How often is a mammogram repeated along with ultrasound

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Bigbluefrog
New Member


Date Joined Oct 2011
Total Posts : 8
   Posted 10/31/2011 6:15 PM (GMT -6)   
Had my mammogram today, later in the day I received a call saying suspicious dense left breast so another mammogram is needed and possible ultrasound.

I am scared now, then someone said this happens often and more often it's nothing.

Just hoping I can say this is nothing.

If it is breast cancer, I will deal with it the best I can.

Honestly, it's been awhile for a mammogram, and it is easy to get distracted.

I wonder why an ultrasound is needed, if it is better why not just do an ultrasound and skip the mammogram.
nono idea confused blush nono

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 11/3/2011 5:04 PM (GMT -6)   
Usually the second mammogram is done with compression views, so they can look at a specific area more closely. An ultrasound can tell the difference between a mass and a cyst, so if there is something on the compression views, they usually do an ultrasound to see if it is solid or fluid-filled. If the compression views show that the mammogram had a false area of concern, then there would be no need to do the US. Hope this helps...
BEV

Bigbluefrog
New Member


Date Joined Oct 2011
Total Posts : 8
   Posted 11/6/2011 10:00 PM (GMT -6)   
Thanks Bev, I go in in two days for those tests.

I was reading all the facts on breast cancer, I have low risk factors, except for being a woman and my genetics. No immediate family members with this disease. Still 1 in 8 is pretty high risk factors.

Bigbluefrog
New Member


Date Joined Oct 2011
Total Posts : 8
   Posted 11/8/2011 4:27 PM (GMT -6)   
Just finished my 2nd mammogram, and of course that was inconclusive so an ultrasound was done.

At first it was just density and my left breast, apparently she was concerned about my right breast too.

After the ultrasound, the radiologist came in to talk to me and redid the ultrasound.....oh my now I am thinking she found something significant.
A complex cyst with debris in it, what does that mean?

Radiologist says it means we do this again in 6 months!!!! You got be kidding me!!! Okay so it's normal abnormal? Yet it could be something so we recheck in 6 months.

I was thinking why not wait a year...this testing is very hard on my nerves.

barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 11/8/2011 6:03 PM (GMT -6)   
Well, we'll take a cyst over a solid mass any day! When I think of simple cysts vs. complex cysts, I visualize them this way. Picture a glass of orange juice. A simple cyst would be like the "no pulp" juices... You take a drink, and it goes down nice and smooth. A complex cyst would be like the varieties with pulp in them. Some have more pulp, some have less, but when you look in the glass, you see "stuff" floating around, and when you take a drink, you feel the stuff as you sip it and swallow. With orange juice, we know what the "stuff" is... or at least we hope we do! With complex cysts, the "debris" could be lots of different things... very rarely, some of that "stuff" could be a stray cancer cell. It might be like finding a seed in your orange juice, instead of just pulp. So that is why they follow up in six months.

This, of course is an extremely simplified analogy. But this is the typical route that most doctors follow with complex cysts. It really is probably nothing. But if they see changes in 6 months, then they probably would want to aspirate or biopsy. 6 months, in terms of breast cancer, is a very short time. It is a slow-growing cancer, for the most part.

I've read estimates that about 5 percent of cysts are classified as "complex." Of that 5 percent, less that 1/2 of a percent are turn out to have malignant cells.

Are you having your screenings done at a breast center? If you are, talk to your doctor about ordering a "diagnostic" mammogram instead of a "screening" next time. They usually schedule diagnostics on a day when the radiologist is on site, and then he/she reads your mammogram while you wait. If they want follow-up compression views or ultrasounds, they will typically do it right then and there, rather than having to reschedule with them for another day.

Hope this helps! And congrats on being the proud possessor of a cyst! LOL

Hugs...
BEV

Bigbluefrog
New Member


Date Joined Oct 2011
Total Posts : 8
   Posted 11/13/2011 4:15 PM (GMT -6)   
Thanks Bev, that does he clarify things.

And I think I will ask for an ultrasound for six months, since the mammogram did not give clear view because of dense breast tissue.

I think I prefer clear orange juice- no pulp or seeds!!
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