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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35455
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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On 5/29/10 I had a yearly mammogram. I'm 46 years old and

Resolved Question:

On 5/29/10 I had a yearly mammogram. I'm 46 years old and all my mammograms came back normal. I picked up the report for this mammogram and I'm a nervous wreck.
This is what it says:
Findings: Dense and hetergenous breast parenchyma is again observed with minor asymmetry. Allowing for some differences of technique and positioning, there is an apparent new 7 mm irregular density in the medial tissues of the left breast seen on the craniocaudal view. This cannot be identified on previous exams. Repeat craniocaudal view as well as spot compression views are advised to see if this persists.
No pathologic calcifications.
Impression: New 7 mm density medially in left breast which needs further imaging evalution as discussed above.
Does anyone know what this means? I called my doctor who hasn't called me back yet. In October 2009, I had a hysterectomy with both ovaries removed and been on the patch (vivelle-dot) since my hysterectomy. I'm on the lowest dose .05. Could this patch have something to do with this? Isn't 7 mm big?
Any information will be appreciated.
Submitted: 7 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 7 years ago.


At the outset, let me tell you that this is not diagnosed as a cancer, so please do not get anxious about it. Mammography is a medical imaging which can have false positive and false negative results. Your present mammography only states that there is a difference noted from the previous mammograms of a 7 mm new density. And this only warrants a further medical imaging protocols (different views on the mammograms). This can be due to the hormonal changes, as breast tissue is quite sensitive to the hormones. With further new views; there would be information gathered, whether this lesion is benign or suspicious. And that would dictate the further management protocol. At this point of time, you have not been diagnosed by any condition and there is nothing worrying. Remember, there are no calcifications seen. The hallmark of the cancerous lesions are microcalcification. So chance of cancer in this new density is almost zero. In mammography, we work on the extra cautionary side and this is the only reason, new views are ordered.

Please feel free for your follow up questions.

Dr. Arun

Customer: replied 7 years ago.

Thank you for your reply. So the 7mm doesn't mean "a mass"?

Also, what does "no pathologic calcifications" mean?

So it's possible the vivelle-dot patch has something to do with this?

Expert:  Dr. Arun Phophalia replied 7 years ago.

You are very welcome.

Yes. Vivelle dot patch may be related to it. Pathologic calcifications means, calcification related to disease (means cancer). So absence of that is almost sure of no cancer. Seven mm is not big and is not considered mass. It is just a changed tissue density in that area of the breast.

It is pleasure and privilege assisting you.

Dr. Arun

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