Spot Compression & 90

I had my 1st screening mammogram on Monday, 7/26 and now they are recommending I have a diagnostic mammogram which I scheduled for 8/16.

Here is what they found:

1) Assymmetric density in upper, outer and central portion of right breast. No radiographic evidence of malignancy in the left breast.

2) Diagnostic mammogram of the right breast -  with spot compression views and a 90 degree lateral view is recommended.

Any idea if this is something to be concerned about? I don't want to borrow trouble but I'm trying to understand is asymmetrical density in my "upper, outer and central portion of right breast" is something that is less or more worrisome. Obviously, I would rather have a normal sonogram with not having to return at all for a diagnostic mammogram BUT the Mammogram tech did tell me to "not freak out if I received a call asking for a diagnostic mammogram b/c it is very common with your 1st screening mammogram".

Any thoughts or recommendations would be greatly appreciated? I have had 2 cousins on my father's side have breast cancer in their mid to late 40's. They both are survivors.

Thanks,

Lara


Lara

[zouzi]

Hi,
Asymmetric density means that there is an area that does not appear normal as compared to the rest of the tissue.

If a radiologist interpreting a mammogram was not able to view either a region of the breast completely or a possible abnormality completely, the radiologist may recommend additional imaging, including the use of spot compression, to help make a more complete evaluation.

The purpose of a spot compression mammogram is to achieve better imaging of a particular region of the breast.The fact that you are being called back, is very common,sometimes is just the skin that has folded over and looks like a shadow.The spot compression will determine if that's the case.
Best wishes

[lararobin]

Thank you for taking the time to respond. Should I be more concerned that there was asymmetric density in upper, outer and central portions? Or is this too common?

Thanks again.

[zouzi]

Hi again,
Asymmetry density is an area that is not found to be identical in both breasts (such as density). It is often a normal variant but can also be a sign of an abnormal growth.
An asymmetric density could mean a lot of things and does not necessarily point to cancer.  
This is why you have been asked for a spot compression mammogram,just to make sure that there is not an underlying problem.
Just try not to be overly worried,things could turn to be just fine.
Take care...