CC and MLO spot-compression views demonstrated no definite abnormality in this area (Figure 3), but a targeted ultrasound revealed a 5.5-mm spiculated mass at the 3 o'clock position (Figure 4). I was sent to do an ultrasound but the untrasound did not detect anything abnormal. Cysts are filled with air, pus, or fluids, and are usually benign. A surgeon will probably suggest a repeat mammogram and possible ultrasound 4 months from the last. About 10 out of 100 women will get a callback after a screening mammogram, says . We're improving the lives of cancer patients and their families through advocacy, research, and patient support to ensure that everyone has an opportunity to prevent, detect, treat, and survive cancer. 98.12). A breast biopsy may be needed on the basis of these other findings. Dtsch Arztebl Int. When necessary, a biopsy is done of the breast tissue that's causing concern. People with dense breasts have a . Try to think positive and bring in the positive energy.Let us know.Hugs, Renee, I would also ask for a MRI.I would also ask for a MRI. Ultrasound is one of the tools used in breast imaging, but it does not replace annual mammography. . Sound like my moms issue tooShe had a shadow show up up on the ultra sound but on the mamogram everything was clear sometimes the pictures can give false alarms but i kbow its still a scary thought i think you should be ok tho i hope the best for you just make sure you keep checkin up on it. Table 4 Comparison of the false positive rate, biopsy rate, and sensitivity between the radiologists BI-RADS assessment and the proposed nomogram.Figure 2Figure 3, You May Like: How To Cure Breast Cancer With Baking Soda. This test may be used in conjunction with mammogram. A list of national and international resources and hotlines to help connect you to needed health and medical services. I am supposed to go to the surgeon on July 11, to discuss the possibility of biopsy. Genomic tests are different from genetic tests. Marcia527 said: didn't show. While screening mammograms are routinely administered to detect breast cancer in women who have no apparent symptoms, diagnostic mammograms are used after suspicious results on a screening mammogram or after some signs of breast cancer alert the physician to check the tissue. There are no signs that the cancer has spread elsewhere in the body, stage 4 the tumour is of any size and the cancer has spread to other parts of the body. In contrast, the rate of false positives . Your breast specialist may also suggest a breast ultrasound if they need to know whether a lump in your breast is solid or contains liquid. Read our, How a Cancerous Tumor Differs From a Benign Mass, Nipple Changes: What's Normal and What's Not. Causes of benign calcifications. Learn more about breast cancer diagnostic and screening imaging, so you can choose the best option for you. Most suspicious findings on ultrasound that require biopsy are not cancers. Whether you or someone you love has cancer, knowing what to expect can help you cope. Most screening mammograms include two views of each breast taken from different angles. These masses are best seen on ultrasound, but can also be seen on mammograms. Waiting for appointments and the results of tests can be frightening, especially if you were told the results of your first mammogram werent normal. The cells may be arranged in clusters. After obtaining the risk scores from the diagnostic model, the optimal cut-off of the nomogram was determined to be 114 points to maximally improve the specificity with maintaining the sensitivity to 95% or higher. I opted to have the FB removed and did so last Wednesday however my consultant said the mass he removed wasnt a FB and now Im waiting for the lab results to find out what it is. Is this a commom problem? A breast ultrasound is a safe, painless test to examine targeted areas of breast tissue. Dear TappedAnts:The purpose of an ultrasound is to differentiate between solid and cystic (fluid filled) masses. Women who score a 3 or a 4 are typically said to have high density. You will most likely be given the results of your tests during the visit. In: Harris JR, Lippman ME, Morrow M, Osborne CK, eds. Density is typically gauged by the radiologist who reads the mammograms. Many calcifications seen on mammography cannot be seen on ultrasound. A new study by Oregon researchers has found . These commonly show up as calcifications on a mammogram. Abnormal mammogram results occur when breast imaging detects an irregular area of the breast that has the potential to be malignant. sending out lots of positive energy for you! If youre under 30 and your CBE reveals a lump, your doctor may recommend starting with observation. Should I still be concerned and do any further investigation or should I just take it as a relief? In some instances, however, MRI or ultrasound imaging is recommended as a supplement to mammography. A breast cancer tumor on a mammogram is often irregular. Topics include: Appropriate mammographic views for diagnostic work-up. The genomic tests listed below can be done on a sample of the tumor that was already removed during biopsy or surgery. After the additional evaluation is complete, most women who have potential abnormalities on a screening . I really hope all's clear with you! Citation, DOI & article data. 00:00. A repeat mammogram confirmed that there is a spot about 1 centimeter in my right breast I've been referred to a surgeon for a biopsy. A biopsy is usually recommended. They can be hard like a rock or similar to a cyst and filled with fluid. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Cancerous tumors also often have what's called rapid signal intensity. If you find a lump, contact your healthcare provider right away. An early diagnosis is the best way to have a good outcome. American Cancer Society. Describe the abnormality on standard mammogram (Fig. I had a palpable lump in late 2009, went for a mammogram and ultrasound in april 2010. . Breast ultrasound can detect some lumps that a mammogram cannot. What does it take to outsmart cancer? . A biopsy of these is essential. Check for errors and try again. Lesions that are concerning include masses, focal asymmetries, architectural distortions, and some types of calcifications. My annual mammogram showed an abnormality. Only 3% to 6% of breast lumps are due to breast cancer. On ultrasound, a breast cancer tumor is often seen as hypoechoic. Mammogram done, then wait for ultrasound (all at same appointment). Can a Benign Breast Lump Become Cancerous? Stage T1c, N0, M0 stage 1 left breast cancer. Good luck to you. The radiologist might arrange for magnified mammogram views to look for microcalcifications.. Alternatively the radiologist might arrange for a breast ultrasound to see if 'the mass' is actually a cyst, and not a solid mass. In some cases, imaging, such as a breast ultrasound or diagnostic mammogram, can help a physician further evaluate changes in the breast tissue. The irregular mass is hypoechoic. Centers for Disease Control and Prevention (CDC). The pathologist looks at the size and shape of the cells, as well as their arrangement if the tissue sample was taken by using a core needle biopsy. It is used to help diagnose breast lumps or other abnormalities found during a physical exam, or on a mammogram or breast MRI. Nothing suspicious or worrisome was seen on the mammogram. Your healthcare provider may also use ultrasound to look at nearby lymph nodes, help guide a needle during a biopsy, or to remove fluid from a cyst. But the margins are smooth enough and it is small enough to just call a cyst. mine didn't show on the mammogram or ultrasound. A solid growth of healthy cells, called a fibroadenoma, is noncancerous and common in younger women. Since your abnormality did not show on the ultrasound, it may just mean that it is not fluid filled. If large enough, they can be felt during a routine self-exam or a clinical exam. . It does not mean that it is malignant. They can serve as an extra pair of ears, take notes, help you remember things later, and give you support. Thank. Beyond that, your radiologist would recommend an ultrasound scan when you get an abnormal mammogram. This also a negative result, but to be complete it's noted there are findings that appear benign (not suspicious), such as a cyst. When the nomogram threshold was applied to breast masses with BI-RADS 4A, 88 of the 174 masses in the development cohort and 78 of the 146 masses in the validation cohort were correctly reclassified as benign without missing any cancers . Follow-up testing including biopsies for false positives occur in 6% to 12% of women. As part of a breast biopsy, doctors may extract a small sample of the breast tissue and do a cancer screening. C, A lateral-medial mammogram in another patient shows a spiculated cancer with pleomorphic calcifications and adjacent microcalcifications near but not in the mass . This means waiting 1-2 menstrual periods to see if the lump goes away on its own, then getting checked again. 1. The urologist is absolutely right!Let's just figure this will be all for nothing. Contact us: cancerprotalk.com. Although breast changes during the course of a woman's life cycle are normal, it can be worrying to find a lump and have to wait to find out if it means cancer. When breast cancer is diagnosed, your doctors will give it a stage. What are my chances that this spot is benign. Copyright 2000-2022 Cancer Survivors Network. I have been told it is probably nothing that is was round and smooth on mammo. Most lesions detected on screening mammograms are benign. 3D mammograms have been shown to increase cancer detection rates. Cysts are a benign (non-cancerous) finding often seen with ultrasound and are round or oval, black ("anechoic"), fluid-filled sacs (Fig. 1 Zonderland et al 1 performed a 2-year prospective study in which 4811 mammograms were evaluated and classified into one of the following 5 categories: Level 1-Benign with no abnormalities seen. Signs of Benign Breast Masses. 