Pathologist Questions Breast Cancer

What are the tests to diagnose breast cancer?

I am having a slight pain in my breasts and they feel heavy as well. I am extremely worried if it could be breast cancer. What are my options in terms of screening? I'm only 32.

6 Answers

They are breast ultrasound, diagnostic mammogram, breast magnetic resonance imaging, and biopsy. The most reliable diagnostic test for breast cancer is biopsy. What are three tests done for breast cancer? Physical examination, imaging, and fine needle aspiration biopsy (FNAC and core biopsy). A tumor marker, which can be detected in breast cancer, protein CA 15-3, can also be detected in blood. However, biopsy is the most reliable test. Thank you.
Breast carcinomas are very rarely painful. The pains that you feel are most likely hormonally related to your cycles. If there is no family history of carcinoma in the family and you do not palpate a particular lump, do not stress. Whole breast ultrasound would be the safest screening for your age. Alternatively, if you have a family history of particularly breast carcinoma in relatives of a younger age, mammography, ultrasound and even MRI may be applicable. Having said that, good clinical exam is the first and the most important step.
Think positive, eat well and exercise.
You should have a diagnostic mammogram, which is not age dependent. Rather if someone have symptoms, or suspicion/concern that they might have a significant breast disease.
Mammogram, MRI, ultrasound, biopsy - All depends on symptoms and signs. Your gynecologist should be examining your breasts during visits. You can do it, too.
Depending on the findings, you may be referred to a radiologist for further investigation.
Slight pain and heaviness in breasts can be felt during certain periods of your menstural cycle. First thing, you should look for is if there is a pattern of pain with your periods and second to palpate your breast for any lump in your breasts. If you are still concerned or notice any lump in your breast, you should see your family doctor or a surgeon and they can recommend further follow up based on their assessment. The assessment should include history of recent lactation or any family history of breast cancer. Per se, pain and heaviness in breast alone, do not suggest breast cancer. If you have lump or strong family history of breast cancer, the screening tests can include breast ultrasound or mammography to start with, if assessed to be clinically necessary.
The process includes evaluation by a physician, preferably a surgeon, radiologic/mammography and sometimes, a biopsy for pathological evaluation are necessary.