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Question

Yesterday, I had a stereotactic breast biopsy performed when a routine mammogram and diagnostic mammogram showed microcalcifications. I had a clinical breast exam two weeks prior to the procedure and no mass was felt. However, within days after the exam, I was able to feel the lump. When I told the radiologist about it yesterday, he told me that it didn't mean the lump had grown or was an indication of a malignancy. Was he being straight with me? I am concerned because I have heard different statistics from doctors, radiologists, and other healthcare professionals about the chance of this area being malignant. Also, can a radiologist determine the size of a mass from a mammogram, or from the stereotactic biopsy?

Submitted: 441 days and 2 hours ago.
Category: Health
Value: $15
Status: CLOSED
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Optional Information

Age: 52; Female, Wyoming

Already Tried:
I asked the technician yesterday about the size of the mass, because I wondered if I was seeing it or something else on the film. She avoided answering my question, and just showed me a different film that showed the tissues that had been removed. I wanted to see the actual tissue, but they had already taken it away. I have to wait until Wednesday to get the results, since the procedure was done on a Friday.

Accepted Answer

I think the radiologist was being straight with you. Breasts are by nature somewhat lumpy, more in some women than others. Once you know there is something there you'll be more likely to feel a lump (and the doctor will also). The mammogram will usually be able to tell the size more or less. It's the calcifications that are probably more significant. Depending on their appearance on the mammogram the radiologist will have a sense if it looks like cancer. However the main thing is the biopsy. That will usually be definitive and tell you if there is cancer or not. By the way, mammogram technicians are taught not to give any information, because they are not the ones reading the mammogram, and what they say may not be correct, even if they can read the mammogram pretty well.

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Expert: Doctor Norm
Pos. Feedback: 100.0 %
Accepts: 8
Answered: 1/4/2009

Doctor

30 years experience as an OB/GYN doctor including teaching students and residents

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