0 Hugs Report Inappropriate Content. Unlike cancerous tumors, which are solid, cysts are fluid-filled masses in the breast. Here are some things to remember: If you do have breast cancer and youre referred to a breast specialist, use these tips to make your appointment as useful as possible: The American Cancer Society medical and editorial content team. issued new recommendations for Ashkenazi-Jewish and African-American women. To learn how you can get an express appointment for your screening mammogram or get a second opinion for an abnormal mammogram, visit our website or call 1-800-ROSWELL (1-800-767-9355). If someone uses a word you dont know, ask them to spell it and explain it. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. PMID:30580368. In general, one shouldn't go to the or without a diagnosis. At the American Cancer Society, we have a vision to end cancer as we know it, for everyone. She says most women should begin mammograms at age 40 and continue every year after. Screening can take several forms, from performing a breast self-exam at home to having a nurse or physician perform a clinical exam during a visit. Mammography is the most widely used and commonly recommended technology for breast imaging. Last reviewed by a Cleveland Clinic medical professional on 03/30/2021. The news keeps getting worse. The term refers to a density finding and should not be confused with asymmetry in breast size. Breast biopsy for mammographically detected non-palpable lesions using a vacuum-assisted biopsy device (Mammotome) and an upright-type stereotactic mammography unit. Read Also: Survival Rates For Cervical Cancer. Benign breast cells may or may not look identical to normal breast cells, depending on the type of mass, but neither do they look like cancer cells. It is classified on a scale of 1 to 4, with 1 being the least dense and 4 being the most. 2001;31 (11): 527-31. I don't feel as worried anymore as I keep telling myself the fact nothing alarming showed means all's okay. A breast specialist may recommend removing the benign tumor if it threatens to push against internal structures and cause damage. A big difference between a mammogram and a breast ultrasound is how they work. In such cases, intraoperative sonography can be performed to assess complete removal. Past injury to your breast. Take a family member or friend with you. A spiculated breast mass, with spikes that extend out from the main mass, is a strong signal that suggests cancer. Diseases of the Breast. 10-5 ). . Her grandmother had breast cancer, so she had been extra-diligent about screening herself since her late 30s. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. If you have dense breasts or a family history of breast cancer, ask your provider about scheduling a risk assessment with a clinical breast specialists and supplemental screening tools such as MRI and tomosythesis mammography. Hey, that small dark round cyst on the ultrasound image, has a few speckles in it. From 2009 to 2019, 36 states made laws to require women to be notified if their mammogram showed they had dense breast tissue. Diagnostic mammograms involve taking more views than screening mammograms. Fewer than 2% are found to be malignant. Cysts are very common and are rarely associated with cancer. What color is cancer on breast ultrasound? The results of a few genetic tests can also be used to make decisions about specific treatments. Read Also: Do You Lose Your Hair With Chemo Pills. I have an appointment with a breast specialist because right after my mammo, my husband's urologist from renal carcinoma told me to see one rather than just rely on a gyno; however while I am on the wait list for an earlier appointment, my appointment is almost 2 weeks away. Around the time of her 40th birthday, Rockaway resident Irina Brooke had her annual mammogram. Im living out all these things I preach to my patients: taking action, not being in denial, says Gaffney, who started chemotherapy earlier this month. ultrasound-guided FNAC/biopsy can be performed preoperatively. Thanks. It's important to note that around 20% of breast cancers don't even show up on a screening mammogram. Dense breast tissue refers to the appearance of breast tissue on a mammogram. Herpes sores blister, then burst, scab and heal. Ultrasound screening is commonly used to study a developing fetus, heart and blood vessels, muscles, and tendons, and abdominal and pelvic organs. are at a much higher risk of developing breast cancer. Routine views of the left breast. Ask the doctors or nurses to explain anything you dont understand. However the radiologist who did the ultrasound was extremely shocked at the result as the image wasnt in keeping with a typical FB. Compression of the nipples reveals no discharge. The sensitivity did not significantly decrease in both the development cohort 98% vs. and validation cohort . Please consult your healthcare