Cancer missed by mammogram?

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  • SueShe
    SueShe Member Posts: 4
    edited June 2007
    joanne,

    I was misdiagnosed, or I should say, not diagnosed at all for 10 years+ I was so angry I couldn't think straight. I have dense breasts and twice during the last 7 years was called back for second mammos but told there wasn't a problem...just come back next year. I ended up this past year with Stage IIB, lymph node involvement, and another smaller tumor on my chest wall. Went through aggressive chemo, rads, now Arimidex. Still reeling over these past 10 years of having cancer and not having a clue!
    SueShe
  • mariacormier
    mariacormier Member Posts: 12
    edited June 2007
    I guess whether or not insurance pays depends on the luck of the draw...and it should not!. After my steriotactic bx, dx of DCIS but before the lumpectomy, I told my PCP I wanted an MRI. They gave me no problem with getting it and I never heard a word from my insurance co at the time. ( I did ask for a case manager shortly after to help with any potential problems related to insurance. I haven't gotten any bill for the MRI(8-9 months later). I didn't realize there was such a problem getting it done till I saw the postings here. I think it stinks that it is not equal access and treatment for all of us. It's just not right!
    Maria
  • cp418
    cp418 Member Posts: 7,079
    edited June 2007

    Yes - it appears this is a problem with some insurance companies and I've now read other posts mentioning this for BCBS insurance (Blue Cross Blue Shield). So let this be a warning to anyone with this insurance carrier that they may refuse authorization for breast MRI unless you already have complications. They certainly are not for preventative screening for high risk patients or former breast cancer patients. Be prepared to put up a fight or to find a Radiology Service not in their pocket who is willing to take direct patient payment. This is the ugly side to healthcare. Joann

  • Caya
    Caya Member Posts: 971
    edited June 2007
    Had to chime in here - I am 48, big dense breasts, had an annual mammo and often a breast ultrasound since age 40 - no family history, but just felt I needed to do it. Had my annual mammogram and breast u/s June 2006 - showing nothing. Went in for a breast reduction on Oct. 16, 2006 - my plastic surgeon found my 1.7 cm. tumor - Then only with a breast MRI did they find another 1.0 cm. tumor before my MRM. A study came out in Jan. 2007 stating that dense breasted women are 5X more likely to have BC - I will be DEMANDING breast MRIs for my daughters - the mammos and u/s are useless for dense boobs - I was very lucky to have this discovered at stage 1 -
    I know there can be false positives with MRIs - but it's better than false negatives -
  • elleigh
    elleigh Member Posts: 5
    edited June 2007

    I haven't been diagnosed yet but am afraid that it is in the near future. I have been posting on the "worried but not diagnosed board" but wandered into this one just to see if anyone had the same problem as me. I was just reading this post and it is similar to what I have been going through......dense breasts. I just wanted to suggest to all who have them to get a breast thermography done. I just did a week ago and now have an appointment with surgeon on thursday of this week. It doesn't look good. But this way at least I know that I'm not crazy like the doctors seemed to think. Every mammo and u/s looked "okay". Nothing to worry about. I didn't buy it this last time. I clearly feel the thickening and lump and hard lymph node under my arm and know that the pain I am feeling deep within my breast is not just in my head. What jerks!!! I went above their heads and did this on my own which seemed to irritate them a little. All I can say is that it was worth all $210 it took to get the thermography done seeing that insurance won't pay for it even though it is FDA approved and has had a lot of success in locating cancer. Just wanted to let you all know what a great option this is for women with dense breast and I think that this should be done first, then maybe do mammos and other tests.

  • Lindaip
    Lindaip Member Posts: 39
    edited June 2007
    I had dense breasts which showed nothing but in June of 2000 I went to a gynecologist with a newly retracted nipple. He did a biopsy and said ther was no cancer. Unfortunately for me he biopsied the wrong area. Low and behold, a year and a half later, my breast began bleeding from the nipple - the cause - a 2 cm tumor. Luckily for me, even though I also had one lymph node involved (3 cm), my tumor was slow growing. 4 A/C, 4 Taxotere, two mastectomies with implant reconstruction and 5 years of Arimidex has left me with NED. I chose the second mastectomy because my grandmother was diagnosed with breast cancer twice, 11 years apart.

