Mastering Mammography: Understanding Breast Micro-calcifications | Dr. Terry Minuk

[@RadioGyan]

References and further reading: 1. geni.us/TabarTA (AMZ): Teaching Atlas of Mammography by Lazlo Tabar 2. geni.us/Tabar (AMZ )Breast Cancer: The Art and Science of Early Detection with Mammography (Tabar Mammo) 1st Edition 3. Basics of Breast Imaging : radiogyan.thinkific.com/courses/breast-imaging-introduction

[@chrysandram]

This is way more informative than I could have imagined- thank you! I just got the results of my biopsy and it is benign when there was major concern that it was not (on the mammogram).

[@smithkouza]

This was one of the best lectures I ever had. Hopefully you guys will continue providing more of breast imaging lectures.

[@RadioGyan]

Glad you liked it ! We have one coming up on the 30th of October. Details: radiogyan.com/events-page/

[@zbigniewbrzezinski8869]

The most informative video of breast calcifications by far! Thank you.

[@vickyvicky2757]

This is such an AMAZING lecture! The MMG and correlating Histopathology images are just too good! THANK YOU SO MUCH for sharing!

[@RadioGyan]

Glad you enjoyed it! Check out more exclusive content here : kzbin.info/aero/UUMOrq_N7nwDk_Wo_AGhNakrMA

[@TarinaRose-Watson]

I can listen to you all day. You explain things with such detail that I want to learn more. Thank you!

[@RadioGyan]

So nice of you

[@Tintanse]

This was legendary. Thank you for sharing valuable knowledge🙏🏻Dr.Terry Minuk.

[@RadioGyan]

Absolutely!

[@carolm3768]

Excellent seminar Dr Minuk!! Im going to MD Anderson in Houston. Unfortunately, I live in scenic Bend Oregon..but Drs here monopolized care, and their interest is money. I ran offices in NYC for 35 years,and found your channel and Dr Manuk..amazing for interpreting conditions. Wish I had you in College! Best to you, saving lives! Cheers! Cant wait for the next seminar!

[@laurapoirier741]

The monopolizing of money in this business is not just in Oregon it's everywhere

[@RadioGyan]

That's pretty sad.

[@karenhunter8569]

Most in depth information with both imaging and cellular explanations! Your very succinct, well-spoken, and articulate; very easy to follow. THANK YOU SO MUCH!

[@RadioGyan]

You are very welcome.

[@letabranch7459]

Thoroughly enjoyed this explanation and now I understand a little better what I have. Thank you, Dr. Minuk.

[@RadioGyan]

Glad it was helpful! Do check out our dedicated breast imaging introduction course if you are interested :radiogyan.thinkific.com/courses/breast-imaging-introduction

[@soninChina]

I need to watch again. Wish I had a copy of my films to hold side by side. God bless ❤

[@umaravikrishnan]

Thank you Dr. Minuk this presentation was awesome. I learned a lot and this lecture helped me learn about my DCIS low grade.

[@RadioGyan]

Glad this talk was helpful.

[@amparogonzalezalvarez2295]

Masterful 👏, we don't have doctors like this in real life... and in the networks few know how to be so didactics.🧭

[@alexaria]

Thank you very much Dr Minuk - excellent and enjoyable lecture :)

[@RadioGyan]

Glad you liked it .

[@candancandan9604]

Thank you so much. Radiologic-pathologic correlations are very helpful.

[@RadioGyan]

You're most welcome!

[@silentangel.ie-abe7]

Great information had biopsy clip inserted this morning not removed unless surgery required Googled not felt or uncomfortable unnoticeable results 27th 🙏🏻

[@m.bustock5265]

This was very well presented and explained! Thank you!

[@RadioGyan]

Glad it was helpful!

[@lezaarthur]

I had a very small lump (I found) 4.5 yrs ago & all tests / including a biopsy & was noted as benign but, due to my extreme cancer family history & wanted it removed (Margins & Lymph nodes were not removed) & at the time of surgery my surgeon noted it looked benign but, 5 days later I received the call it was cancerous…2nd surgery to remove margins/lymph node (clear). This year 2022 had my mammogram in April (Clear) & then in approximately in July I found another small lump & had a MRI w/contrast & ultrasound & was noted as benign again but, opted to have it removed & again looked by surgeon as benign but, at 5 days the pathology lab was needing more time & considering a second opinion by another pathology lab = cancerous but, different from the first cancer (The note starts out as this is an interesting and challenging case: History of left micro invasive carcinoma arising in association with papillary duct Al carcinoma in situ diagnosed in 2018 / In this one atypical structures represent a intracystic papillary carcinoma with a very focal solid component). Margins were taken but, not the lymph nodes. I’m scheduled for mastectomies in February 🤔

[@lezaarthur]

Rescheduled for April 5th because I got Covid & shingles just before my scheduled surgery 🥴🙏🏻🙏🏻🙏🏻

[@racheln4378]

How are you doing?

