BS says no to MRI
Comments
-
I was diag in Feb 2007, masectomy March 2007, 6 TAC, Herceptin for a year (will finish end of July) and arimidex for 5 years. I went to my BS today for mamo (also had one in Dec) and was told that they will now do a mamo only once a year and a breast exam every 6 months. I asked about a MRI and he said he doesn't do them unless mamo shows somehting. Seems to me that most everyone with ILC alternate Mamo and MRI every 6 months....is this correct?
Should I be looking for a new BS?
Nancy
-
GrammyNancy~
This doesn't sound right...the usual follow up is...once a year on your "good breast" and an MRI six months after dx and then alternate. I know my BS said, after NED then it goes to every year...but that is because I will have silicone...do you not have reconstruction ? Maybe thats why ?
I was surprised I had a mammo once a year....every woman that does NOT have BC gets once a year, and according to stats are risks are greater.
Perhaps more will come along and give their follow-ups.
I am curious myself.
Much LUV
-
Mamo and ultrasound did not detect my ILC, a lymphnode biopsy did. After the biopsy I had a MRI to determie the size and the extent of the cancer. Often ILC is not detected by a mamo. If you have a cancer that may not be detected by a mamo, why wouldn't you use an MRI for follow-up? I'd ask my BS more questions.
-
Boy, what a dilemma in my mind too! Mammo and US did NOT find the 2nd tumor, MRI did. It was ILC. IDC was the primary found first. After chemo (2 months post) I found a lump, everyone could feel it, had mammo and US, but no MRI ordered. That was April. I'm supposed to be on a yearly mammo....digital type.
I'm still feeling this thing and still worried and still not confident it's nothing, but.....like you..am not sure what to do!
I trust my BS, he's quick about test normally, but this isn't something he felt was needed. -
I was told that cancer in the other breast may or may not be ILC like my first one was. I suppose the doctors just go back to the standard of care which is a mammogram. Since I had both breasts removed it doesn't apply to me, but if I hadn't I would insist on MRI. It is the only thing that would find lobular in most cases, that is before it becomes more advanced.
-
If your breast surgeon doesn't want to prescribe an MRI, maybe your oncologist will.
I'd follow up with your onco and see what his feelings are about this. See what follow up tests he recommends.
You can always find a doctor that thinks similarly to your game plan.
Good luck.
(P.s. If I had boobs, I was told 6 months mammo, 6 months MRI...which is why I opted for bilaterals).
-
breast surgeon never saw me after post op visit and oncologist said no to MRI because of cost. My PCP ordered it and insurance didn't even require a pre authorization. My PCP did discuss how uncertainy when thinking out loud about how often to order. So far I had one done and have not brought up the issue again although it will be 2 years since the last one.
-
I'm getting annual mammos and MRI's. Wallycat's right--mayber your onc will order an MRI. If not, then I'd shop around for a doc who will order one. I'm surprised that with your history of an HER+ ILC that the BS doesn't want to be more viligant.
-
Thanks so much for your responses. I have an appointment with the onc next week so I'll ask him his thoughts. I'm pretty sure I could get my PCP to order one if all else fails. Seems that the MRI is the standard of care...am I wrong?
Nancy
-
Well, actually, NCCN guidelines state that there is not enough evidence to recommend one way or the other regarding annual MRIs for women with a history of bc. The MRIs are just recommended for BRCA women and women who have a lifetime chance of over 25%, I think it is, for getting bc. Why they think women who have already had bc aren't at a high risk for a new primary or local recurrence is beyond me, but that's why not all docs do annual MRIs.
-
After my diagnosis I went back and read the reports on my previous mammos. They all said, in so many words, that because I had dense breasts the results weren't that reliable. The "medicalese" they used to say this went under my radar, and I sure wish I knew then what I know now, but we can't go back. Of course, nobody saw anything, nothing was biopsied and the rest is history.
I feel like any woman with dense breasts deserves MRIs. Even the best digital mammos miss bc too often. Women who have a history of bc, or bc in a close relative, should have MRIs, too. There are false positives, especially when someone who is not experienced at reading breast MRI is looking for bc. Women may not like the follow up procedures that go along with that, and I'm sure the insurance companies don't want to be paying for it. Still, women should be given the option of MRI, and in my opinion should demand it. As MRIs become more automated and the medical professionals get more training and become experienced, screening with MRIs for those who need it, hopefully, will become the standard of care. -
Dear GrammyNancy......I had ILC in the left breast and had a mastectomy on that side in February 2006. I opted for a prophylactic mastectomy on the right in August 2007 so never did have an MRI. However, when I had the boob in place, MRI is what my oncologist was going to use every year or so, interspersed with thorough examinations. He was going to continue mammos too in case there was something other than ILC, but he certainly said that mammos were no good for me as far as finding ILC was concerned. Where I live MRIs are not that easy to get but he would have tried for one a year or second year. Good luck with your onc.
-
Dear GrammyNancy......I had ILC in the left breast and had a mastectomy on that side in February 2006. I opted for a prophylactic mastectomy on the right in August 2007 so never did have an MRI. However, when I had the boob in place, MRI is what my oncologist was going to use every year or so, interspersed with thorough examinations. He was going to continue mammos too in case there was something other than ILC, but he certainly said that mammos were no good for me as far as finding ILC was concerned. Where I live MRIs are not that easy to get but he would have tried for one a year or second year. Good luck with your onc.
-
I ended up having bilateral mastectomies AFTER having chemo, radiation, Herceptin. But if I had continued to have boobs, I was slated for MRIs. My cancer didn't show up on mammo or ultrasound. Funny to see all those old reports with the now-ominous comments about density and calcification. I had no idea then that these were warning signs ...
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team