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Re: abnormal finding on mammogram

From: Rose (anonymous@obgyn.net)
Fri, 23 Nov 2001 15:03:15 -0600 (CST)

At Fri, 23 Nov 2001, Hannah Brooks, MD wrote: >
>Dear Rose-
>It sounds from your note that you've had mammograms in the past. If
>so, did your radiologist have the prior x-rays to compare? It may be
>that these 'suspicious' nodules were there in the past and have not
>changed. In that case, observation is not an unreasonable
>recommendation.
>
>What should be looked into,however, is the use of the
>word 'suspicious' along with a category of BIRAD 3 on the mammogram
>final report. I can imagine how it can be confusing to you! It would
>confuse many physicians, too. The designation of BIRAD 3 is very
>specific--it should be limited to 'abnormalities' seen on mammogram
>that have a 2% chance or LESS of being malignant. In other words, the
>radiologist should NOT use short term (six month) follow up
>observation UNLESS THE nodules are probably benign looking. If the
>word 'suspicious' is used, a biopsy would be more in order.
>
>You may want to get a second opinion from another radiologist who can
>review all your films including this new one. if you do need a
>biopsy, be sure to ask if the newer stereotactic biopsy is possible.
>This type of biopsy will give you an answer without having to undergo
>open surgery. Some nodules can be tested this way and others may not
>be--but you should ask the radiologist if it is possible.
>Good luck.
>Hannah Brooks, MD,FACS
>
>------------------ Reply Separator --------------------
>Originally From: anonymous@medispecialty.com (Rose)
>------------------ Reply Separator --------------------
>------------------ Reply Separator --------------------
>------------------ Reply Separator --------------------
>Subject: abnormal finding on mammogram
>------------------ Reply Separator --------------------
>Date: 11/23/2001 09:03am
>------------------ Reply Separator --------------------
>
>------------------ Reply Separator --------------------
>On my yearly mammogram 3 small(3-4 mm) suspicious nodules and an
>intramammary lymph node showed up along with some scattered
>calcifications. I was listed as category 3 and it was sugested that I
>come back in 6 months for a follow-up. Waiting 6 months seems like an
>awfully long tome to me and considering the word suspicious was used
>that doesn't do much to aliviate my fears either. I have scheduled a
>time to talk with my Dr. He know that I have a history of secondary
>family memebers with Cancer (2 aunts, Moms sister and Dads sister
>plus a
>cousin) What kinds of things should I ask him? Am I being overly
>casious? If there is something negative hiding in there could six
>months
>make a diiference?
>I am 6 years past menopause.Thanks for your help.

--
Thank you for your quick reply. I did not not have last years films for the radiologist to look as I had a mammo with the komen foundation due to the fact that I did not have insurence at that time. I am in the process of obtaining them. But I do remember that last years mammo was good. I as not seen to have anything out of the ordinary and that's part of the reason why I am so concerned. I did schedule a visit with Dr. to discuss my concerns and hope to have the films before then. Thanks again for all your help. Rose

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