Hello. I am going to try to help you answer your questions.
1) Is this something I should report to my personal physician?? -- yes, family history of early breast cancer is very important to report to your physician.
2) Would this require the need for an earlier mammogram?? -- you would not need an early mammogram if one was suggested to be done in 6 months. Results of the mammogram says NEGATIVE which means there is no evidence of cancer. The only reason to repeat a mammogram in 6 months is to make sure that some dense tissue in your breast is not hiding something behind (very unlikely).
3) How can it be determined exactly what I have? -- mammogram is the only can determine if there is a suspicious density on the mammogram. If there is a suspicious density, then biopsy is the only thing that will be able to exactly determine what is going on. However, your mammogram did not show any suspicious densities, therefore, there is nothing there to biopsy.
You mentioned cyst, lipoma etc.,
4) How can it be poin pointed wht it is?? - again, mammogram can just show a density. If there is a suspicious density, then you will get an ultrasound (which sounds that you had). Ultrasound can differentiate between a cyst, lipoma and a cancerous density. To confirm the exact diagnosis, biopsy is needed.
5) Must I wait six months to find out? -- if the radiologist suggested waiting 6 months, it is safe to assume that you do not need to have a sooner mammogram. However, for your piece of mind and if your insurance pays for it, you can ask your doctor to repeat your mammogram in 3 months.
6) Is there alternate testing that can be done now? other than biopsy? - You can discuss with your doctor doing an MRI of your breast. MRI of the breast is highly sensitive in determining breast cancer, however, it is very expansive and insurance may not approve it. However, it is worth pursuing this.
7) What else do you recommend that I do?? -- I would encourage you to wait. Your mammogram did not suggest anything that needs to be biopsied. For your own piece of mind you can talk to your doctor about doing an MRI of the breast or to repeat mammogram in 3 months. Also, I would suggest you do monthly breast exams and if you feel a lump, address it with your doctor.
I hope you find this information helpful. If you need any clarification or have any additional questions, please let me know and I will be glad to assist you further.
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