    Linda - Stage IIIB
  • digby
    digby Member Posts: 2
    edited July 2017

    Hi, It has been many years now that groups such as Areyoudense.org and densebreast-info.org have been advocating for density notification and raising awareness of the risks of dense breasts. 32 states in the USA now have density notification legislation. Here in Canada, we now have a group called Dense Breasts Canada and we are trying to raise awareness. We are a group of breast cancer survivors and health care professionals trying to spread the word that breast density matters. Would love to hear from otehrs whose cancer was miussed by mammogra.

  • llamalady
    llamalady Member Posts: 47
    edited July 2017

    Hi digby. I have dense breasts. I'm 51 this Sept. I've been getting yearly mammograms since age 40. Even though I've known I had dense breast for years, I've been getting the dense breast notification now for 2 or either 3 years when my yearly mammogram report is mailed to me. (I'm in NC)

    My last yearly screening mammogram was Dec. 1, 2016. Report came in all clear - no problem. 3 months later, March 10, I saw my GYN for my yearly check up. She found nothing on exam. 9 days later, March 19, I found the lump myself on a visual exam after a shower. Of course that started the dr. appts., mammogram, ultrasound, biopsy and diagnosis. When I went in for the diagnosis I had a radiologist there w/ the group pull my films from Dec. and compare to this new one 3 months later. He said it was there, of course, in Dec. but he said if he had been the one reading it's not something he would have done a call back on. So I'm grateful I found it or it would have gone missed for a year and my diagnosis and prognosis would likely be very different.

  • dtad
    dtad Member Posts: 2,323
    edited July 2017

    joanne elizabeth....I completely agree with your statement about men and their testicles! My dear cousin died of BC 25 years ago and I was appalled to find out how little has changed in the BC world in all this time! It has entered my mind many times that things would be different if BC was a male dominated disease. Tragic. I had an ILC missed on both 3D mammo and u/s. Only picked up on preoperative MRI. We all need to speak up for prevention, better treatment options and yes a cure! Good luck to all navigating this complicated disease.

  • EastcoastTS
    EastcoastTS Member Posts: 864
    edited July 2017

    I had ILC -- missed on yearly mammograms since age of 39 (3D) and likely would have been missed on the US if I had not pointed out the lump.

    Radiologist's first words: good catch.

    I guess I was not aware that mammos missed tumors or I might have pushed for more. Whatever more would be. Some doctor along the way said my films were completely white (dense). Could not see a thing.

  • stellamaris
    stellamaris Member Posts: 384
    edited July 2017

    i had mammograms every year. The most recent prior to dx was September 2o14. Dx Aug 2015. It never showed on mammogram and did not show on MRI. Only reason they found it was because it was hiding under a benign lump that I found, which U/S suspected was malignant. The lump was benign, but the cancer was underneath. iMO, we are on our own. Mammogram is not reliable. Know your body and find a doctor who will listen to you.

  • Sunrisefish
    Sunrisefish Member Posts: 67
    edited July 2017

    I also had dense breasts. Was originally diagnosed in 2014. The mammogram picked it up that time. Felt a new lump a year ago. Mammogram, ultrasound and MRI all said it was nothing. I felt like I had been given a get out of jail free card.... I wanted to believe it was negative so badly.... but deep down I knew. I finally insisted they surgically remove it a year later. Turns out it was a cancer reccurence. I just had a double mastectomy May, because I realized the tests couldn't recognize my cancer.

    Trust your instincts ladies!

  • aussierockchick
    aussierockchick Member Posts: 12
    edited July 2017

    i had 2 yearly mammos from 40 years old. I had told the gp my mother took the drug des during her pregnancy with me but no one ever mentioned that this meant i shouldve been having yearly mammos. The mammo operaters often said i had very dense breasts but it was said more like a compliment like my breasts were young for my age. Like it was a good thing. No one told me the density would make detection of bc more difficult. Thus even if i hadve been having yearly mammo it would not have helped much.

