Women's Health

Is ultrasound an alternative for breast cancer screening?

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Ask the doctor

In your discussions of breast cancer screening, you never mention ultrasound. Is it an alternative to mammography?

Preliminary data suggest that whole-breast ultrasound screening, when used in addition to mammograms, detects some additional early-stage breast cancers that are not seen on mammograms in women with dense breast tissue—but at a cost. The addition of ultrasound to mammography screening carries a substantial risk for false-positive results (meaning the test shows a possible problem, yet no breast cancer is present). False-positive results can result in anxiety, breast biopsies with benign results, and a cycle of additional follow-up mammograms and ultrasounds. Moreover, the addition of ultrasound to mammographic screening has not yet been shown to reduce death rates from breast cancer.

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