Breast Cancer/Mammo/US results

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Expert: - 12/11/2009


Question
November 2006 Mammo - mammary tissue dense. Scattered calcifications right greater than left again noted.  No evidence of new tight cluster of suspicious microcalcifications.  January 2007 bilateral US with well circumscribed oval hypoechoic focus 0.9x0.4 with enhanced through transmission consistent w/simple cyst.  Birads 2... benign findings.  Next mammo December 2009 - Bilateral dense breast tissue - Multiple scattered calcifications left breast predominantly upper outer quadrant - these are new.  Some appear to layer on the MLO view.  Are likely milk of calcium and microcysts.  Birads 2... Same day December 2009 bilateral breast US.  No evidence of cyst or mass within the left breast.  12 o'clock right breast 0/5x0.5x0.4 cm hypoechoic lesion with internal echoes with shadowing.  Probably a complex cyst.  Bilateral cysts noted.  Recommend 6 month follow up with ultrasound.  Birads 3 - SHOULD I BE CONCERNED WITH LESION and/or CALCIFICATIONS?  SHOULD I GET A BIOPSY NOW OR WAIT FOR THE 6 MONTH FOLLOW UP?

Answer
Well with dense breasts you should also have MRI breast scans to be more on the safe side and since there has been a change in evaluation I think stereotactically and ultrasound guided needle biopsies would be of value.

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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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