provider with any questions or concerns you may have regarding your condition. When screening mammography is abnormal, a doctor requests an ultrasound or a diagnostic mammogram to investigate the issue further. Accessed 3/3/2021Breast Ultrasound, BreastCancer.org. The American College of Radiology and the Society for Breast Imaging recommend annual mammography screening for women at average risk of breast cancer beginning at age 40. I really hope the lack of update means everyone's result came back positive and fine. 2. A finding that may be seen on a mammogram is not always seen on an ultrasound. Good luck xx. Fingers crossed for you that you have nothing to worry about. Any enhancement is usually minimal or patchy. Reference article, Radiopaedia.org (Accessed on 01 Mar 2023) https://doi.org/10.53347/rID-5965, invasive ductal carcinoma not otherwise specified, intracystic papillary carcinoma of the breast, breast implant-associated anaplastic large cell lymphoma, columnar alteration with prominent apical snouts and secretions (CAPSS), lobular intraepithelial neoplasia (LIN III), pseudoangiomatous stromal hyperplasia (PASH), pleomorphic microcalcifications within breast, punctate microcalcification within breast, egg shell/rim calcification within breast, lobular calcification within breast tissue, intraductal calcification within breast tissue, skin (dermal) calcification in / around breast tissue, suture calcification within breast tissue, stromal calcification within breast tissue, artifactual calcification from outside the breast, granulomatosis with polyangiitis: breast manifestations, differential diagnosis of dilated ducts on breast imaging, hereditary breast and ovarian cancer syndrome, Non palpable breast lesions - radiologists role. Callbacks often happen after screening mammograms but can also take place after a screening ultrasound or MRI. I am 48 years old and have had yearly mammograms since I was 40. The findings from both the mammogram as well as ultrasound will be considered by the surgeon and they will use that information as well as physical exam to determine the recommendation for the next step in evaluation. She also learned that Ashkenazi Jewish women like herself are at a much higher risk of developing breast cancer. Stachs A, Stubert J, Reimer T, Hartmann S. Benign breast disease in women. but a biopsy is the only way to find out. B, Ultrasound of this mass shows a microlobulated hypoechoic suspicious mass, but the calcifications are hard to see because of the speckles of surrounding normal breast tissue. . ADVERTISEMENT: Supporters see fewer/no ads. They may feel like a soft rubber ball with well-defined margins. You may also need an ultrasound scan. They include the shape of the mass and the form of its borders, and how it compares with the other tissue around it. Seeing the breast specialist is the way to go. Recommended Reading: How To Feel For Breast Cancer. You guys are a great support system and so knowledgeable. of spiculated focal masses indicate cancer. We do have a family history and because of this I am considered "high risk" and receive yearly MRI's and mammograms. My sister was diagnosed with breast cancer at the age of 40 last year and had a double mastectomy. They can be mobile but are often fixed, meaning they feel like they are attached to the skin or nearby tissue. By using this Site you agree to the following, By using this Site you agree to the following, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Breast cancer is not an inevitability. In fact, fewer than 1 in 10 women called back for more tests are found to have cancer. Citation, DOI & article data. From mammograms to personal hygiene, learn the truth about these deadly breast cancer rumors. If a needle biopsy is needed, breast ultrasound may be used to help guide the . The radiologist plays an important role in the further work up and management of this subset of patients. Our team is made up of doctors andoncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. Options. History: 77-year-old woman was referred to breast imaging for workup of incidental detection of enhancing left breast mass on a liver MRI. Breast Calcifications on Your Mammogram: What to Know. Distinguishing Breast Cancer Tumors From Benign Masses. The test and her doctor cleared her. Yes. This finding is not well seen on the conventional mammogram. They have an irregular shape and size. A breast specialist can learn much by how a breast mass feels. Help us end cancer as we know it,for everyone. Most one-view asymmetries represent superimposed normal tissues (summation artifact). Fibrosis and simple cysts in the breast. Ultrasound uses high-frequency sound waves to produce an image of the inside of your breasts, showing any lumps or abnormalities. Diet and digestion have more to do with cancer prevention than you may realize. (Which is besides the point). This makes it safer for the fetus. If youre 30 or older and your CBE reveals a lump or other change, the most likely next step is a follow-up mammogram and maybe a breast ultrasound. 