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Mammography results with cancer: how to identify?

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Mammography is the main test used in the detection of breast cancer and should be part of the preventive routine of the disease.

If you are in your 40s or have a family history of breast cancer, mammography is probably already part of your preventive exam routine. After all, he is the only one capable of early detecting the presence of a malignant tumor. But how do you know when a mammogram indicates breast cancer?

For those who are not professionals specializing in cancer, observing the mammogram image will not give many clues about the result of the exam. This is because the radiological appearance of the lesion varies greatly.



“From the absence of alterations and, in these cases, other tests will be carried out, to lesions with an infiltrative, spiculated appearance, as if it were a stain caused by the impact of a chalk on a black screen”, explains André Augusto de Moraes, clinical oncologist and director of the Campinas Oncology Center.

Only the physician responsible for ordering the test, essentially a mastologist or oncologist, will be able to properly assess the image. What the patient can identify is the BI-RADS classification, indicated in the “diagnostic conclusion” part of the report, filled in by the radiologist who performed the mammogram.

BI-RADS classification

BI-RADS is an international classification of standardization of mammography results. To make it easier, mastologist Wesley Pereira Andrade simplified the reading of each category, which ranges from 0 to 6; check out:

  • 0 – means that the exam was inconclusive;

  • 1 – indicates that the exam has no changes;

  • 2 – signals some benign alteration;

  • 3 – indicates probably benign alterations;

  • 4 – shows a suspicious lesion, with a 20% risk of breast cancer;

  • 5 – suggests a lesion with a 95% chance of being cancer;

  • 6 – it would already be a known cancerous lesion.

Although mammography is essential in the screening of breast cancer, it alone is not capable of diagnosing the tumor in detail, with specific characteristics and subtypes. “The diagnosis of breast cancer will be performed by means of a biopsy. There is no way to be absolutely sure only with clinical or imaging examination”, reinforces the mastologist.



What to do when receiving the mammogram result?

When receiving the result of the mammogram, it is essential to take it to the doctor who requested the exam. Even if you are curious to check the report before the consultation, this does not negate the need to undergo an expert analysis – after all, personal interpretation can be wrong and cause unnecessary stress.

It is worth emphasizing that only a professional can interpret the details of the exam and define the next steps. “Your doctor is there for that!”, emphasizes Moraes.



Content for educational purposes only. Consult a Doctor.

The translator user relied on the following source:

Minha Vida Website – REF99827

Disclaimer – (English version>) This content has been prepared based on information from research, additional publications, or the translation/verification work of a volunteer editor of this web council. This is a non-profit service. It is strongly recommended that all details and information published be carefully verified. We never allow medication recommendations, medication package inserts or any medication guidance. We never allow partisan politics as information.

Isenção de responsabilidade – (versão em português): Este conteúdo foi preparado com base em informações de pesquisas, publicações adicionais ou no trabalho de tradução/verificação de um editor voluntário deste conselho web. Este é um serviço sem fins lucrativos. É altamente recomendável que todos os detalhes e informações publicadas sejam verificadas cuidadosamente. Nunca permitimos recomendações de medicamentos, bulas ou qualquer orientação sobre medicamentos. Nunca permitimos a política partidária como base para checagem. Para mais informações, leia nossos termos.

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