How do I read a mammogram report?

As one of the essential items in the annual physical examination, women’s breast examination often makes people nervous because breast cancer has been in a high incidence in recent years, and many women are anxious after the physical examination because they can’t read the words in the report such as “nodule”, “cyst”, “mass”, “hypoechoic”, “calcification”, etc. They wonder if they are “growing cancer”. Lump”, “hypoechoic”, “calcification” and other words in the report, many women are anxious and wonder if they have “cancer”. In order to avoid unnecessary panic, so that women understand their own breast health, the following we interpret together. Nodules, lumps Interpretation: “Nodules” is the most frequent term in the medical report, mostly in the breast ultrasound report, and occasionally in the simple touch checkup report, molybdenum target report can also be seen. “Nodule” is a descriptive term used to describe a “small lump” found by various methods, which is not related to the nature of the lump, nor is it a name of the disease. The term “mass” is the opposite of “nodule” and is used to describe a “large mass”. Hypoechoic, anechoic, well defined, poorly defined Interpretation: In breast ultrasound reports, a nodule is often described as “hypoechoic” or “anechoic,” which is also descriptive language. On the black-and-white image of the ultrasound, “nodules” of various natures are naturally darker (hypoechoic) or darker (anechoic), and there seems to be no particularly objective criteria for defining them. The term “clear border” or “unclear border” describes whether these “nodules” are clearly recognizable on the image. It is not possible to say that an “indistinct” nodule is malignant or a “clear” nodule is benign, but this requires a specific analysis by the physician. Glandular disorganization Interpretation: One of the more common descriptive terms used in breast ultrasound or mammogram reports to describe the image of the gland. If you think of the breast as a bun, then the skin and subcutaneous fatty tissue is the “bun skin” and the glands are the “bun filling”, and the “skin” and “filling” can always be clearly distinguished on the image. It is always possible to clearly distinguish the “skin” from the “filling” on the image, and the “filling” is the focus of our attention. If the image structure of the “filling” looks different from the normal one, we will describe it as “glandular structural disorder”, which is mostly due to glandular hyperplasia (microscopically, it is the change in the number, arrangement and organization of the cells), and it is often referred to as “Of course, we cannot rule out the rare case of “structural disorder” due to localized cellular malignancy. Cyst Interpretation: Similarly, in the ultrasound report, the experienced sonographer will directly diagnose a typical “non-echo” nodule as a cyst, which can be interpreted as a thin layer of skin encasing a bag of water, and is more common in cystic breast hyperplasia. This is more common in cystic hyperplasia of the breast, which can be single or multiple. Most cysts are benign and harmless. BI-RADS Interpretation: This mysterious English word that looks “high” scares many patients, and what’s even scarier is the different grades that come with the suffix – grade 1, grade 2, grade 3… …In fact, this is just “Breast Imaging Reporting and Data System” (Breast Imaging Reporting and Data System) of the English acronym, in order to enable different doctors to see the image report, there is a unified standard to follow, when the classification ≥ Grade 3 suggests further diagnostic or surgical intervention. Calcification Interpretation: Many patients are frightened by this word on the mammogram report, not realizing that calcification is very common in breast films and that problematic malignant “calcification” is very rare. Scattered dots, isolated, large, rounded calcifications (small white dots on the mammogram) are actually benign calcifications, and although they will not go away once they are created, they will not become malignant over the course of a lifetime, and do not need to be treated as such. However, calcifications that are suspected to be malignant will require further treatment by a physician.