    Now the very scary part. This january i was recalled for 2nd mammo due to 2 microscopic areas like a few grains of sand they wanted to check just in case. Nothing at all could be seen on ultrasound. 3 specialists were unable to feel any lump. There was no pain no discharge my breasts were very symetrical. I was a dd cup but not overweight. Biopsy showed 2 small areas of high grade dcis with comedonecrosis. Just before scheduled lumpectomy my brother in law who is a doctor suggested i should have an mri. Mri showed..... 90mm x 70 x25 mm area of dcis. An area the size of a clenched fist which could not be felt or seen by any other diagnostic method. I had to have mastectomy . Mri did over diagnose as final pathology said 70mm dcis. Which is HUGE. Our system hrre is different to yours and i wont go into all the details. It seems like the mammos were a waste of time but at the end of the day they did detect the calcifications. Lucky for me and i mean lucky my dcis had got that big without any invasive cells developing or i couldve been in BIG trouble. Ironic thing i am fanatical about testing having had cin 3 dysplasia on my cervix at age 30 that was found on a routine pap smear. If i had known the facts i would happily have paid for biannual mri out of my own pocket. And will do in the future for remaining breast. It is scary alright.


  • tessu
    tessu Member Posts: 1,564
    edited July 2017

    Luckily the lump I found was near the surface, and I had been in the habit of self-exams because of family history of breast cancer. Lump felt the size of a dried pea, but must have been part hardened, part softer, because at surgery it was 1.8cm. I know it wasn't there the month before. Did not show on mammograms (new or the 7mo. old screening ones) but showed clearly on ultrasound. Ended up with MRI also, I guess because the biopsy pathology was such aggressive grade, also to look for stuff in the other breast before surgery --- MRI showed an area that turned out to be DCIS right next to the tumor, which I couldn't feel, and which didn't show on any other of the tests.

  • KCMC
    KCMC Member Posts: 208
    edited August 2017

    I too had a false sense of security. I had my first mammogram at 35, then 37, 39 and 40-47. All at the same location and 2 years ago they received a 3D mammogram. I don't have dense breasts. I go every March for my mammogram and have never missed one in the last 7 years. Lo and behold I felt the tumor myself a month before my scheduled mammogram. Immediately changed my appointment two days following. The mammogram caught the tumor supposedly 1.3 cm. Then went for a sonogram which caught a shadow. Then on to an MRI which showed second tumor 1 cm. When all was said and done I had a double mastectomy and during the pathology they found two more tumors four all together 0.8 and 0.5 cm with DCIS all around. Second Breast was healthy and I opted for a Double Mastectomy with DIEP Flap. So happy to be rid of them. Now in the middle of chemotherapy.

    Talk about a false sense of security. I was so mad thinking I was doing the right thing. Mammograms are worth SH*T. Still so angry. Thank god no lymph node involvement but triple positive. Also both biopsies came back her2 negative but when all was said and done I am HER2 +.

  • LisaBS
    LisaBS Member Posts: 16
    edited August 2017

    Hello

    I had a mammogram last October and came back normal. I then felt a lump in June. When I went for diagnostic mammogram they said it was still hard to see because of dense breast. I then had MRI and I have 2.4 cm IDC mass. I am having double mastectomy August 24. I am ER positive PR negative and after additional testing I am HER negative from ultrasound biopsy. So that can change results at surgery? It will be interesting to see if they find anything else or lymph node involvement. That and oncotype will be the deciding factor if chemo is needed.

    I hate waiting for answers. Ugh

  • HelenWNZ
    HelenWNZ Member Posts: 485
    edited August 2017

    I had a mammography in August 2015. Got recalled and had an ultrasound to be told I had cysts and cysts were our friends. In February 2016 I am a the GP with an inverted nipple. By the time I had surgery my lump was 3.5 cm and I'm triple positive with 18 affected lymph nodes. I have asked was this missed and have been told no my tumour was aggressive. But I cannot get the nagging doubt out of my head.....

