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AskedPublicly Submitted Question
7/18/2016Over the past 7 months, I have had in the same quarter of the same breast: 3 core biopsies, one surgical biopsy, many mammograms and USs, three MRIs, and one lumpectomy to remove two radial scars (one palpable, one not). I have sent questions in about my 3 radial scars and other benign mass.

Given my "strong" (according to two area breast centers) family history, extremely dense breasts and the busy part of this one breast, I would like to see if it makes sense for me to come to JH Breast Center (which is an easy drive) to get a 2nd opinion on my last pathology as well as maybe the MRI or some of the other imaging. I would also like a 2nd opinion on my monitoring plan going forward if that makes sense.

I called JH Breast Center but they seemed confused about what to do with a person like me who did not have a Breast Cancer Dx.

Please advise! Thanks so much.
RepliedJHU's Breast Center Reply
7/19/2016Your pathology can be submitted and re-read here by calling 410-955-3580.

The imaging faculty are so busy re-reading imaging of patients with birad 4s and higher that they are not able to read imaging studies that were birad 3s or lower anymore.

You mentioned being high risk due to family history. So this raises the question of whether you have pursued genetics counseling and testing. Something also to consider would be having future imaging done here, then all your prior imaging is reviewed for comparison to new imaging being done. Radial scars increase risk some but not to the degree that you might be thinking. first degree relatives with breast cancer, and extremely dense breast tissue as deemed to be by a breast imaging radiologist, and radial scars all together ups your risk.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.


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