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Question
I am a 40 yo woman. No family history of breast cancer. Went in for baseline mammogram. Here are findings:
Bilateral mammograms demonstrate heterogeneous parenchyma. This can limit sensitivity of mammography. There is a small ovoid shaped intramammary lymph node within the middle third right breast centrally with lucent notch. No dominant mass or suspicious calcification. No secondary signs of malignancy.
Impression: THERE IS NO MAMMOGRAPHIC EVIDENCE TO SUGGEST MALIGNANCY. BIRADS CATEGORY 2: BENIGN FINIDING
In the absence of new clinical findings or change in breast self exam routine mammographic follow up recommended.
My question is this: is the Benign finding a reasonable interpretation of the mammogram results? My doctor's office told me to follow up in a year with another mammogram. Should I do something else like get a second opinion? Thanks so much.
Since the report clearly states that your breasts due to the nature of their tissues are difficult to investigate with mammography, your mammograms should ALWAYS - now and in the future - be complemented with breast MRI scans and ultrasound scans and any unclear lesion seen should always be further investigated with at least a needle biopsy! This should be done now and also regularly in the future, say once a year. Otherwise the report seems ok, so I think the diagnosis benign is reasonable at the moment.
But the program above including mammograms should be followed in the future (and also now).
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Answers by Expert:
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.
Experience
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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I'm a medical doctor and specialist in medical oncology and radiation therapy.
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