Benign density on mammogram, no palpable masses
I had a baseline mammogram about 2 years ago at age 30 due to family history of breast cancer (2 aunts). The results were abnormal - a benign-appearing density was found - but it was "not suspicious" for cancer.
The radiologist explained that they wanted to be extra cautious due to my family history and a follow-up mammogram was done 6 months later, showing stability of the region. The same was true 6 months after that. I am due to go in again in 2 months, which will be 2 years from the original mammography. I can't help but wonder if a biopsy should have been done.
I've been told all along that a biopsy would not be called for due to the findings. These are well-regarded radiologists but I can't help but worry somewhat. What should I do?
In general, benign-appearing densities on mammogram do not require biopsies as long as there is not a palpable mass. Unless the surgeon can be directed to a specific area by physical exam or abnormal mammogram, just a random biopsy will not do any good.
However, while radiologists see many xrays, they do not always get the same feedback linking the radiological picture to pathologic findings that a breast surgeon does. In our area, all decisions to operate or not based on a mammogram finding are made by breast surgeons, i.e., general surgeons who do primarily breast work.
While there has been no apparent change in the density by mammography, I would suggest getting an opinion from a breast surgeon rather than relying on the radiologist to make the final decision as to whether or not a biopsy is indicated.
Non-palpable, deep cyst on ultrasound
I had physical 4 weeks ago and my first mammogram. It showed a suspicious area deep near the chest but nothing was palpable. I had an ultrasound and the radiologist said it looked like a cyst. My internist says a biopsy doesn't seem necessary. Should I go to a surgeon or another radiologist?
Breast lumps need to be evaluated by surgeons, not internists or radiologists. See a breast surgeon who will review your mammograms and decide whether it needs aspiration, biopsy or just following the area with repeat imaging studies.
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