Dense breast tissue is important, because there are five times more breast cancers in dense tissue and dense breast tissue can hide abnormalities on the mammogram (http://www.nejm.org/doi/full/10.1056/nejmoa062790).
One proactive Texan, Henda Salmeron, had that experience. Her cancer did not show up on her mammogram. She persisted and, the cancer was revealed by a sonogram (or breast ultrasound). She had not been told that she had dense breast tissue and that another kind of study might be helpful for her. She decided to try to make a difference for other women with dense breasts and ultimately "Henda's Law" was passed and takes effect January 1, 2012. It requires that the mammography facility inform you if you have dense breast tissue and "that you might benefit from supplemental screening tests that might be suggested by your ordering physician" (http://txrad.org/index.cfm/trs-forum/texas-hb-2102).
If you have dense breast tissue, you will be told when you get your mammogram and then you may pursue additional screening, such a breast sonogram, like Henda, or a breast MRI. You are now empowered thanks to Henda Salmeron. The law was not meant to cause concern, but to increase awareness and promote the discussion about a more complete screening for those with dense breast tissue.
If you need help don't hesitate to call or email.
Owen Winsett, MD
512-451-5788
http://www.owenwinsettmd.com
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