Cases in which breast cancer is not detected on a mammogram

He breast cancer This is a disease in which abnormal breast cells multiply uncontrollably and form tumors, which, if left untreated, can spread throughout the body. They were diagnosed in 2022 2.3 million cases in women worldwiderecently registered 670,000 deaths from this disease. Breast cancer affects women of any age, starting from puberty, and the discovery of a lump in the mammary gland is always a cause for concern for a woman. In these cases, it is recommended to carry out a number of studies, including mammography, to rule out this type of tumor.

In 2017, 55-year-old Leslie Ferris Yerger had a routine mammogram and breast ultrasound, both of which were normal. Two months later, he had an ultrasound to measure his bone density. The technician noticed an abnormality in his hip. After further testing, Yerger was diagnosed with stage 4 breast cancer. Mammography and ultrasound did not reveal cancer due to dense breast tissue.

“My cancer just wasn’t in those pictures,” he says. “I also learned that this is not an uncommon story,” he adds.

According to National Cancer Instituteapproximately 50% of women aged 40 years and older they have dense breasts. This term refers to the ratio of fatty tissue to denser fibrous and glandular tissues in a person’s breast.

FDA Because of this, it has become a requirement that mammogram reports include information about breast density and how it can affect patient outcomes. “Dense tissue makes breast cancer difficult to detect on a mammogram and also increases the risk of developing breast cancer,” the statement said.

The ruling marks a turning point in the detection and treatment of breast cancer, but there is still no consensus on what these findings mean for screening in the United States or abroad. In the United Kingdom, the National Health Service does not include information about breast density in patient mammogram reports.

What are dense breasts?

moms They are made up of three types of tissue: mammary fat, fibrous connective tissue, and glandular tissue. The last two tissues, known as fibroglandular tissue, are denser than adipose tissue. The ratio of fibroglandular tissue to fatty tissue determines whether the breast is considered dense or not.

For find out if you have dense breastsyou should get a mammogram. A radiologist will then examine the results and determine the level of breast density.

Symptoms of breast cancer

Most people don’t experience any symptom when the cancer is at an early stage. However, when the disease is at an advanced stage, it may present with various combinations of symptoms:

• A lump or thickening of the breast, often painless.
• Changes in the size, shape, or appearance of the breasts.
• The appearance of cracks and redness.
• Changing the appearance of the nipple.
• Discharge of abnormal or bloody fluid from the nipple.

In these cases, it is recommended to seek medical help, although according to the World Health Organization (WHO), most breast nodules are not cancerous.

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