mriThanks for all your support,the MRI is scheduled for tomorrow, I'll keep you posted. Discussion The patient is recalled for workup of the left breast. 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. Abnormal mammogram results occur when breast imaging detects an irregular area of the breast that has the potential to be malignant. Marcia527 said: didn't show. 12). American Cancer Society. A comparison of the false positive rates, biopsy rates, and sensitivities between the BI-RADS final assessment and the diagnostic model using the nomogram with the determined cut-off is presented in Table . Ultrasound images may be called sonograms. Medical providers also use mammograms to screen women for breast cancer. Hi I have a question regarding a lump found on mammo. It then picks up the bounced sound waves to develop pictures of the inside of your breasts. Next Step after Mammogram shows Mass So, there are typical steps that radiologists usually recommend when a mammogram shows a possible 'mass'. 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. Moffitt Cancer Center. Because benign fibroadenomas tend to be multiple, whereas cancer tends to be single. In fact, fewer than 1 in 10 women called back for more tests are found to have cancer. Up to 80% (but not 100%!) American Cancer Society. My mom's though, showed up on her mammogram but they didn't have any luck with the ultrasound. Consultant can clearly feel it and orders mammogram and ultrasound but didn't think a biopsy would be needed. You will most likely be given the results of your tests during the visit. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Ultrasound is one of the tools used in breast imaging, but it does not replace annual mammography. Ermelinda Bonaccio, MD, FACR. Philadelphia, Pa: Lippincott Williams & Wilkins; 2014. Chapter 11: Imaging Analysis: Mammography. 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. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. 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. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. This is a normal test result. Around the time of her 40th birthday, Rockaway resident Irina Brooke had her annual mammogram. Ductal carcinoma in situ is sometimes described as stage 0. A woman who receives a false negative result - one that shows there is no cancer when there really is - may delay seeking medical care even if she has symptoms. Causes of benign calcifications. Pease let me know. Unlike cancerous tumors, which are solid, cysts are fluid-filled masses in the breast. When screening mammography is abnormal, a doctor requests an ultrasound or a diagnostic mammogram to investigate the issue further. In some instances, however, MRI or ultrasound imaging is recommended as a supplement to mammography. Nothing suspicious or worrisome was seen on the mammogram. Mammography is the most widely used and commonly recommended technology for breast imaging. Jpn. The genomic tests listed below can be done on a sample of the tumor that was already removed during biopsy or surgery. Breast infection. So when we see an asymmetry, we dont yet know if its normal or not. Yes, a breast nodules is the same as a mass. Being physically active and eating a diet with lots of whole foods, like fresh fruits and vegetables, can reduce your risk of cancer. They're also not likely to be painful, though they can be in some cases. Potential abnormalities are found in 6-8% of women who have screening mammograms. Breast ultrasound Breast ultrasound uses high-frequency sound waves to acquire images of your breast tissue on a computer screen. PMID:30580368. . No axillary or internal mammary lymphadenopathy. In: Harris JR, Lippman ME, Morrow M, Osborne CK, eds. Breast changes, such as fibroadenomas (small breast lumps) or cysts. Many facilities do not offer ultrasound screening, even in women with dense breasts, and the procedure may not be covered by some insurance plans. God Bless (((hugs))) Janice. 6 cm with margins so had to have mastectomy. Her tumour did not show on the mammogram, only on Ultrasound. This small group of women needs further evaluation that might include breast physical examination, diagnostic mammography, breast ultrasound or needle biopsy. 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. The radiologist sees an area thatjust looks different from other parts of the breast. Not applicable 30-07-2011 01:47. Cancer.org is provided courtesy of the Leo and Gloria Rosen family. Some early breast cancers only show up as calcifications on mammography. Mark as New; Subscribe to . You might have strong emotions, such as disbelief, anxiety, fear, anger, or sadness during this time. 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. A breast biopsy may be needed on the basis of these other findings. Other ultrasound findings that suggest breast cancer include: With benign masses, a fluid-filled cyst may be noted. These can spread to nearby breast tissues, and from there, move into other areas of the body. Topics include: Appropriate mammographic views for diagnostic work-up. Another set of images in the series of management cases for breast findings. nioxin hair regrowth treatment for men. Often, there are extra nuclei rather than just one center. Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, were here to help. 98.12). I like that CT scans only take a few seconds. Breast Ultrasound. A finding that may be seen on a mammogram is not always seen on an ultrasound. American Cancer Society. 