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AskedPublicly Submitted Question
2/1/2018Hello Nurse Shockney,

I contacted you over a year ago about my diagnosis of Invasive Lobular and Invasive Ductal Carcinomas, both of these in the same breast along with additional diagnosis of Ductal In-Situ. The IDC was only 2 mm but was triple negative and the ILD (hormone positive) was 8mm. I had two surgeries as the first did not have clear margins. I was told I did not need chemotherapy (didn't have it) and I had a few weeks of radiation treatment. I was prescribed Letrozole but had to change to Aromasin because the Letrozole wreaked havoc on my body. Mother and one sister BRCA 2. I and another sister tested negative.

After 6 months of from last radiation treatment I had a mammogram and was told everything negative, although they called me back for additional images of opposite breast where cancer had been found. It was determined to be negative. I worry that I only had a mammogram and not an MRI. Is my worry unfounded? Should I have an MRI? The sister who tested negative for BRCA has history of hyperplasia and has had three surgeries to remove each area over a 6 years. Her doctor has had her have three MRI. My doctor basically dismissed my 2mm IDC as "tiny". I am familiar with the unique problems of triple negative cancers. Also, I still have a lot of pain in the surgery breast even though first surgery was Oct. 26 2016 and last radiation treatment was March 2017. I was told I have very dense breasts also.

I meet with med. onc. in March. Should I ask for MRI? Does the type of Mammogram machine matter in the accuracy of detecting cancer. Which type is best?

Thank you so very much.

RepliedJHU's Breast Center Reply
2/2/2018Many women with dense breasts will be advised to get breast MRI. You could certainly ask your doctor if this is advisable for you. 3D mammograms are now being used most frequently and can see things differently than a 2D mammogram. The radiologist reading the images is the key to finding abnormalities - they should be specialized in breast imaging.

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