Breast Imaging: Is Mammography Safe for Irregular Masses? - Breast and Thyroid

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Mammography


Hello, Doctor: I visited the clinic due to breast discomfort and an ultrasound revealed an irregular 0.9 cm mass.
The doctor has scheduled a mammogram, but since the procedure requires compression of the breast, I am concerned whether this could worsen or spread the mass.
Is a mammogram necessary, or are there other methods of examination available? Thank you.

tina, 40~49 year old female. Ask Date: 2014/05/21

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Tina,
1.
There is no risk of deterioration due to imaging examinations, and arranging a mammogram has a higher rate of diagnosing malignancies, making it a necessary procedure.
2.
Other options include magnetic resonance imaging (MRI).
You can visit a hospital that specializes in breast MRI and inquire at the breast surgery outpatient clinic about the possibility of scheduling one (note that this will be out-of-pocket).
Wishing you safety and health.
Sincerely,
Dr.
Chou Chia-Cheng
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2014/05/21

More Info


When it comes to breast imaging, particularly in the context of irregular masses, it is essential to understand both the safety and the necessity of mammography. Your concerns regarding the potential for an irregular mass to worsen or spread during a mammogram are valid, but it is important to clarify how mammography works and its role in breast health.

Mammography is a specialized imaging technique that uses low-dose X-rays to examine breast tissue. It is particularly effective in detecting early signs of breast cancer, often before a lump can be felt. The procedure does involve compressing the breast, which can cause discomfort, especially if there is an existing mass. However, this compression is crucial for obtaining clear images and minimizing radiation exposure. The compression helps to spread out the breast tissue, making it easier to identify any abnormalities.

Regarding your specific concern about whether the compression during a mammogram could cause an irregular mass to worsen or spread, the consensus in the medical community is that this is highly unlikely. The forces applied during mammography are not sufficient to cause cancerous cells to spread. In fact, the benefits of having a mammogram far outweigh the temporary discomfort. Early detection through mammography can lead to more effective treatment options and better outcomes.

In your case, with a 0.9 cm irregular mass identified via ultrasound, a mammogram is an important next step. It can provide additional information about the mass and help in determining whether further diagnostic procedures, such as a biopsy, are necessary. The mammogram can also help to assess the surrounding breast tissue for any other potential abnormalities.

If you are concerned about the discomfort associated with the mammogram, it may be helpful to discuss this with your healthcare provider. They can provide guidance on how to make the experience more comfortable and address any specific worries you may have. Additionally, if you feel that mammography is not the right option for you, there are alternative imaging techniques, such as breast ultrasound or MRI, which can be considered depending on your specific situation and the recommendation of your healthcare provider.

Ultimately, the decision to proceed with a mammogram should be made in consultation with your physician, who can weigh the risks and benefits based on your individual health history and the characteristics of the irregular mass. Regular follow-up and monitoring are crucial, especially when dealing with any irregularities in breast tissue. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support. Your health and peace of mind are paramount, and open communication with your medical team is key to navigating your breast health effectively.

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