymal pattern-
solid mass @ 9 o'clock position right side- which is heterogeneous and both hypoechoic and hypererchoic measuring 6.5mm
additional solid madd with mild acoustical shadowing @ the 1 o'clock position right side measuring 9mm-
multiple begign cysts on the right side-
Left side- bilateral ductular ectasia with multiple tiny sucentimeter cysts in the upper quadrant of the left breast-
very complex breast parenchymal pattern with at least 2 solid lesions on the right side with a heterogeneous apparence with acoustical shadowing-
impression: at least 2 solid lesions on the right side superimposed upon a backgound of fibrocystic change

I am 34 years oldmother of 2 ages 12 and 13. Hysterctomy at age 24 for prolapse.

Everything that i have read indicates that 90% of malignancies are heterogeneous.

What are your thoughts on this ultrasound.

Answer
Well ultrasound is not that certain but malignancy can at least not be excluded. I strongly suggest ultrasound guided needle biopsies of these masses and if possible also MRI breast scans. With so much fibrocystic changes in your breasts ordinar mammograms are difficult to do and interpret, but what did they show?

Breast Cancer

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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.

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