Being told that you have an abnormal mammogram is a frightening experience. It is important to reduce this stress by diagnosing &, if necessary, treating the problem as quickly and accurately as possible. Often, more specific studies such as compression views or an ultrasound will be recommended. If the abnormality is still present and is still indeterminate, a consultation with us may be indicated.
A consultation includes a thorough history, exam and review of previous mammograms and ultrasounds. Based on this review we can discuss the full range of diagnostic options. If the mass appears to be benign you may be offered short interval follow-up. Some women may chose a diagnostic biopsy for peace of mind.
If the lesion is suspicious a biopsy to obtain some tissue cells for a diagnosis will be recommended. If the lesion is palpable we can perform a fine needle aspirate or core biopsy in the office under local anesthesia. If the lesion is not palpable and not visualized on ultrasound, we recommend outpatient biopsy either in the radiology department or in the operating room. If the biopsy reveals atypical or malignant cells, we will discuss the various options of breast-conserving procedures versus mastectomy with you & make a decision together as to your best options. Many factors enter into this discussion including the nature of the lesion, the presence of suspicious axillary lymph nodes, & your family history. We will work closely with you through the entire diagnostic & therapeutic phases, & coordinate any additional health care you may require.