Abnormal Mammogram: What Happens Next?

Illustration of woman's back during a mammogram
About 20 percent of women require additional testing following an annual mammogram, but fortunately, less than one in 10 of them will be diagnosed with breast cancer, according to the American Cancer Society.

Rachel Dultz, MD, FACS“Getting a callback for a follow up naturally makes your mind jump to thoughts of cancer, but there can be a number of reasons for a callback,” says Rachel Dultz, MD, FACS, Medical Director of the Penn Medicine Princeton Medical Center Breast Health Center. 

Three Reasons for Callbacks

“Generally, there are a few reasons why you would be called back following a mammogram,” says Dr. Dultz. “And in most cases, the next step would be additional imaging such as a 3-D mammogram, an ultrasound, an MRI, and, in some cases, a biopsy.”

One of the most common reasons for a callback is that the individual has not had a breast screening in the past, and some type of abnormality shows up on the mammogram. Without a baseline mammogram for comparison, additional testing is needed to determine whether there is cause for concern.

A woman who has dense breast tissue may also get a callback for a follow up so more testing can be done to ensure clearer images and rule out any changes since the last mammogram. 

The third reason for a callback is when something new is detected in a screening mammogram. In that case, an ultrasound and possibly a biopsy will determine if treatment is needed.

Early Diagnosis is Important 

“Mammograms should begin at the age of 40, and continue until a woman’s health reaches a point where cancer treatment would be too risky to consider,” says Dr. Dultz. “It is important to remember that finding breast cancer early makes treatment much easier. In non-aggressive cases that are found early, a lumpectomy may be all that is needed, and in some cases radiation is not needed. In fact, in some cases a hormone blocker may be enough to take care of the problem.” 

 

Watch for These Signs

Seek medical advice if you notice any of the following signs, even if you recently had a mammogram:

  • A lump or thickening in the breast that feels different than surrounding tissue
  • Changes in the shape, size, or appearance of the breast
  • Changes in the skin over the breast, such as dimpling
  • Peeling or flaking of the skin around the nipple
  • A newly inverted nipple

 


For more information about the Breast Health Center, or to schedule an appointment, call 609.688.2700 or visit princetonhcs.org/breasthealth