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Can A Mammogram X-ray Test And An Ultrasound Scan Confirm Breast Cancer?

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Posted on Thu, 26 Nov 2015
Question: If an mamogram and an ultrasound is conducted can these alone confirm breast cancer or is a biopsy needed
doctor
Answered by Dr. Pradeep Kumar Jain (28 minutes later)
Brief Answer:
biopsy is needed for confirmation and also for treatment

Detailed Answer:
Hello

I do understand your concern.
The breast cancers are usually painless initially (unless it is in advance stays).
In your age other possibilities of benign breast lesions like fibroadenoma or cysts are more likely.
Presence of calcification in ultrasonography and adherence of lump to the overlying or underlying skin is more suggestive of carcinoma.
Mammography is a screening process and ultrasound is a noninvasive method for evaluation of breast lump.
Although ultrasound can provide a clue whether the lump is benign or malignant but it is the biopsy which is needed for confirmation and also to know the nature of carcinoma if any.On the basis of biopsy report staging can be done and also a decision can be taken about the modality of treatment like surgery or radiotherapy.

I would request you to attach the reports so that I could also get a clue and better able to help you out.

Thanks and regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (23 minutes later)
In the instance the mammogram and ultrasound shows a malignant cancer how precise are these results without a biopsy. What's the likelihoodness of it occuring in both breasts
doctor
Answered by Dr. Pradeep Kumar Jain (20 minutes later)
Brief Answer:
Ultrasound has a high sensitivity for detecting invasive carcinoma

Detailed Answer:
Ultrasound of breast has a sensitivity of up to 99% for detective malignant cancer in comparison of mammography with a sensitivity of up to 85%.
The two most common type of breast carcinoma are ductal carcinoma and lobular carcinoma.The lobular carcinoma has a very high propensity of involving breast of both side.Involvement of lymph nodes in axilla indicates the advanced stage.

Take care
Regards


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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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Can A Mammogram X-ray Test And An Ultrasound Scan Confirm Breast Cancer?

Brief Answer: biopsy is needed for confirmation and also for treatment Detailed Answer: Hello I do understand your concern. The breast cancers are usually painless initially (unless it is in advance stays). In your age other possibilities of benign breast lesions like fibroadenoma or cysts are more likely. Presence of calcification in ultrasonography and adherence of lump to the overlying or underlying skin is more suggestive of carcinoma. Mammography is a screening process and ultrasound is a noninvasive method for evaluation of breast lump. Although ultrasound can provide a clue whether the lump is benign or malignant but it is the biopsy which is needed for confirmation and also to know the nature of carcinoma if any.On the basis of biopsy report staging can be done and also a decision can be taken about the modality of treatment like surgery or radiotherapy. I would request you to attach the reports so that I could also get a clue and better able to help you out. Thanks and regards