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Breast Abnormalities and Other Symptoms
General questions about breast health and possible symptoms.
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AskedPublicly Submitted Question
3/8/2018I just had my first 3D mammogram. Last was 2D in 2012 and 2013. Recent shows questionable architectural distortions 4 and 8 cm from nipple. No mass, calcifications, other although im extremely denseI am scheduled for an ultrasound. Obviously internet reports that it can be an ominous sign of BC. How much should I worry? Does questionable mean that it is just possible .CA? Is it a sign of early cancer?I've had no previous biopsy to cause the distortion. Should I push for another diagnostic /spotmammogram? Only ultrasound is scheduled. I am 41, no family history. Thank you.
RepliedJHU's Breast Center Reply
3/8/20183D mammograms are more sensitive than 2D. Try not to worry. An architectural distortion is when the mammogram shows a region where the breast's normal appearance looks like an abnormal arrangement of tissue strands, but without any associated mass as the apparent cause of this distortion. The mammogram report will usually ask for some additional work-up, so they call-back the patient to get some extra views or an ultrasound or both. Having dense breasts means that there is more breast tissue than fat, which can make it harder for mammogram to see through. Some of these women get breast MRI as well.

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