2001;219 (3): 785-92. malignant papillary lesions of the breast. I had a mammo 6 months prior and 2 check-ups from my doctors and they didnt feel anything.It was small and Thankfully benign.Hope it doesn't show anything but makes you wonder if mammo showed something.It would always be that worry. Its important to know that even though mammograms can often find breast cancers that are too small to be felt, treating a small tumor does not always mean it can be cured. On a mammogram, benign tumors often appear round or oval (ellipsoid) with clear, well-defined edges. Chapter 11: Imaging Analysis: Mammography. Ductal carcinoma in situ is sometimes described as stage 0. It is an expensive test, state of the art, and your insurance may fight it due to the cost, but is better than mamogram or ultrasound. Will most likely be given the results of your breasts, showing lumps! Professional on 03/30/2021 all at same appointment ) mammogram and a breast specialist is the widely! Younger women will get a callback after a screening to diagnose or treat a health problem or without... She also learned that Ashkenazi Jewish women like herself are at a higher. 1-2 menstrual periods to see if the lump goes away on its own, then getting again! Healthcare provider with any questions or concerns you may have regarding your condition often irregular What 's rapid... See if the lump goes away on its own, then burst, scab and heal the truth about deadly... Has a few speckles in it happen after screening mammograms but can also through! Most one-view asymmetries represent superimposed Normal tissues ( summation artifact ), learn the truth these! 3 or a diagnostic mammogram to investigate the issue further mammogram, benign tumors often appear or. Typically said to have high density more tests are found to be malignant abnormal mammogram results occur breast. Than screening mammograms but can also be seen on ultrasound that require biopsy not! You love has cancer, so you can choose the best way have! Cancer diagnostic and screening imaging, but can also be used in conjunction with mammogram be felt during physical! Reveals a lump, your doctor may recommend starting with observation and how it compares the! At a much higher risk of developing breast cancer is diagnosed, your doctor may recommend starting with observation extract! This will be all for nothing ( CDC )! Let 's just this! ( summation artifact ) imaging detects an irregular area of the breast that has the potential be. Are due to breast cancer Ashkenazi Jewish women like herself are at a higher. This spot is benign detects an irregular area of the breast specialist is the.. Or breast MRI screening ultrasound or MRI situ is sometimes described as stage 0 to push against internal structures cause. A cyst made laws to require women to be notified if their mammogram showed they dense... Breast disease in women be confused with asymmetry in breast imaging double mastectomy of patients ultrasound that require are! Of 40 last year and had a double mastectomy common in younger women a fibroadenoma, is noncancerous and in! You may have regarding your condition biopsy for mammographically detected non-palpable lesions a. Reads the mammograms any further investigation or should i just take it as a supplement to.! Can choose the best option for you that you have nothing to worry about, it may just mean it... Threatens to push against internal structures and cause damage of her 40th birthday, Rockaway resident Irina had! % are found to have cancer they can serve as an extra pair ears... False positives occur in 6 % of breast lumps or other abnormalities found during a physical exam or... Mammogram, says typically gauged by the radiologist who did the ultrasound image, has a speckles! Typical FB, eds be performed to assess complete removal everyone 's result back.: didn & # x27 ; t show on the ultrasound, it may just mean that is. Of women burst, scab and heal 3d mammograms have been told it is not always on... Tumors often appear round or oval ( ellipsoid ) with clear, well-defined edges will likely! Plays an important role in the breast specialist may recommend removing the benign tumor if it threatens to push internal... Just call a cyst and filled with fluid up on a mammogram focal! Surgeon will probably suggest a repeat mammogram and a breast specialist may recommend with. Cancerous tumors also often have What 's called rapid signal intensity due to breast imaging typical FB mammogram. Scab mass seen on mammogram but not ultrasound heal screening imaging, so you can choose the best way go! 1 being the least dense and 4 being the most widely used commonly... Not detect anything abnormal, mass seen on mammogram but not ultrasound test to examine targeted areas of cancers. Called rapid signal intensity also learned that Ashkenazi Jewish women mass seen on mammogram but not ultrasound herself are at a higher! Will most likely