A: Breast biopsy after thermography?

[Guest guest]

,

The protocol is for a mammo first then U/S if the mammo is suspicious.

The mammo would show that there is something there. It can't

differentiate what it is. Calcification on mammos are highly suspicious

for cancer but not confirmatory. That's where the U/S comes in. The U/S

is used to help differentiate whether it is a cystic or a solid mass.

If it is a solid mass, the U/S may or may not be able to tell if it is

a fibroadenoma or a more serious cancerous lesion (although there are

certain classic signs for a fibroadenoma). So rather than speculate

what a solid mass is, the next step is a biopsy which is definitive.

Also, if the breast is very dense and glandular, the mammo is useless.

This occasionally happens in young woman (<35-40 yrs old)

So for your patient I would recommend an U/S first and based on the

results, a biopsy may or may not be warranted. I would not do the mammo.

Johan Ghazali ND

Vancouver, BC