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Diagnostic mammogram's and other breast imaging questions.
|Asked||Publicly Submitted Question|
I am 45 years old with a significant family history of breast cancer. My mother was diagnosed at 48 and died at 53. Her sister diagnosed at 61. Two maternal great aunts and one paternal great aunt. My paternal grandmother died from breast cancer at 73. I am negative for both the BRCA 1 and 2 genes. I am under the care of a breast specialist who exams me biennually. In between I see my Gynecologist for my yearly check up. I have been getting mammographies since I was 28 years old. I had my first breast MRI in march of 2006, a follow up in October of 2006 and again in April of 2007. Doctor wanted to establish a stable baseline. I have been receiving yearly mri's since 2006. My last MRI was in Late December on 2010. My breast specialist said that because I have been stable for a long period of time I will have MRI's every other year. Is this a reasonable standard of care? I have had no biosopies and my birad scores are 1. Thank you so much for all you do.
|Replied||JHU's Breast Center Reply|
|3/16/2012||Thank you for turning to the Breast Center @ Johns Hopkins. We follow the NCCN Guidelines (National Comprehensive Cancer Network) which does recommend, for women greater that 25 with strong family history: 1) Practice your own breast self awareness; 2)Get yearly clinical breast exams; 3) Consider breast MRI as an adjunct to annual mammography; and 4)Risk reduction measures, which can include medication tx to surgery. Please consult with a high risk breast specialist, and explore the possibility of further genetic testing with a more specialized test other that BRCA 1 & 2. Hope this helps and bset wishes|
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