[@toricollins6516]

Have you recovered? I have BRCA1 & have lumps & an “area of concern”. Waiting now is anxiety-inducing.

[@soninChina]

So, how’s it going? Hope you’re all clear!!

[@soninChina]

@@lezaarthuromg, I can’t imagine. Shingles is so painful. Hope your okay ❤

[@katarzynaanna508]

Great lecture! thank you dr Terry Minuk for sharing!

[@RadioGyan]

You're most welcome!

[@katarzynaanna508]

@@RadioGyan Are there any lectures on fibrocyctic changes in breast , I am very interested in that subject?

[@ruthbickerstaffe1915]

Thank you Dr. Minus. This is excellent information. I do appreciate your thoroughness.

[@RadioGyan]

Glad it was helpful!

[@ruthbickerstaffe1915]

@@RadioGyan it was very helpful. I shall enjoy the references you sent me. Blessings for your good work. I hope that you have a lovely day!!

[@paisley1134]

I just had 2 3d mammograms with 2 call backs a rude Radiologist who acted like it was a problem to answer any questions I had as to why I get call backs every time. I feel like I deserve to have answers and have the right to ask about my health. I have calcifications,

[@sharon268]

Oh I can’t even begin with experience I had a call back for screening mammogram for a 5mm mass they bypassed the diagnostic and went straight to ultrasound where they found an additional echoic focus besides the mass they didn’t even bother to tell me it was an entirely new finding and not from my cluster of calcifications from 2014 and when I insisted on a diagnostic mammogram oh my lord !!! I’ve had to fight tooth and nail I also scheduled myself for a surgery consult because the two radiologist wanted me to wait 6 months I missed my mammogram last year so there is no telling how large it’s grown in 2 years I don’t live my life by probably not cancer my twin sister has A typical hyperplasias and if she would of waited 6 months she would have had to go through radiation etc I’m so exhausted and pissed off I have a patient advocate now and this has gone to the Cheif medical officer and compliance officer

[@bebebyrd8595]

@@sharon268 I have been sick for 2 years, Im alone with no support. I will know Friday if I have breast cancer, and now worried that I have secondary or this is secondary - or-or …he biggest problem, other than being sick is that it is super hard at times to advocate for myself. And ya, I can get rude people and in trying to advocate for myself, ie “ you are not giving me enough info to make a decision “ only makes those medical professionals madder, because they are in the wrong biz, its not in their heart, its about the money. When their is a third person, the patient bypasses the comeback. an I ask how you got an advocate? I just take my doggos, and I love it like when I left the hospital after 2 hours, f.u. mammo turned into us and then biopsy and I love it that my dogs were just glad to see me! But I would welcome an advocate and didn’t think about it until now. Where does one go for advocacy? thanks and best of luck to you.

[@bluenicky3184]

I’m in a similar situation. I’m trying to find a radiologist to remove a

[@karenhunter8569]

We simply don't do this as margins can't be cleared adequately.

[@karenhunter8569]

The radiologist is not your go-to for answers. instead your primary physician is where you get your information. If you understood the demands placed on the radiologist you'd be less upset, and utilize the resources properly. The radiologist interprets an exam your pcp sent you for. Would you demand an answer/consult from the pathologist who examined your biopsy specimen? No. It's your pcps job to answer your questions.

[@Hollygdorsey1]

I love this lecture ! Thank you!!

[@RadioGyan]

You're so welcome!

[@keilkraken]

Excellent talk by the Guru!!!

[@RadioGyan]

Thank you!

[@chinmoy11091987]

Awesome.... Best conventional mammography lecture...... thanks

[@RadioGyan]

Most welcome

[@Ms-ej2vb]

thank you! about 1/3 through the video. had 2 biopsies and its day 2 of awaiting results. 😢 im 61 and went through menopause 8 years ago? bc of total hysterectomy bilateral oopharectomy. No HRT 🙏

[@muntahamohamed1608]

Very informative and interesting video.. Thank you Radiogyan

[@RadioGyan]

Glad you liked it!

[@suralaqadr1658]

Thank you very much for your nice informative lecture, it was really great.

[@RadioGyan]

Glad you liked it!

[@lorihimes1786]

Excellent and clear presentation thank you!

[@RadioGyan]

Glad that you liked it.

[@gingerjoy5836]

Excellent explanation. Thank you.

[@RadioGyan]

Glad it was helpful!

[@drishapasari3816]

very helpful session, thankyou so much!!

