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Breast Cancer (Expert Forum)
Breast Radiology Interpretation
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
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Breast Radiology Interpretation
by Kellen, Oct 21, 2005 12:00AM
I have had 2 diagnostic mammograms following a routine. Both diagnostics confirmed a focal nodule present at the 5 o'clock position measuring 6 x 5 mm. They call it a small hypoechoic nodule. This was seen in spot magnifcation and craniocaudal views. I am going in for a 3rd diagnostic next week. Report also says simple cyst is difficult to determine due to the deep location of the nodule. At what point is a biopsy necessary and how many repeat diagnostics are done. No spciulated mass or architectural distortion is noted on the report. My doctor says if the nodule is still present they will refer me to a specialist. How concerned should I be.
Doctor's Answer
by CCF-RN,MSN-rf, Oct 24, 2005 12:00AM
Dear Kellen: When a mammogram is done, it is usually given a BIRAD score (0-5) indicating the level of suspicion and likely recommendations. A radiologist is best able to make this determination and recommend further evaluation such as ultrasound or biopsy, if indicated. If you are not comfortable with how things are progressing, you may benefit from either a discussion with the radiologist or a second opinion from a breast specialist. Breast specialists are usually affiliated with large teaching facilities.
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