  • Castigame
    Castigame Member Posts: 752
    edited August 2017

    I have had at least 10 annual mammos since my early 30s at a same radiology center. I know for sure my 5 tumors were not aggressive at all. My boobs were natural. This past late Dec it was BIRAD5 stage 3a and 1a w 4pos nodes. Some days I really want to protest at the ctr w sign" i had at least 10 mammos but they missed stage 3 breast cancer"


    Mimi

  • Fitz33
    Fitz33 Member Posts: 243
    edited August 2017

    I religiously had a mammogram yearly for about 20 years or so. All were fine, then all of a sudden I had a mammogram at the same place I had had one for 7 or 8 years, received a phone call the following day to go right to the hospital for another mammogram and a biopsy. The nurse at the hospital took a mammogram and said everything was fine and showed me the new mammogram on the screen compared with the prior year and said everything was normal. I told her about the phone message and she said and said I needed further clarification and I wasn't leaving. Thank God I persevered, the radiologist said I wanted to see her, and yes, of course, he took a biopsy and said I shouldn't be planning any trips. My O said it had been growing about 7 to 8 years but was so deep to the chest wall it couldn't be seen. It became aggressive at some point, and I ended up being told I was stage 2, had chemo with little results, radiation, surgery where I was then told I was really Stage 3 all along but they didn't know that before surgery. So, you never know. 7 years next month since diagnosis but I'm feeling good, still considered high risk but have wonderful caring doctors.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited August 2017

    I had a normal mammogram on June 9, 2011, and I discovered the peau d'orange and pink spot of Stage III on September 29--just three months later. All those years of annual mammograms were pretty much worthless for me.

    Nevertheless, I still believe annual mammograms discover early cancers for lots of women. The jury's still out as to whether or not many of these early cancers truly need medical intervention.

  • bravepoint
    bravepoint Member Posts: 404
    edited August 2017

    I also have dense breasts. I went religiously for annual mammograms from age 40 due to a family history. last July, I found a small lump at 12 o'clock between my nipple and collar bone. Mammogram, ultrasound and biopsy all done. An aggressive cancer. Thank God I found it! Just had my first mammogram since BC and got a call back for focal asymetry on the left side. I totally freaked out. I went today for another mammogram and ultrasound which thank God turned out to be OK. The area is a bit more dense than the other side....

    Digby, I will check out the Canadian group you mentioned.

  • FarAwayToo
    FarAwayToo Member Posts: 255
    edited September 2017

    My palpable tumor was not seen on mammogram.

    Hi, I was just diagnosed on 8/31. I'm 40 and never had a mammogram before. I found a lump, was sent for diagnostic mammo and US. Since my tumor is palpable, the tech placed a marker on it. My mammogram report reads "no masses, suspicious calcifications or secondary signs of malignancy are seen.. Specifically, no discrete mammographic abnormality is seen in the anterior right breast corresponding to the palpable abnormality". It was followed up by ultrasound which made the lump easily visible. Still, it very much resembled a fibroadenoma, so my dx was a shock. My BIRADS was 4, no letters, The only concerning thing radiologist called out was hypervascularity seen on ultrasound.


    FWIW, my breasts aren't even dense: my density is a "B - scattered fibrograndular densities". The tumor is under the areola, though, where tissue is usually more dense. I admit to feeling something firm there in some weeks leading to the actual discovery of the lump, but this is how my areola usually is - a little more hard/firm/dense than the rest of the breast. I just never actually pressed on it hard enough, until I was in the shower with warm water and all the skin completely flat - then I felt it and immediately knew something was not right.

    I had a clinical exam in March, and my doctor didn't feel anything. I'm pretty sure it wasn't as big then, or she would've felt it.

  • beach2beach
    beach2beach Member Posts: 996
    edited September 2017

    Had Mammo/sono done for years due to dense breasts. Even a few yeas of MRI's. Last mammo/sono done in July this year. Mammo neg. Sono showed 3 areas of concern. One on right, two on left. Radiologist came in and scanned both. Set up biopsy for two on left. Negative, but had a radial scar so needed to come out. Surgeons radiologist looked at my mammo/sono, noted that previous radiologist did not make mention on report about the right area. They decided to biopsy. Turned out to be bc. My point, even with mammo and sono, it's also up to the radiologist to interpret it. Mine called after hearing about the bc diagnosis. She apologized and said she thought it was my breast tissue. It is what it is.

  • mkinoly
    mkinoly Member Posts: 86
    edited September 2017

    I had been getting mammos every 2 years since age 40. Every time the results were noted with a disclaimer about how my breasts were dense so they might not see anything. I read that, so I knew my breasts were dense, but I had no idea what that meant! Nobody suggested a different test or a follow-up. My records just showed I had a negative (normal) mammogram. How can they say it's normal while at the same time saying they can't see enough to tell?!?! And why keep sending someone with dense breasts for a test that has no value?!?

