After your first visit

Photo of Paula B. Gordon, MD, FRCPC
By Paula B. Gordon, MD, FRCPC

You’ve had your screening mammogram and are now waiting to hear the results. Within two weeks of your exam, both you and your family doctor will receive letters with the results from your mammogram clinic.

The results for the majority of you will come back clear, and you can return to doing your regular self-examinations until your next mammogram with peace of mind.

However, about 5 to 10 percent of patients are recalled for further exams. If your letter suggests a return visit, here’s what to do and consider:

  • If your doctor hasn’t already been in touch, call and make an appointment to discuss the results. You’ll need a referral for the diagnostic mammogram or ultrasound.
  • Keep in mind that your test may not have shown any abnormalities. Sometimes the exam needs to be re-done simply because it was a bad film or the image was unreadable.
  • Remember, too, that abnormalities don’t necessarily mean cancer. They could also be:
    • Tiny calcium deposits known as breast calcifications that show up as white spots
    • An irregular pattern of normal breast tissue
    • A cyst or benign mass that may not need to be removed
  • The procedure for the diagnostic mammogram will be much like the first. But where they only took four images the first time, they might take more now. The point of a diagnostic mammogram is to get a more magnified and focused look at the abnormality in question.
  • If it was a mass they detected, you’ll likely have an ultrasound in the same visit.
  • The radiologist might also suggest a needle biopsy, which will be done with local freezing and shouldn’t hurt any more than a blood test.

This appointment will take longer than your initial screening, but still shouldn’t run more than 30 to 45 minutes. About a week after the exam, your results will be sent directly to your family doctor, who will be in touch.

An important part is not to worry too much; 96 percent of women who had something abnormal appear on their screening mammogram are cancer free.

About the Author

Dr. Gordon is a Clinical Professor in the Department of Radiology, in the Faculty of Medicine at the University of British Columbia.

She is Chair of the Academic Committee of the Screening Mammography Program of British Columbia, Senior Radiologist at the Breast Program at BC Women’s Hospital and does clinical breast imaging and intervention.

Dr. Gordon is a reviewer for several medical journals and lectures internationally on various aspects of breast diagnosis. She has authored or co-authored numerous publications related to breast radiology, and has a special interest in breast ultrasound and image-guided needle biopsy. In recognition of her achievements, she has been elected Fellow of the Society of Breast Imaging.

Comments

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  • Posted by Kate (site host) on May 2nd, 2008 #

    The waiting period after your mammogram may put a lot of ideas into your head. Just like the article says, ...

    The waiting period after your mammogram may put a lot of ideas into your head. Just like the article says, it’s important to remember that 5-10% of women need to have further exams. So if you’re waiting for your results, have questions or comments you’d like to share, or you simply want to talk, post your thoughts and share what’s on your mind.

  • Posted by Florencia (Victoria) on May 5th, 2008 #

    I recently got my first mammogram and am now scheduled every year. Glad I did it!

  • Posted by Anonymous on May 5th, 2008 #

    Thanks for the info!

  • Posted by Marlene on August 6th, 2008 #

    I decided to book my appointment the week after my 40th birthday, and will use my birthday every year as ...

    I decided to book my appointment the week after my 40th birthday, and will use my birthday every year as my reminder to myself that it’s time for a mammogram.

  • Posted by Jean Carty (Whitby Ontario) on October 1st, 2008 #

    I have been having mammograms yearly for at least 40 years because of my family history. Yesterday my doctor ...

    I have been having mammograms yearly for at least 40 years because of my family history. Yesterday my doctor said I had to see a surgeon for a biopsy because of calcifications in both breasts. The surgeon she mentioned can’t see me for at least 2 months. I don’t know another surgeon in this field. What should my next step be?

  • Posted by Kate (Site Host) on October 2nd, 2008 #

    Thank you for your inquiry Jean. Good for you for being so diligent with your annual mammogram! We ...

    Thank you for your inquiry Jean. Good for you for being so diligent with your annual mammogram! We understand from your email that your GP has referred you for surgery and there is a bit of a wait time before you get to see the surgeon. You can certainly follow up with your doctor and ask him/her to refer you to a different surgeon (assuming there is one available). Sometimes it is also possible to see a surgeon earlier if you are wiling to go on a cancellation list. Inquire at the surgeon’s office to see whether this is possible. Finally, it may also help if you are flexible in where you can travel to – sometimes that makes a difference for an earlier appointment.

    If you need some help in understanding your situation, you can always call our partner, the Canadian Cancer Society at their toll free number, 1.888.939.3333. They have trained individuals that can help you with information about the situation/cancer/diagnosis/treatment and the processes involved. Their system is set up for dealing with issues such as yours. As I’m sure you can appreciate, we wish to use donor dollars wisely, so we are diligent not to duplicate services where they already exist. However, indeed, as in most situations in life, squeaky wheels do get the grease so if you press for an earlier appointment, ask on your call to the Cancer Information Service who else you can approach (note: you may still need to go through your family doctor in order to get a referral to a surgeon).

    We hope this information helps and we wish you all the best in the future

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