Mammography is indicated for evaluation of a 40 year-old woman in all of the following situations EXCEPT
|A||Breast pain and discomfort in large fatty breasts without palpable nodules|
|B||Breasts with multiple nodules but no' dominant area|
|C||Follow-up of the opposite breast after contralateral mastectomy for carcinoma|
|D||Presence of a small smooth solitary lesion as a substitute for biopsy|
(REF SCHWARTZ SURGERY 8TH EDN PG 482)
a. Specific mammography features that suggest a diagnosis of a breast cancer include a solid mass with or without stellate features, asymmetric thickening of breast tissues, and clustered microcalcifications.
b. The presence of fine, stippled calcium in and around a suspicious lesion is suggestive of breast cancer and occurs in as many as 50% of nonpalpable cancers.
c. These microcalcifications are an especially important sign of cancer in younger women, in whom it may be the only mammography abnormality.
d. Current guidelines of the National Cancer Center Network (NCCN) suggest that normal-risk women age 20 years or older should have a breast examination at least every 3 years.
e. At age 40 years, breast examination should be performed yearly along with a yearly mammogram.
f. Tissue diagnosis is only confirmatory for ca breast and mammography is complimentary. It does not replace a biopsy even for a smooth rounded lesion of breast.