Problem description: Hello, doctor, I have a physical examination today. During the B-ultrasound, the doctor said that there was a nodule about 3 cm below my left nipple. The doctor’s original words were: There is a tumor, It was quite big. They considered it was a fibroma, which was benign, and then asked me to do a mammography examination. In the afternoon, I changed to a hospital for a mammography examination. The diagnosis doctor did not see the situation described in the B-ultrasound on the mammography film. , Said there is no problem, breast tissue is okay, but there are some small cysts on the breast, which is considered to be affected by menstruation (I have about a week of menstruation, my chest will hurt before I come, and I am at this stage now), the doctor said, don’t worry , Regular B-ultrasound review every year, I would like to ask why the two inspection results are different, which is more accurate, and what measures should be taken? Thank you.
Question date:2020-11-16
Patient information:Age: 30 years old Gender: Female
Question analysis: Molybdenum target and color Doppler ultrasound examination have their own advantages. The mammography target is generally suitable for women over 40 years old. If you are 30 years old, the glands are relatively dense, like fibroids, breast hyperplasia nodules may not be very good on the mammography target. It has been shown that mammography is mainly used to diagnose calcification, because some early breast cancers are manifested as calcification, and the appearance of sand-like clusters of calcification is generally alert to breast cancer. So for your 30-year-old, I believe that the result of color Doppler ultrasound should be a fibroma. Because the advantages of color Doppler ultrasound to check cystic and solid lesions are better than mammography.
Guide and suggestion: If there are three centimeters in this fiber, then surgical treatment is required. But three centimeters of fibroids can be felt by themselves, and it is best to have an experienced breast surgeon palpate it.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection