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Would a person know if they have metastatic breast cancer, symptom wise?

Would there by any signs / symptoms of metastatic? Someone I know had a 3D mammogram,  got called back for abnormalities in breast. Last mammogram was two years ago. A year ago a physical exam was done on breasts by qualified doctors during another checkup and no lumps were found. There aren't any  symptoms experienced, which are  listed for bc. The breasts are of the dense type. I'm trying to read the "tea leaves". Any input you can give, qualified is best, but I need knowledge so everyone is welcome to contribute. Thank you! - Alex
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15695260 tn?1549593113
Hello and welcome to the forum.  Thanks for the question. Sorry your friend is having this nerve wrecking situation.  I understand.  Please know that when a woman is called back, it doesn't indicate they've found something but rather they want to take a closer look.  In fact, it is very common to get a call back to look and especially when a woman has dense breasts.
They make imaging a little trickier. Most often, the closer look results in being given the all clear.   Even if something is uncovered in the second mammogram, it does not mean it is cancer.  Macrocalcifications, benign cysts and masses can be present and not be cancer.  So, they are taking the best care of the person they called back. Investigating things to make sure she catches any situation that needs medical attention.   https://www.cancer.org/latest-news/if-youre-called-back-after-a-mammogram.html  Do you happen to know her BiRad number which is what a radiologist assigns to her imaging.   Try not to worry as again, things most often turn out to be a non cancerous situation. Let us know.
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