An article appearing on [“Routine ultrasounds for women with dense breasts may not be cost-effective“; December 10, 2014] does not convey the significant number of lives saved in women with dense breasts who have an ultrasound.

Ultrasound is a valuable tool for the early detection of breast cancer. It is also useful for evaluating breast tissue that may be difficult to image, without the need for a patient to have an MRI of the breast, which is more costly. An MRI can also lead to having an unnecessary biopsy. Saving money is important, but not at the cost of ignoring the early detection of breast cancer. — ROBERTA WIGGS, ARNP, Spokane, Wash. (198-2)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.

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