How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17548
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

Please can you give me advice. I have dense large breasts and

Customer Question

Please can you give me advice. I have dense large breasts and had a follow up check up with the breast consultant the other day after a mammogram I had recently which showed all ok. she wants to do a biopsy tests next week on my right breast which is fuller than my left one and glandular tissue lower part of my breast is firm and tight she not giving anything me info. I'm not sure if it's precautionary she doing it for, shouldn't a mammogram show abnormalities. Of course I'm extremely worried and have looking on the internet and reading horror stories. I've read about different Color fluids that can come out with the tissue sample. What would be the worst case scenario?
Also I have discharge from both nipples had it for many years. But she now want to do a biopsy on the other breast. HELP. Very concerned
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. D. Love replied 2 years ago.
It will help if you could provide some further information:
Is this fullness a new finding on exam?
Has an imaging test beyond a mammogram been done?

Expert:  Dr. D. Love replied 2 years ago.
I had asked for some further information and have not heard back, so will address what information is available.

There are several issues to consider in this situation.

Regarding whether a mammogram would show abnormalities, the answer is no, not always. A mammogram is very good, but it is certainly not perfect. Mammography will fail to detect about 15-20% of cancers when in the early stage. WIth time, all cancers will cause an abnormality on the mammogram, but the goal is to detect the cancer early. Of the 15-20% of cancers that are missed, a common reason is because of dense breasts that obscure the ability of mammography to image the breast tissue and detect subtle changes.

Since the mammogram is not perfect, it is important to also attend to any other potential findings that may indicate a possible cancer. The most common would be a lump that is detected, but it may present as a fullness in one breast compared to the opposite side. Fullness of one breast would be more worrisome if it is a new finding.

The evaluation of a lump or fullness that does not have a corresponding abnormality on mammogram may ultimately require a biopsy, but it is more common to do an additional imaging study of the breast, either an ultrasound or an MRI, and there is increasing evidence to support an MRI in this setting.

As for the worst case scenario, that would be the finding on cancer on the biopsy. It is more likely that no cancer will be found, but that is the condition that would cause the greatest concern.

If you have any further questions, please let me know.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.