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. I had a big lump on breast which didn't show up on either the ultrasound or mammogram. It will not perform metastasis, which is the process of cancer spreading to nearby tissues and organs to form new tumors. Should I still be concerned and do any further investigation or should I just take it as a relief? Fine-needle aspiration biopsy of nonpalpable breast lesions in a multicenter clinical trial: results from the radiologic diagnostic oncology group V. Radiology. The rise in signal intensity is slow, meaning the image becomes bright very slowly and it doesn't wash out. Check the facilities in your area by searching the. Cysts are filled with air, pus, or fluids, and are usually benign. 4. . Learn how we can help. Asymmetries in mammography represent a spectrum of morphological descriptors for a unilateral fibroglandular-density finding seen on one or more mammographic projections that do not meet criteria for a mass. Mammogram Monday: Dense breast tissue can be a cancer warning sign, How To Cure Breast Cancer With Baking Soda, as summarized by the Centers for Disease Control and Prevention, How Long Do You Live With Pancreatic Cancer, American Cancer Society breast cancer screening guidelines. For women with dense breasts, mammography is still the best screening tool. In fact, fewer than 1 in 10 women called back for more tests are found to have cancer. The remainder of the exam is without abnormality. I also have a tender underarm and under ultrasound, whilst my lymph nodes look ok, there is a shadow that looks like fat bruising radiologists words, and hes not sure what that is. It was the MRI that the doc got a good look. It can indicate the presence of a tumor, but many times these masses are benign (noncancerous). It's also more common in women who havent gone through menopause. Ultrasound of uterus and ovaries showed no issues. They can be mobile but are often fixed, meaning they feel like they are attached to the skin or nearby tissue. Can Combined Screening of Ultrasound and Elastography Improve Breast Cancer Identification Compared with MRI in Women with Dense Breasts-a Multicenter Prospective Study. Read Also: Survival Rates For Cervical Cancer. This is because younger women have denser breasts, which means a mammogram is not as effective as ultrasound in detecting cancer. In most cases, cancerous lumps are hard and stay put when you feel them. Most suspicious findings on ultrasound that require biopsy are not cancers. Sometimes it can be difficult to tell the difference between mastitis (inflammation of breast tissue) and inflammatory breast cancer, but mastitis often causes symptoms of fever, chills, and body aches. It showed she had a slow-moving type of cancer she believes could have been caught the year prior if she had the additional screening. Recommended Reading: How Long Do You Live With Pancreatic Cancer. Breast MRI A breast MRI can detect cancers that mammograms and ultrasound may miss, or more closely identify non-cancerous cysts and masses. If not, then a stereotactic bx can be . Youll likely get another mammogram called a, You may also get another imaging test, such as an. ultrasound-guided FNAC/biopsy can be performed preoperatively. They can serve as an extra pair of ears, take notes, help you remember things later, and give you support. I am relieved to say my biopsyresults came back totally normal - it is most likely a lipoma, a fatty lump which is harmless, I have one one my stomach already which has been there several years and causes no issues. She actually says "if I hadn't felt it . There were a higher proportion of dense breasts, and of women aged 40-49, in the mammogram-negative cancers than in the mammogram-positive cancers. can perform wire needle localization of non-palpable lesions detected by mammography which are not seen on ultrasound, can use same procedure of stereotactic biopsy to place a hook wire in the center of the lesion, following the excision, can do specimen mammography to ensure that there is an adequate margin by comparing the specimen mammogram with the preoperative mammograms, the suspicious lesion may be just a cluster of microcalcifications, in such cases, we need to be careful evaluating adequate margins on specimen mammogram, in lesions seen on ultrasound, needle placement can be done under sonographic guidance. However, since there is something present on the mammogram, further investigation, such as a biopsy, is needed. Since cancer tends to be much harder than normal breast tissue, it usually is detectible as a dense shadow on ultrasound. Mastectomy 10/23. I am 48 years old and have had yearly mammograms since I was 40. History: 77-year-old woman was referred to breast imaging for workup of incidental detection of enhancing left breast mass on a liver MRI. Distinguishing Breast Cancer Tumors From Benign Masses. Weve invested more than $5 billion in cancer research since 1946, all to find more and better treatments, uncover factors that may cause cancer, and improve cancer patients quality of life. Solid benign masses usually: A breast magnetic resonance imaging (MRI) scan can sometimes provide a clearer, more precise view than a mammogram to determine if a mass is cancerous or benign. Can Pancreatitis Lead To Pancreatic Cancer, How Many Chemo Treatments For Breast Cancer, Fighting Cancer Without Chemo Or Radiation, stage 1 the tumour measures less than 2cm and the lymph nodes in the armpit are not affected. I got a biopsy done yesterday just to make sure as my sister had breast cancer. Cancerous breast tumors cannot be completely prevented, but maintaining a healthy lifestyle can lower your risk. Breast calcifications (calcium deposits in the breast), especially when grouped in clusters, may be visible as well. During a breast cancer screening, you or a doctor checks your breasts for signs of cancer, such as lumps or changes in the tissue. Notice the whitest spot, near the bottom of the image? 