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Breast
Cancer Awareness:
Mammogram and
biopsy chat transcript
Banner Health Arizona
presented a live
mammogram and breast
biopsy on July 28th.
Afterward, Dr. Marina
Giurescu, a radiologist
at Good Samaritan
Regional Medical Center
and the Director of
Women's Services at
Clinical Diagnostic
Radiology in Phoenix,
hosted a chat. Here is
the transcript of that
chat.
We
also enjoyed having
Michelle Griffiths of the
Phoenix Mercury join us.
The WNBA is an advocate
of the fight against
breast cancer and has
made it the league's
official cause.
[19:07]
CIM-AccessAZ> Hi
everyone, thanks for
joining us today!
[19:18] Dr. Marina
Giurescu is a radiologist
with Clinical Diagnostic
Radiology in Phoenix and
is the Director of
Women's Services at the
CDR Paradise Valley
Office.
[19:12] AccessAZ>
Michelle Griffiths of the
Phoenix Mercury joins us
today as well. The WNBA
supports the fight
against breast cancer and
the search for a cure.
[19:18] CIM-AccessAZ>
The doctor is in!
[19:20] CIM-AccessAZ>
We are ready to take
questions about breast
health and mammograms
[19:21] AccessAZ>
Michelle says: Hi
everyone in the room! And
a special hello to anyone
from Australia
[19:24]
guest-Birdlady> Did
the mammogram hurt?
[19:25] DrGiurescu>
The compression during
the mammorgram....
[19:25] DrGiurescu>
hurts variably and for a
very brief moment...
[19:25]
guest-Birdlady> How
quickly do you get the
test results?
[19:25] DrGiurescu>
the discomfort is
variable and individual.
[19:25] DrGiurescu> *
[19:25] ASKMarina>
guest-butch says: Has the
baseline mammogram been
moved up from age 40?
[19:25] jskala1>
should high girlsget
amammogram
[19:25] DrGiurescu> A
baseline mammogram should
be obtained....
[19:26] DrGiurescu>
between ages 35 and 40,
with annual mammograms
thereafter.
[19:26] DrGiurescu> *
[19:26] DrGiurescu>
guest-Birdlady> How
quickly do you get the
test results?
[19:27] DrGiurescu>
Biopsy results are
usually available within
48-72 hours....
[19:27] DrGiurescu>
and sometimes up to 96
hours.
[19:27] DrGiurescu> *
[19:27] ASKMarina>
guest-butch says: Do you
always feel that you see
what you need to with
these mammograms?
[19:28] DrGiurescu> I
occasionally need to
supplement the
information on the
mammorgram...
[19:28] DrGiurescu>
with an ultrasound, or
additional mammogram
views.
[19:28] DrGiurescu> *
[19:28]
guest-Birdlady> Who
calls me regarding the
test? - Will I get some
kind of cold voicemail at
home or will the doctor
call me?
[19:28] ASKMarina>
ClassicalGuitar says:
after a lumpectomy is it
normal to have swelling
of the lymph glands
around the site... years
later?
[19:29] DrGiurescu>
Any swelling of the lymph
glands after a
lumpectomy....
[19:29] DrGiurescu>
should be monitored and
followed up by your
physician.
[19:29] Kaypor>
ClassicalGuitar, I had a
lumpectomy one year ago
and I still experience
soreness
[19:29] DrGiurescu> *
[19:30]
ClassicalGuitar> mine
was 7 years ago and I
keep having mammograms
[19:30]
ClassicalGuitar> and
these two lymph glands
are swollen
[19:30] ASKMarina>
guest-butch says: How is
the best way to motivate
a middle-aged woman to
get a mammogram that has
never had one and
generally only goes to
the doctor for severe
poison ivy or a major
tooth ache?
[19:30]
ClassicalGuitar> my
armpit will swell... then
go down... then swell...
[19:30] Kaypor> I have
constant soreness where
the scar tissue is
[19:30]
ClassicalGuitar> I am
worried it's cancer...
but they think it's
reactive to surgery
[19:30] DrGiurescu>
Mammograms are the best
available tool for early
detection....
[19:31] DrGiurescu> of
breast cancer. Studies
involving very large
numbers of patients have
....
[19:31] DrGiurescu>
shown that mortality from
breast cancer is
decreased....
[19:31] DrGiurescu> by
35-50 percent in women
over the age of 50....
[19:31] DrGiurescu>
who get annual
mammograms.
[19:31] DrGiurescu> *
[19:31] Kaypor> I am
41. Was 40 when I had
lumpectomy. It appeared
in a lump
[19:32] ASKMarina>
guest-michelle says: The
mammatone procedure was
fantastic, especially in
light of so many surgeons
requiring surgical
biopses for the more
routine biopsy need. Is
there a real effort being
made to education primary
health care professionals
as to this procedure so
that more women will be
advised that there is a
significantly better
option with the
mammotone?
[19:32] DrGiurescu>
The mammotone biopsy
option applies only to
certain findings on a
mammogram....
