Reply to Olivia Munn Breast Cancer and Double Mastectomy

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[quote=Anonymous][quote=Anonymous]I have dense breasts and have been asking for ultrasound for a decade because I hate mammograms so much but no one will ever approve them.  I just skip the mammograms mostly because they cause so much pain.

I noticed in the article that it said this type of breast cancer is typically very slow growing….is that the medical justification for not making this standard of care?  Basically that it will show in a mammogram before it gets dangerous?  [/quote]

Not an expert on this. But it’s my understanding that some things show up in an ultrasound that don’t necessarily show up in a mammogram. And, that ultrasounds can be a similarly powerful screening tool and complement mammograms. So, I’m somewhat surprised that they’re not allowing you to do both.

Two years ago I randomly started getting acute breast pain despite never having experienced it before. It was the worse pain I have ever had in any context. I could not lift anything or perform basic tasks like laundry/packing a suitcase without being in tremendous pain. After ~3 days of this, I went to see my primary care doctor and requested a mammogram. Her hypothesis was fibrocystic breasts. She ordered a mammogram and ultrasound, but indicated she really did not recommend a mammogram given it is not done at my age (I was late 20s), it would likely be painful, and my breasts are likely dense/consequently will

When I got to the imaging place I asked if I could just skip the mammogram. They indicated they would do an ultrasound first.   But that if they thought I needed a mammogram they would perform one.  Luckily the ultrasound was sufficient. I did a biopsy around a month later (which indicated a fibroadenoma), and ultimately had surgery to have it removed. My follow up utilized an ultrasound too.

My mother is obviously much older, but her doctor ordered/carried out both an ultrasound and mammogram a few years when they discovered an area of concern. It was all good and ended up being a benign cyst. [/quote]

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