I'am 35 and just had my first mammogram and the results are confusing to me.

[SueKay]

My first mammogram came back saying I have microcalcificaitons scattered in each breast, some in loose clusters. This may represent sclerosing adenosis.  They said not to come back for 6 months for a follow up.  I'm not comfortable with waiting 6 months.  What should my next step be?

Thanks

[SueKay]

What about the report of sclerosing adenosis?  Should I be concerned about this?

[CCF-RN,MSN-rf]

Dear SueKay:  Microcalcifications are small calcium deposits found within the breast tissue and these occur normally. There are different types of microcalcifications, and based on their pattern on the mammogram it gives the radiologist clues as to their cause. For instance, microcalcifications that are more scattered are probably due to a benign (non-cancerous) cause, a "cluster" pattern of microcalcifications may increase concern that there may be an underlying abnormality. Depending on how these were interpreted, a BIRAD score would be given to your mammogram, indicating the level of concern and the recommended followup.  From the recommendation you received, I am guessing that your mammogram was classified as a BIRAD 3. A Category 3 is a probable benign finding.  There is less than 2% chance of cancer.  These usually receive a 6 month follow-up mammogram; and most level 3 abnormalities do not receive biopsy.  Of course, if you are concerned, you could consider a second opinion, preferably with a breast specialist.  Make sure you take your mammogram with you if you decide to pursue this option.