[19:33] DrGiurescu>
more and more physicians
are becoming familar with
this alternative....
[19:33] DrGiurescu>
and are advising their
patients appropriately.
[19:33] DrGiurescu> *
[19:33] tmlewis30> In
the past year, I know
numerous ladies in their
30's that have had a
scare with breast cancer
[19:33] DrGiurescu>
tmlewis30> says: Why
isn't there more stats
done on women under 40?
[19:34] DrGiurescu>
The incidence of breast
cancer in women under
40...
[19:34] DrGiurescu> is
extremely low. As a
matter of fact, over 75
percent of breast
cancer....
[19:34] DrGiurescu>
(cancers) are being
diagnosed in women over
the age of 50.
[19:34] DrGiurescu> *
[19:36] DrGiurescu>
tmlewis30> says: How
recent our your stats? It
just seems to me that
there are more and more
women under 40 with
breast cancer
[19:38] DrGiurescu>
The statistics are being
updated annually by the
American College of
Radiology....
[19:38] DrGiurescu>
there is, however, a
greater public awareness.
Women diagnosed at a
young age....
[19:39] DrGiurescu>
have joined the forefront
of our fight against
breast cancer.
[19:39] DrGiurescu> *
[19:39] ASKMarina>
guest-michelle says: In
the Phoenix area is the
mammotone procedure
commonly known and
routinely used?
[19:39] DrGiurescu>
Yes, increasingly so.
[19:39] DrGiurescu> *
[19:40] ASKMarina>
guest-butch says: When do
womn stp having
mammograms
[19:40] DrGiurescu>
Women over 40 should have
annual mammograms; there
are no current...
[19:40] DrGiurescu>
recommendations regarding
an age cut-off after
that.
[19:40] DrGiurescu> *
[19:40] ASKMarina>
guest-Birdlady says: I
understand that there are
drugs that can prevent
breast cancer - can you
speak to this?
[19:41] DrGiurescu>
Tamoxifen, a drug used to
treat certain types of
breast cancer, has been
shown...
[19:42] DrGiurescu> in
recent studies, to be
able to reduce the
incidence of breast
cancer....
[19:42] DrGiurescu> in
healthy women by close to
50 percent. It has now
been approved....
[19:42] DrGiurescu> by
the FDA as a potential
preventive tool in
certain women who might
be....
[19:43] DrGiurescu> at
very high risk for breast
cancer....
[19:43] DrGiurescu>
Tamoxifen has, however,
certain risks associated
with it...
[19:43] DrGiurescu>
and the decision to take
it has to be made after
careful discussion with
your doctor.
[19:43] DrGiurescu> *
[19:43] ASKMarina>
snsteele says: hi doctor,
I have been told that
breast cancer can appear
in women as young as 15,
is that true, and is
there any preventative
measures one can take in
order not to have breast
cancer?
[19:44] DrGiurescu>
Breast cancer is
exceptionally rare in
women under the age of
35....
[19:46] DrGiurescu>
The best way to check
your breasts is by
starting to have breast
exams done yearly....
[19:46] DrGiurescu> by
a doctor after age 20,
and monthly breast
self-exams starting at
the same age.
[19:46] DrGiurescu> *
[19:46] ASKMarina>
guest-butch says: How
much is there to breast
cancrer running in the
family?
[19:47] DrGiurescu>
After age, a family
historyof breast cancer
(mother, sister,
grandmother in
particular)...
[19:47] DrGiurescu> is
the strongest risk
factor. This is
particularly important if
your close....
[19:47] DrGiurescu>
relative was diagnosed
before menopause.
[19:47] DrGiurescu> *
[19:48] ASKMarina>
corkytwo says: i'm 25 and
just got breast implants
how will that effect a
mammogram and should i
begin sooner
[19:48] DrGiurescu>
Women with implants
should get their baseline
mammogram....
[19:48] DrGiurescu> at
the same age as other
women (35-40) and then
begin annual
screening....
[19:49] DrGiurescu>
after 40.
[19:49] DrGiurescu> *
[19:49] ASKMarina>
snsteele says: I
understand that you have
to have breast exams but
I was told that there are
drugs or herbal products
out there to PREVENT
breast cancer, is that
true?
[19:50] DrGiurescu>
Other than Tamoxifen (a
drug used to treat
certain types of breast
cancer)...
[19:51] DrGiurescu>
there are no other
current FDA-approved
medications in the fight
to prevent breast cancer.
[19:51] DrGiurescu> *
[19:51] AccessAZ>
Thanks Dr Giurescu for
joining us today!
[19:51] AccessAZ> You
gave us some great info
[19:52] AccessAZ>
Thanks to everyone for
joining us tonight!
[19:52] AccessAZ> Be
sure to check
AccessArizona.com for
info about upcoming chats
and more live medical
events
[19:53] AccessAZ>
Thanks also to the
Phoenix Mercury for
joining us tonight as
well!
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