Conflicting reports on microcalcifications?

Help me understand two seemingly conflicting reports on procedures conducted the same day on the same breast area.  Also, what would be some intelligent questions I can ask my surgeon?  1.  The findings for compression imaging and magnification was "an irregular density of approximately 2.5 cm with numerous microcalcifications".  Assessment was labeled "suspicious".  Surgical consultation and stereotactic biopsy is recommended.  2. The findings for a breast ultrasound the same day on the same area, stated "study fails to demonstrate evidence of any abnormal areas of increased or decreased echogenic pattern or sonolucency."  Assessment was labeled "negative".  Recommendation is to repeat mammograms on annual basis.  I am 56. My previous mammogram had no evidence of microcalcifications.

[japdip]

Ultrasound is often done following Mammogram to distinguish between fluid filled cyst and a solid mass. Microcalcifications aren't really seen by Ultrasound whereas they are by Mammogram. The reports aren't really conflicting. Each test sees something different.

[mare740]

I  have a question based on your answer to den4056.  My 21-year old daughter discovered a lump.  Doctor est. it to be about 2-3 cm and referred her for an ultrasound.  Based on ultrasounds picking up different images than mammograms, would it be prudent for her to have a mammogram if the ultrasound comes up negative? I'm trying to put a rush on the ultrasound just in case she needs follow-up test, because she leaves her HMO are for college in 10 days.  mare740 on 8-28-08

[madgeOwens]

The ultra sound will determine if this is a cyst(fluid filled) or a tumor(tissue or solid). If It is anything other than a cyst they will do more tests.

[healingwell62]

Hi Den,

I'm Chris, the community leader of the Breast Cancer Community.  I read your post and in terms of discriminating between the two test results, I do believe they are reporting on two different aspects of your tests.  I don't think they are conflicting.  If your mammogram demonstrated a significant area of microcalcifications and they recommended biopsy, I'd follow those recommendations.  I think the only question you really need to take to your dr is for him/her to clarify these results for you until you understand the difference.

You may get your biopsy and get benign results and be done with this!  Many women have.  But know that even if you get results you didn't want, know that we as a community are here to provide support and answer questions.  The women here are remarkable women -- compassionate and caring and I've found tremendous support here. If I can be of any help to you while you are going through this, please don't hesitate to contact me.  I am currently going through treatment for breast cancer, so this journey is very fresh to me.  

Warm regards,

Chris