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Old 02-25-2012
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Question Microcalcification in breast .. next step

Dear guys ..
I have question, I don't know what's the true answer ..
48 years old female come with micro calcification in mammogram
no palpable mass detect , next step :
* repeat mammogram after 3 months
* repeat mammogram after 12 months
* excesional biopsy

there is no fine needle biopsy in answers .
can any body help me in right answer ?

another question confused me :what's the most common histopathological ovarian cancer in child ?
* epithelial
* stromal
* endothelial
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Old 02-26-2012
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microcalification implies cancer. in no way, i can leave it off and wait to do repeat mammography. i will go with excisional bx, there isnt any FNAC option u told.

most common ovarian cancer in child [ <4 year] is germ cell tumor
it is yolk sac tumor to be exact.look for Schiller-Duval bodies or
Increased a-feloprotein in the question.
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Old 02-26-2012
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for the breast question , I solve this question without FNAC answer , the logic answer is FNAC first, but the question as I mentioned
only excesional boipsy and follow up 3 months and 12 months .. ( only choices )
I don't know
I choose 3 months follow up
it's true ??????????????????????
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Old 01-04-2013
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Default Here is your reply ya Mohajir !

I was looking for the answer to a similar question to what you posted and I found the answer on the website:


Here is the correct answer to your question, ya mohajir :
Repeat mammogram in 12 months.
If an option of core biopsy is given and it would have been given if there were features that would hint a malignancy (such as a linear or disruptive pattern of microcalcification), you need to choose the core biopsy.
Else, uniform microcalcification may just be benign and you dont need to do a biopsy unless the patient insists. You can just follow up with a mammogram a year later, just to be on the safe side.

I have given the reference to the relevant section below :

Microcalcifications tiny specks of calcium in the breast are very common and are usually associated with a benign condition. They cannot be felt, but do appear on a mammogram. Microcalcifications form patterns or clusters, and radiologists look for certain patterns of microcalcifications that can signify that the surrounding tissue may be cancerous. Benign calcifications tend to be round or oval, uniform in density, and scattered in the breast tissue. Suspicious microcalcifications, on the other hand, vary in shape, size, form and density and are usually clustered in a linear or segmental pattern. Most DCIS appears as microcalcifications on a mammogram. While microcalcifications are not DCIS, they can be an indication that DCIS is present.

Please note that taking calcium supplements has nothing to do with calcifications in the breasts.

The radiologist looks very carefully at the mammogram and may request a magnification mammogram to get a better look at the area of the breast that is in question. If microcalcifications are found or a lump is present, the radiologist can determine what next steps are required. The radiologist can categorize the calcifications as benign (not cancerous), probably benign, indeterminate (not sure) or suspicious (might be cancer).

Mammograms cannot diagnose DCIS; only a biopsy can do that.

If the radiologist says that the finding is "probably benign," close surveillance may be recommended. This includes a follow-up diagnostic mammogram at six months. While we don't advocate unnecessary biopsies, we also know that many women have been asked to "wait and see", later to find that the area in question is cancer.

If you are uncomfortable about the wait, you may want to get a second opinion or request that a biopsy be done right away.
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