Can Breast Calcifications Disappear? the Gray Area in Diagnosis - Breast and Thyroid

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Breast calcifications fall into a gray area; is it possible for calcifications to disappear?


Hello Dr.
Zhou, I underwent a mammogram at a hospital in Taipei, and the physician indicated that the results are in a gray area.
I need to be hospitalized for three days and two nights for surgery and testing, but since my mother is currently hospitalized, I am unable to proceed with the surgery immediately.
I would like to ask you if breast calcifications can disappear, or do they remain permanently once they appear? Can I wait until my mother is discharged and recovered before coming to your clinic for a diagnosis? Would a CT scan provide clearer information on whether the breast calcifications are benign or malignant? Thank you for taking the time to answer my questions; I appreciate it!

Xiao Zhen, 30~39 year old female. Ask Date: 2015/07/02

Dr. Zhou Jiazhen reply Breast and Thyroid


Dear Xiao Zhen,
Hello,
1.
Common causes of calcification include malignant tumors, carcinoma in situ, fibrocystic changes, fibroadenomas, post-mastitis, post-trauma, and vascular sclerosis, among others.

2.
If the mammogram shows ambiguous results and the ultrasound is inconclusive, it is recommended to perform a core needle biopsy under mammographic guidance or to conduct an MRI scan for further evaluation to determine if additional intervention is necessary.
Wishing you safety and health.
Sincerely,
Zhou Jiazhen
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/07/02

More Info


Breast calcifications are small deposits of calcium that can form in the breast tissue and are often detected during mammography. They can appear as white spots or flecks on the imaging and are categorized into two main types: macrocalcifications and microcalcifications. Macrocalcifications are usually benign and often associated with aging, while microcalcifications can sometimes indicate the presence of breast cancer, especially if they are clustered or have irregular shapes.

To address your question about whether breast calcifications can disappear, the answer is somewhat nuanced. In many cases, calcifications that are benign may remain stable over time, while others may change or even resolve. For instance, calcifications associated with benign conditions like fibrocystic changes or previous injuries may not be permanent. However, calcifications that are indicative of malignancy typically do not disappear and may require further investigation or intervention.

In your situation, where the mammogram results are described as a "gray area," it is crucial to follow up with your healthcare provider. The recommendation for a biopsy or further imaging, such as an MRI, is often made to clarify the nature of the calcifications. If the calcifications are suspicious, a biopsy can provide a definitive diagnosis, allowing for appropriate treatment if necessary.

Regarding your concern about timing, it is generally advisable to address any suspicious findings as soon as possible. While it is understandable that you want to wait until your mother is out of the hospital, delaying the evaluation of your breast calcifications could lead to missed opportunities for early intervention if they are indeed malignant. If you are unable to undergo the procedure immediately, consider discussing with your healthcare provider the possibility of scheduling the evaluation for a later date while ensuring that it remains a priority.

In terms of imaging, while a mammogram is the standard method for detecting calcifications, additional imaging modalities like ultrasound or MRI can provide more information about the breast tissue and help differentiate between benign and malignant processes. However, these imaging techniques may not replace the need for a biopsy if there are still concerns about the nature of the calcifications.

In summary, breast calcifications can sometimes change or resolve, but those that are suspicious typically require further evaluation. It is important to follow up with your healthcare provider to discuss the best course of action, including the timing of any necessary procedures. Your health and peace of mind are paramount, and addressing these concerns promptly is essential for your well-being.

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