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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46708
Experience:  Board Certified Physician
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I had my both reast mamogram. The resut is Diffusely increased

Customer Question

I had my both reast mamogram. The resut is Diffusely increased density in both breast. No evidence of abnormal calcifications. Otherwise, not remarkable. US of both axilla and breast; Somewhat peripehral lobulated margined hypoechoic mass ( about 2.3 x1.0 cm ) in left upper-medial breast ( 10h direction ). What does it mean? How to treat it?
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. David replied 4 years ago.

Dr. David :

This is Dr. David

Dr. David :

this hypoechoic mass should be biopsied in the breast

Dr. David :

hello?

JACUSTOMER-esgs28x8- :

hi Doctor

JACUSTOMER-esgs28x8- :

Is it a painful procedure?

Dr. David :

have your doctors set you up for a biopsy?

Dr. David :

some pressure,

Dr. David :

should not be very painful

Dr. David :

women usually handle pain much better than men.

JACUSTOMER-esgs28x8- :

recommendation : Further evaluated ( removal and biopsy )

Dr. David :

biopsy first.

Dr. David :

to see what it is.

JACUSTOMER-esgs28x8- :

I tried to google the diagnosis. I read something about HYPOECHOLIC MASS , saying, " It is not a medical condition." May not be treated.

JACUSTOMER-esgs28x8- :

what does it mean?

Dr. David :

hypoechoic just means that the ultrasound signal is not bouncing back well.

JACUSTOMER-esgs28x8- :

I mean Hypoechoic...

Dr. David :

it does not say what is inside there.

Dr. David :

could be an infected gland.

Dr. David :

or a swollen cyst

Dr. David :

or a breast cancer.

Dr. David :

so you need a biopsy to know for sure.

JACUSTOMER-esgs28x8- :

what does it mean to have " No evidence of abnormal calcifications."

Dr. David :

calcifications in the breast can look normal or worrisome.

Dr. David :

so you don't have any worrisome calcifications in your breast.

JACUSTOMER-esgs28x8- :

but then I have this lobulated margined hypoechoic mass...

JACUSTOMER-esgs28x8- :

how is biopsy done?

JACUSTOMER-esgs28x8- :

Doctor

JACUSTOMER-esgs28x8- :

what are the causes of hypoechoic mass?

Dr. David :

a biopsy is done by sticking a thin hollow needle into the lump in the breast.

Dr. David :

a breast cancer can be a cause.

Dr. David :

or an infected breast gland or an infected breast cyst can cause an hypoechoic mass.

JACUSTOMER-esgs28x8- :

the only way for me to be know more is BIOPSY, right?

Dr. David :

yes, the only way to know for sure is a biopsy.

JACUSTOMER-esgs28x8- :

Are there other things that I need to know?

JACUSTOMER-esgs28x8- :

Are there other things that I need to do?

JACUSTOMER-esgs28x8- :

Is breast cancer curable nowadays?

Dr. David :

yes, breast cancer is very curable.

Dr. David :

we have more information about curing breast cancer than we do for all other cancers combined.

JACUSTOMER-esgs28x8- :

Dr. David, what does it mean by peripheral lobulated?

Dr. David :

lobulated means lumpy bumping on the surface on the outside of the lump.

JACUSTOMER-esgs28x8- :

I've read about smething like smooth edges is only possible for benign while irregular could be cancerous...

JACUSTOMER-esgs28x8- :

is peripheral lobulated an irregular shape?

Dr. David :

yes, peripheral lobulated is an irregular shape.

Dr. David :

best of luck to you

Dr. David :

let me know if you have other questions.

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