[@RadioGyan]

Glad it was helpful. Check our our detailed lecture: radiogyan.thinkific.com/courses/breast-imaging-introduction

[@soninChina]

I’m going this week for a biopsy for calcifications. 12 years ago I had a lumpectomy in the same area. I’m trying to figure out if all this is necessary. My first cancer was in the milk ducts. It was insitu. I wish I could figure this out. I had the radiologist show me my films. I’m so confused. The tiny solid white dots are not in the ducts. I suppose I better go along. It’s an awful position to be in. Thank you for your information doctor!! You’re doing God’s work.

[@adelinad3513]

Just leave those alone...they may never become cancerous. This is a business running on scared women. The risks in overdiagnosis and false positive in mammography are huge

[@commonsense6967]

So true! I'm 72 years old, and EVERY time I have a mammogram, (always a 3D tomosynthesis one) I'm told I need a biopsy! This has been going on for years now, and lately it's been due to calcifications. I'm tired of unnecessary biopsies, and stopped mammograms altogether for nearly 4 years. Went again last month for mammogram, and was yet again told I need a biopsy. Only this time, not for the right breast, which is what they told me I needed it for last time, and which I refused, but now for the left side! (They now want me to return in 6 mos. for a follow-up mammo on the right side, though I refused that, too.) So against my better judgement, I had a biopsy last week on the left side (small group of amorphous calcifications which radiologist said she couldn't see well due to my dense breasts--but that sounds like it should be her problem, not a reason to tell me I need biopsy and mammo every 6 months!) Of course, the latest left side false alarm turned out to be "no cancer cells detected", yet they found a radial scar on biopsy (incidental biopsy finding) and even though radial scars don't turn into cancer, the radiologist referred me to a surgeon consult for removal of it! TALK ABOUT INSANITY!? (And of course, I'm in the US.)

[@prashankshiva2775]

Detailed and informative 🙌

[@RadioGyan]

Glad you liked it !

[@SANGSful]

Great lecture Dr Minuk.

[@RadioGyan]

Glad you liked it!

[@ChristmasKathy]

Thank you very much for this video!

[@RadioGyan]

You're very welcome!

[@marklemont3735]

Thank you. This was very clear.

[@RadioGyan]

Glad it was helpful! Do check out other vidoes on our channel here : kzbin.infovideos

[@ednamatias2349]

Whaoo nice explication i have to comback for biopside for amorphous calcification very small the doctor said !

[@rebelwithoutacause5373]

I have the same how did it turn out?

[@cecygamvela435]

Please I have the same problem. Did you do biopsy?

[@lindadoran6062]

My calcification turned into a 10x4 cm tumor. Ductile Carcinoma In Situ. Cancer of the milk ducts. In 10 days I will have a mastectomy. The mammogram showed calcification. For 10 yrs of regular mammograms everything "is fine" now all of a sudden it's a monster tumor. They say it's slow growing. Then how did it get that big in one year? The MRI revealed it was 10x4. The mammogram showed 7x2 cm.

[@karenwatts1386]

Sending you positive thoughts and prayers that surgery will go well for you 😢

[@toloveandrestore2472]

I hope you found good care

[@ilikecontent2327]

Get second opinions on your pathology. Usually digital slides(hopefully a good number of them to review). Send them to a breast pathologist who has extensive experience. Most insurance pays for 2nd opinions. You can send those digital images easily to a top specialist in another lab which is independent of the one that diagnosed yours. Dense breast tissue and using 2D mammography may be why it was missed before. Plus slower growing lower grade does not show up as well. Yes the MRI can spot smaller cancers better... My best! 😊

[@toricollins6516]

How’re you doing now?

[@lindadoran6062]

​@@toricollins6516 I'm doing good. Thanks for asking. I had an immediate implant and got a killer infection and had to get it taken out. I dealt with that situation for about 3 months. Finally healed and took some time off to regroup. I have a prosthesis I use occasionally but most of the time I'm just me. Nobody cares if I have a boob or not. In a month or so I'm going back to the breast surgeon and get the floppy tissue fixed up and smoothed out and calling it good. 😊

[@josherw]

Excellent video on breast calcification

[@RadioGyan]

Thank you for your kind words.

[@sumeramurtaza9948]

Excellent talk

[@RadioGyan]

Glad you liked it Sumera.

[@faith5964]

Dr . I have to go for a biopsy because in the mammogram it shows calcification but there is few they don’t know if is calcification they say is suspicious. How they don’t know what it is . Because they can’t see well in the mammogram.

[@RadioGyan]

Kindly consult your treating physician for these queries.

[@rosebud8753]

ThankU soo Much , Dr. We LoveU

[@ricardajames5769]

Very insightful information. Thank you very much

[@RadioGyan]

Glad it was helpful!