    At age 49 I felt a thick, firm area on my left breast, and I decided to get it checked. Physician's assistant couldn't feel anything and looked at both breasts while I was sitting up. Couldn't see anything (dimpling, etc.). Sent me to a diagnostic mammo "just in case" and the tech saw dimpling I hadn't even noticed. Obvious spiculated mass on mammo. Probably there for 8 or more years to get to the size it was. They looked back at my previous mammos and said it had been there but was easy to miss with dense breasts. WTF?!

    I have zero faith in mammograms and it makes me angry how it's presented to women as some kind of assurance that they don't have cancer, when in fact they just might. Plus sometimes they lead to women being diagnosed with pre-cancerous situations where they go through hell (chemo, surgery, etc) unnecessarily. I really have little faith in just about any scan. Even the MRI I had before mastectomy didn't accurately show what was really going on according to pathology after surgery (there were 2 tumors instead of 1, and yes a lymph node was involved even though they said it wasn't from all the imaging).

    Now the only thing I really trust is pathology.

  • PauletteK
    PauletteK Member Posts: 2,205
    edited September 2017

    I have been getting my mammos for 20 years always normal with dense breast, I didn't feel any lump except my annual mammos came back with a lump on my lumpy nodes. Even US can't find my lumps on my breast finally MRI found my lumps. I don't know how much can we trust mammos.

  • Castigame
    Castigame Member Posts: 752
    edited September 2017

    Same sentiment/anger here. I have been getting once every 15 mo diagnostic mammos since my earlly 30s at a same place.I remember telling my health insurance company whether they wanted to pay for mammo or pay big later. I knew about the " mammo not perfect" disclaimer. But still i had about 10 mammos. And my BC is hormone receptor positive which means slow growing ! Dec 2016 mammo revealed bilateral stage 3a and 1a. Talking about atomic bomb exploding in my face.

    Mimi

  • dtad
    dtad Member Posts: 2,323
    edited September 2017

    Hi everyone...I had an ILC tumor which was missed by both 3D mammo and U/S. It was only picked up by a preoperative MRI for an IDC tumor. So another words if I didn't have IDC I never would have known I had ILC. This is why I obviously think MRIs should be done on everyone diagnosed with BC before any treatment decisions are made. My doc does it for all his BC patients but not all docs do. We have to be our own advocates. Good luck to all.

  • Mojojennijo
    Mojojennijo Member Posts: 173
    edited September 2017

    I have had two annual mamos with ultrasound , and two diagnostic Mamo with ultrasound and a second opinion by a surgeon (who said he couldn't feel anything anchoring and thought it was just a cyst and nothing to worry about) in total since this started. All that time I had a lump, an indent and nipple retraction it got worse and worse.they also had been noting thickening on my Mamo. At my last annual Mamo and us (late July) i got dressed and the radiologist came in and was saying he thought it was a cyst and nothing to worry about, I showed him my breast and told him my concerns. He said he'd order an MRI to er on the side of caution.

    Boom breast cancer and it also showed my lymph were lit up (but only biopsy can say why). I do not know how all of them missed a 7.3cm tumor and a satellite 1cm tumor. 7.3 cm is pretty Big. I am just completely stumped and angry. I have to have 6 months of chemo before I can even have surgery. I'm a stage 2b without nodal involvement considered. I'm also having a full clinical staging work up Tuesday to get more accurate staging. Ct, and bone scan both of chest abdomen and pelvis. Then an echo. I wish they would have found this sooner. It's rather frightening. It was so easy for him to order the MRI. I had it approved in a couple days.

  • PauletteK
    PauletteK Member Posts: 2,205
    edited September 2017

    Mojo - OMG that's upsetting! Mine was 3.5 CM in my lymph nodes it didn't show on mammos not even US. For women as us with issues they should let us have MRI more often. It is truly regarding cost in insurance stand point.

  • HoneyBeaw
    HoneyBeaw Member Posts: 212
    edited September 2017

    Same issue here, Clean Mama 9-16 and I found the lump 11-16 Was told they pulled last 10 yrs of mama and there was no change

    Surgeon said it had been there at least 2 years. Makes me scared for all ladies with dense breast . Demand a 3d or MRI do not rely on regular Mama or Drs telling you its nothing .

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