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Calcification in the breast is benign in most cases

Calcification in the breast is benign in most cases

Breast calcifications are calcium deposits that occur in the breast due to a degenerative process of breast cells. This process can occur as a result of your own aging or some benign or malignant disease of the breast. Therefore, not all mammary calcification is associated with any breast problem. In fact, the absolute majority of mammary calcifications are benign and appear naturally with the aging of the woman.

Breast calcifications can be macrocalcifications or microcalcifications. The macrocalcifications are those that can be several millimeters in diameter, with irregular shape, resembling a popcorn. They are usually related to benign breast processes. Macrocalcifications can be seen both on ultrasound and on mammography.

mammary microcalcifications , which are the primary focus of medical evaluation , may be related to breast cancer. They are so small that they are palpable neither by the doctor nor by the patient. Calcifications on mammography can be classified as: Typically benign calcifications: correspond to the presence of large calcifications (macrocalcifications), calcifications in the skin, calcifications in the region of scars and sutures in cases of previous mammary surgeries. They receive note 2 of the BIRADS classification and do not require any special care, just repeat the mammogram within one year

Probably benign calcification: they are amorphous-looking calcifications, they receive note 3 of the BIRADS classification and require early control with mammography in the period of 6 months

  • Calcifications suspected of malignancy: small calcifications (microcalcifications) grouped and suspect in shape. You would receive the BIRADS 4 note requiring a biopsy
  • Highly suspected malignant calcifications: it corresponds to grouped, high density microcalcifications with varied shapes and sizes. You would get the BIRADS 5 grade and a biopsy and most likely a surgical resection would be needed.
  • Benign calcification can turn cancer?
  • Calcification itself is a chemical acellular compound, so it has no ability to become cancer. However, the most important is what motivated your training. That is, the calcifications may have been formed by the presence of a breast cancer that has a great proliferative and also degenerative activity. In this case, many cells are formed and many cells die, and the dead cells end up triggering an inflammatory process that leads to the deposition of calcium, forming the microcalcifications. Therefore, microcalcification is an indirect indicator that some important problem may be occurring in the breast, necessitating medical evaluation. Patients who have benign calcifications (BIRADS 2 on mammography) do not need any special care. We recommend for all patients, regardless of calcification or not, healthy lifestyle habits, physical activity and adequate weight control.

Women with microcalcifications BIRADS 3 should have a closer medical follow-up, avoiding the use of hormonal replacement and mammography within 6 months, in addition to the aforementioned care. Already patients with BIRADS 4 and 5 calcifications should perform a biopsy. This biopsy may be percutaneous with local anesthesia and in some cases may require surgical resection.


Pap smear: what it is, what to do and how to prepare for the exam

Pap smear: what it is, what to do and how to prepare for the exam

The pap smear, or Oncology Colpocitology, examines the cells of the cervix to identify vaginal infections, sexually transmitted diseases (STDs), and especially some early signs of cervical cancer , the third most frequent tumor in the female population, according to the National Cancer Institute (Inca).

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Cholesterol: new limits vary according to the risk of cardiovascular events

Cholesterol: new limits vary according to the risk of cardiovascular events

This last weekend happened in Rio de Janeiro the Congress of the Brazilian Society of Cardiology. This congress is highly anticipated by the launch of the new guidelines, which are guidelines created by consensus by experts in the field to guide the treatment of various diseases. The most anticipated was the V Brazilian directive on Dyslipidemias and Prevention of Atherosclerosis, which has already been announced for a long time and has not yet been launched.

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