[@nnwumeh1]

Great lecture. Thank you!

[@RadioGyan]

You're very welcome! Glad you liked the lecture.

[@surendrayadav3332]

Excellent dr Terry

[@RadioGyan]

Glad you think so!

[@jennyb7745]

Does breast calcification cause pain please anyone?

[@RadioGyan]

Hey Jenny, It would be best if you discuss this with your physician. Thanks.

[@darlenemiller8692]

Yes, slight pain for me, in my right breast. I'm scheduled for a biopsy next week.

[@amparogonzalezalvarez2295]

What do you think about lymphatic drainage, in ductal ectopia? Applying massage therapies,bloqueos estrogénicos, hormonas ect .. would it be effective?

[@RadioGyan]

Thank you for taking the time to watch my video and leaving a comment! As a radiologist and content creator, I cannot speak to the effectiveness of massage therapy, hormone therapy, and other forms of lymphatic drainage in cases of ductal ectopia. You should discuss it with your healthcare provider. Have you had any personal experience with this?

[@amparogonzalezalvarez2295]

​@@RadioGyanMy sister is going to perform a biopsy, diagnosis of non-papillomatous ectasia... but with scattered calcifications in both

[@amparogonzalezalvarez2295]

For my part I was using binaurals, very effective, I recommend it in these cases... doctors should update their therapies.

[@ashrafkhalil5805]

Great video, thanks a lot

[@RadioGyan]

Glad you liked it :)

[@maddpappa3594]

Are these 3 D mammograms? Thank you the very informative much needed information

[@RadioGyan]

No. These are 2D mammograms.

[@raoenzangana7650]

thanks

[@RadioGyan]

Welcome

[@ferhadhesenli2027]

Thank you so much!

[@RadioGyan]

You're welcome!

[@debbiecler4157]

Should I be concerned about califcation around breast implants. That make breast hard?

[@RadioGyan]

Hey Debbie, Unfortunately we cannot offer clinical advise on the channel. Kindly discuss this with your physician or radiologist.

[@terrigreen100]

Excellent !

[@RadioGyan]

Many thanks!

[@DebUSA]

June 3, 2024... This information seems to be more than the average layperson can fully comprehend.

[@RadioGyan]

The lecture is intended for specialist physicians (radiologists) for learning.

[@ednamatias2349]

Whaoo nice explanation Dr i want to go to your office

[@tommescribner461]

I just had a mammogram. it said benign calcifications some fairly extensive nodularity to residual breast parenchyma, multiple nodular opacities and numerous cyst BIRADS 0 I have to have an ultrasound. anyone can tell me what that means?

[@RadioGyan]

You will have to discuss this with your treating physician.

[@mehmettosunoglu2372]

Thanks a lot..

[@RadioGyan]

Most welcome!

[@sushmapala2229]

Can anyone please tell me what are undetermined calcifications

[@RadioGyan]

Kindly discuss this with your physician. Thanks.

[@zbigniewbrzezinski8869]

Not the only difference, but the only similarity! (18:55)

[@corniss]

I have to have biopsy of two areas of calcificatikns next week. I drink lots of coffee. Could that cause it.

[@RadioGyan]

Kindly consult your treating physician.

[@SahilSharma-ht3ci]

Amazing

[@RadioGyan]

Thanks, Sahil

[@asadullah-dc5zx]

👍👍excellent

[@RadioGyan]

Thank you very much

[@ednamatias2349]

😢

[@stimolirosetta7278]

Italiano

[@RadioGyan]

Can you please elaborate?

[@jodysterk8771]

Hello I had a focal asymmetry went in for a series of Dx scans two different machines! And no ultrasound! Radiologist said I need a sterocore biopsy I have mammogram ever year but missed one! As I was taking care of my Grandma may she rest in peace. They always said I have dense tissue and cacifacatin and they said I’m a bi rad 4 but I’m not nervous or worried it’s only 3 mm I said that’s a baby size!

[@commonsense6967]

How did it go? Hopefully OK? I'm 72 with dense breasts (and fibrocystic breasts), and diagnosed as BI-RADS 4, too. I stopped going for mammograms for several years because tired of being a pincushion for painful biopsies! Recently returned for 3D mammogram, and was told that due to amorphous calcifications, which I always have in both breasts, I need a stereotactic biopsy this time in opposite breast than they wanted to biopsy on last mammogram, which I wisely refused 3 years ago. All I know is, theyalways complain they can't SEE anything well because my breasts are dense! So in my experience, this is why they ALWAYS want to biopsy after I get a mammogram! I'm gonna have one more biopsy, and then I'm done (my decision.)