Breast Cancer Screening Options For Women With Dense Breasts

Dr. Laszlo Tabar talks about the different screening options for women with highly dense breasts, including 3D ultrasound. Watch this video to learn more.

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Jay K. Harness, MD: One of the things I have been telling patients for a long time is, we haven’t invented the holy grail of breast imaging, in another words, there isn’t one technology that works for everybody and here in California and I don’t know about Arizona, but we now have legislation that we are to inform patients about their breasts density and of course the quandary now for the radiologist is, okay I have informed them, now what? And so I think you are holding some real promise for the 3D ultrasound is one of the things that may be we could be using in the future for screening in our really densely breasted patients, what do you think?

László Tabár, MD:  You know very well and women should know how complex the breast structure is when it’s normal, and how many variation of the benign and malignant breast diseases are, so no one can expect that a single imaging method is going to image them all equally perfectly, that’s what they call the multimodality approach, now that’s why handheld ultrasound was worked up. That’s why MR was developed, that’s why now this three dimensional ultrasound, automated ultrasound was worked up in order to help mammography at screening, so while a women earlier or today comes in with a pop of lump, then we immediately use the multimodality approach in our breast center, but in screening, we still use mammography, it’s wrong, so now when there is a FDA approval for 3D automated ultrasound, now when we have also the scientific evidence showing the 30% more cancers can be found in the dense portion of the breasts, then we should really use or introduce multimodality approach also in screening in those women who have dense breasts.


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