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Second Opinions of Mammogram Reports

 

 

 

 

The overwhelming medical opinion is that second opinions in mammography are very helpful!

For example:

Breastcancer.org recommends second opinions of mammograms.  See https://www.breastcancer.org/treatment/second_opinion/why .

Healthline.com writes, "If your doctor feels the breast calcifications are cancerous, a second opinion is a good idea. ... Your doctor may also recommend a second opinion. ... Remember the benefit of a second opinion and that you can ask for one at any time ... " See https://www.healthline.com/health/breast-cancer/breast-calcifications-second-opinion#next-steps .

An article in the Journal of the American College of Radiology from Harvard Medical School in Boston June 2019 concluded, "Discrepancy between outside and second-opinion breast imaging subspecialists frequently results in additional workup for breast cancer patients, changes in treatment plan, and identification of new malignancies." See https://www.ncbi.nlm.nih.gov/pubmed/30579707 .

An article in Clinics in Breast Cancer from Moffitt Cancer Center in Tampa October 2018 concluded, "... second opinion radiology review by subspecialized breast radiologists increases cancer detection and results in clinically relevant changes in patient management." See https://www.ncbi.nlm.nih.gov/pubmed/29625911 .

An article in the Journal of the American College of Radiology from Memorial Sloan Kettering Cancer Center in New York August 2018 concluded, "Second-opinion review disagreed with the original interpretation for 47% of lesions, averted 25% of originally recommended biopsies, and detected cancer in 29% of additional biopsies recommended. Thirty-five percent of cancers diagnosed after second-opinion review were not initially detected in the original interpretation." See https://www.jacr.org/article/S1546-1440(18)30600-8/fulltext .

An article in the Journal of the American College of Radiology from MD Anderson Cancer Center in Texas July 2018 concluded that second opinions of breast imaging exams are highly valuable both to prevent unnecessary biopsies based on incorrect abnormal readings, and to elicit biopsies based on incorrect normal readings.  See https://www.jacr.org/article/S1546-1440(18)30401-0/fulltext .

An article from Germany in 2012 available in English (and in German) at the web site of the U.S. National Library of Medicine of the National Institutes of Health concluded, “An independent second diagnostic evaluation can significantly improve the correlation between BI-RADS classification and the final diagnosis, resulting in a benefit for the patient.”  See https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4168327/ .

 

 

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