Carrie's Story

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Name: Carrie
State: Indiana
Date of Diagnosis: October 27, 2011
Age at Diagnosis: 41
Stage of Diagnosis: 3A
Time from "normal" mammogram to diagnosis:  months
How was cancer detected?: By me and ultrasound

I am an RN, BSN, CCRN (critical care certified) and never realized that mammograms are so limited in dense breasts. My tumor was 5.5 CM and was not 'seen' by mammogram. I also never thought cancer hurt and my lump, which literally appeared over night, was very tender. My doctor ordered a PAP test, mammogram, blood work and chest X-ray that all came back negative. My doctor never mentioned my "dense" breasts nor suggested additional screening such as a breast ultrasound. The lump on my right breast went away and a couple months later I discovered a lump on my left breast.  

 It was not until August that I went to a new doctor that agreed it sounded like cysts. I also began to lose weight. The doctor ordered a CT scan of my chest and abdomen (negative). I went back again and told the doctor, "It's not that I want something to be wrong. I just know there is.” You don't turn 40 and loose 15 lbs unless you’re dying of cancer." He then ordered an ultrasound and BINGO there it was - Pathology report:  5.5 cm tumor and 4/7 positive lymph nodes.

After my diagnosis I asked for a copy of the letter that was sent to my doctor after my mammogram. It said "The breast tissue is heterogeneously dense. This may lower the sensitivity of mammography -  Negative mammogram with no evidence of malignancy. My tumor was 5.5 cm and they could not see it by mammogram!!  

I asked my doctor to look at my original mammogram and CT scan. He said my breasts were too dense and the tumor could not be seen on either one. As a nurse I was blown away that I was never told this information. I asked all of my doctors why ultrasound is not used for patients with dense breast. I keep getting the reply "It's not protocol".  I would be happy to help you in any way that I can to get a law in Indiana.

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  • Are You Dense? Fact #1:

    Breast density is one of the strongest predictors of the failure of mammography screening to detect cancer.

     
  • Are You Dense? Fact #2:

    Two-thirds of pre-menopausal women and 40% of post-menopausal women have dense breast tissue. 

     
  • Are You Dense? Fact #3:

    Adding more sensitive tests to mammography significantly increase detection of invasive cancers that are small and node negative.

     
  • Are You Dense? Fact #4:

    American College of Radiology describes women with "Dense Breast Tissue" as having a higher than average risk of Breast Cancer.

     
  • Are You Dense? Fact #5:

    While a mammogram detects 98% of cancers in women with fatty breasts, it finds only 48% in women with dense breasts.

     
  • Are You Dense? Fact #6:

    A woman at average risk and a woman at high risk have an EQUAL chance of having their cancer masked by mammogram.

     
  • Are You Dense? Fact #7:

    Women with dense breasts who had breast cancer have a four times higher risk of recurrence than women with less-dense breasts.

     
  • Are You Dense? Fact #8:

    A substantial proportion of Breast Cancer can be attributed to high breast density alone.

     
  • Are You Dense? Fact #9:

    Cancer turns up five times more often in women with extremely dense breasts than those with the most fatty tissue.

     
  • Are You Dense? Fact #10

    There are too many women who are unaware of their breast density, believe their “Happy Gram” when it reports no significant findings and are at risk of receiving a later stage cancer diagnosis.

     
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