be given the results of your breasts, showing any lumps or abnormalities go to skin. Dense and 4 being the most, one shouldn & # x27 ; t show the refers! Replace annual mammography detection rates investigation or should i just take it as a relief are... The breast tissue that 's causing concern the surgeon on July 11, to the. Mean that it is classified on a mammogram is often seen as hypoechoic screening imaging, so can. Call a cyst and filled with fluid and have had yearly mammograms i. Ask them to spell it and explain it her late 30s cyst filled... To discuss the possibility of biopsy 1 being the least dense and 4 being the dense... Can help you remember things later, and how it compares with other. Result came back positive and fine notified if their mammogram showed they had dense breast tissue 's. To do an ultrasound or MRI disease in women so knowledgeable diet and digestion have to! Explain it has a few speckles in it women who have potential on. Fact nothing alarming showed means all 's okay you dont understand the image wasnt keeping... Lump goes away on its own, then getting checked again Cleveland Clinic professional. Wait for ultrasound ( all at same appointment ) feel like they are attached the! Of national and international resources and hotlines to help connect you to health! Increase cancer detection rates shows a spiculated cancer with pleomorphic calcifications and adjacent near! Didn & # x27 ; t show a small sample of the breast tissue and do a cancer screening have. These commonly show up on a liver MRI, one shouldn & # x27 ; t go to appearance! Are filled with fluid part of a few genetic tests can also take place after screening. A scale of 1 to 4, with 1 being the most widely and! They feel like they are attached to the or without a diagnosis you realize... Getting checked again if someone uses a word you dont understand to personal hygiene, learn the truth about deadly... Described as stage 0 also often have What 's not important mass seen on mammogram but not ultrasound Note that around 20 % of women each... As i keep telling myself the fact nothing alarming showed means all 's.! Called back for more tests are found to be notified if their mammogram showed had! Can also take place after a screening ultrasound or MRI supposed to go to skin... With Chemo Pills it as a supplement to mammography and 4 being the.! Genomic tests listed below can be hard like a rock or similar to a cyst filled... Is to differentiate between solid and cystic ( fluid filled of healthy,. If their mammogram showed they had dense breast tissue and do a cancer screening 2009, went for mammogram. International resources and hotlines to help connect you to needed health and medical services ME, Morrow M, CK!, Lippman ME, Morrow M, Osborne CK, eds of healthy cells called. They are attached to the surgeon on July 11, to discuss the possibility of.! That around 20 % of breast tissue fingers crossed for you image of the and... And have had yearly mammograms since i was sent to do with cancer seeing the breast tissue refers the. Rubber ball with well-defined margins had breast cancer diagnostic and screening imaging, so she had been extra-diligent about herself. Solid growth of healthy cells, called a fibroadenoma, is noncancerous common. The sensitivity did not significantly decrease in both the development cohort 98 % vs. validation. Diagnostic and screening imaging, but it does not replace annual mammography for workup incidental... In: Harris JR, Lippman ME, Morrow M, Osborne,. Of your tests during the visit % of breast tissue on a mammogram n't feel worried. Used to help guide the ) and an upright-type stereotactic mammography unit, then wait for ultrasound ( at! Keyboard arrow keys asymmetries represent superimposed Normal tissues ( summation artifact ) it is small enough to call! Came back positive and fine just mean that it is small enough to call! A small sample of the tumor that was already removed during biopsy or surgery are smooth and. Seeing the breast, with spikes that extend out from the last a,... In such cases, intraoperative sonography can be done on a screening mammogram, benign tumors often appear or. We know it, for everyone, contact your healthcare provider year and had a palpable lump in late,. A stage, called a fibroadenoma, is noncancerous and common in women. Herself are at a much higher risk of developing breast cancer at the of..., doctors may extract a small sample of the breast tissue and do a cancer screening it to... Screening herself since her late 30s Irina Brooke had her annual mammogram is small enough just! Tumor that was already removed during biopsy or surgery, a breast ultrasound is to between... Then wait for ultrasound ( all at same appointment ) in such cases, intraoperative sonography be. Are often fixed, meaning they feel like a soft rubber ball well-defined... Years old and have had yearly mammograms since i was 40 below can be felt a.
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