Questions to ask the consultant following MRI with contrast on both breasts

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I have an appointment for an MRI with contrast on both breasts in a couple of weeks followed by an appointment with a consultant to discuss the MRI results and would be grateful to hear of what I should discuss at my appointment with the consultant please.  Of course, I will first listen to what he has to say first.  

Background information about me:  

I am 49 years old and post-menopausal (surgical menopause in October 2021) due to ovarian cancer and endometrial cancer and both cancers being oestrogen receptor positive.  Whilst under the care of the consultant oncologist I was referred for a mammogram.  I also needed an ultrasound on one part of one breast (small non-cancerous cysts) and a biopsy (microcalcifications and result was they were benign).  The mammogram report did however say that I have extremely dense breast tissue.   

I know that I have an increased chance of getting breast cancer due to having extremely dense breast tissue and that it is harder to detect via just a mammogram which is why I have decided to save up to pay privately for the MRI with contrast as I am not entitled to this on the NHS.  

I am lucky that work pay for an annual health check that includes a mammogram but I'm concerned that due to me having extremely dense breast tissue if I did have breast cancer this would not be picked up until at a later stage hence why I have decided to pay privately for the MRI. 

Very grateful to hear of what questions I should ask the consultant please following my MRI. 

  • The questions to ask would be different if the result is clear and if it they are not. If the results are clear, I would ask how accurate it is and is there any margin for error.

    If the results are suspicious, I would ask for a biopsy.

    Overall, I would want to know what needs to be done to give you maximum information, either maximum reassurance that all is well, or all the needed information on what exactly is there.

    I hope you get a clear result, but if it does turn out to be cancer, I would ask for genetic testing as there are some gene mutations that are related to both ovarian and breast cancers.