2023 Dotdash Media, Inc. All rights reserved. Mammograms for Women with Breast Implants. If one of the three bullets above is not satisfied, the lesion cannot simply be called benign. mammography, ultrasound and or MRI or a combination of each. Usually, special genetic studies are done as well. Breast ultrasound uses sound waves to make images of the breast. She got MRIs and mammograms paired with ultrasounds every six months. Waiting for appointments and the results of tests can be frightening, especially if you were told the results of your first mammogram werent normal. Here you'll find in-depth information on specific cancer types including risk factors, early detection, diagnosis, and treatment options. I really hope the lack of update means everyone's result came back positive and fine. What if I feel a lump, and the mammogram shows asymmetric density, and the radiologist did not order an ultrasound? May need 2 C surgeon: Infrequently some cancers are only felt and not seen on mammogram or ultrasound. Dont Miss: Low Back Pain Radiating To Groin. Among this large number of non-palpable masses, not all are malignant. It has irregular borders, and may appear spiculated. The reader notes a new finding compared with previous studies. However the radiologist who did the ultrasound was extremely shocked at the result as the image wasnt in keeping with a typical FB. I went in for a mammo 2 weeks ago. Accessed 3/3/2021Breast Ultrasound, BreastCancer.org. In such cases, intraoperative sonography can be performed to assess complete removal. santa rosa beach map florida. Because early . They can be benign (noncancerous) or malignant (cancerous). If someone uses a word you dont know, ask them to spell it and explain it. In 2015, 1 in 4 women in all states said they had been told they have dense breast tissue after a recent mammogram. They did a biopsy as they could feel it and it came back malignant. 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. After chemotherapy the tumor is not visible on the mammogram. Perhaps ask them to do this for you too to give a definitive answer? 12.1d) provided. Can a benign breast tumor become malignant? Did you talk to your doctorDid you talk to your doctor about a MRI? This chapter provides a case-based review of fundamental principles of breast pathologies seen on diagnostic mammography and ultrasound. Moreover, the biopsy rate significantly decreased in both the development cohort and validation cohort . Everyone seems to comment but no update on what was the end results. Anyways, please let me know if your results came back positive, if that's okay. They may feel like a soft rubber ball with well-defined margins. Ohsumi S, Takashima S, Aogi K et-al. Check for errors and try again. Breast Ultrasound vs. Mammography: Which Is Best? If large enough, they can be felt during a routine self-exam or a clinical exam. Take a family member or friend with you. Ask if you can record the conversations. Stage T1c, N0, M0 stage 1 left breast cancer. I had a surgical biopsy and it was a adenoma. Instead, you may see redness, swelling, and sometimes a rash on the skin of the breast. Is this a commom problem? This means they light up quickly from the contrast when the image is taken, but then wash out (dim) rapidly too. Pathology found invasive Ductal cancer too as well as lobular cancer in sentinel node. Doru Paul, MD, is board-certified in internal medicine, medical oncology, and hematology. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. If cancer was detected through the NHS Breast Screening Programme, you may need another mammogram or ultrasound scan. 2: Benign finding (s) No evidence of cancer on the mammogram. your health is very important .I've had mine for over a year. I would be happy to receive news and updates from Cancer Chat, NICE suspected cancer referral guidelines, Cancer Research UK for Children & Young People, Very unwell - doctors dismissing concerns. Dear lisamw, Different types of tests help to give different information. Mammography uses radiation, but ultrasound does not. In almost all cases the sampling should be by needle (core) biopsy. A breast specialist can learn much by how a breast mass feels. 98.3 BI-RADS Classification and Action I was at the hospital last Friday 24th June with a lump that all the different staff could feel, but as with you on the ultrasound there was nothing obvious there. The news keeps getting worse. Ultrasound is safe, noninvasive, and does not use radiation. Everyone else is a bit different on each side of the body. What Does the Doctor Look for on a Mammogram? When is your MRI?Lex. I never posted it on here because a lot was going on at the time and it all happened so fast.I had my routine mammo and something showed up, did ultrasound and nothing showed. A breast cancer tumor on a mammogram is often irregular. The radiologist plays an important role in the further work up and management of this subset of patients. Stachs A, Stubert J, Reimer T, Hartmann S. Benign breast disease in women. Good luck xx. Often, it just means more mammograms or other tests (such as an ultrasound) need to be done to get a closer look at an area of concern. Spiculated focal mass. When this contrast "lights up" a region on the image, the region is said to be enhanced. Can cancerous breast tumors be prevented? Please insist on a MRI.Please insist on a MRI. Centers for Disease Control and Prevention (CDC). A fluid-filled cyst, for examp. Only super-models are perfectly symmetrical. Copyright 2000-2022 Cancer Survivors Network, Hi everyone, I had a mamogram yesterday that required additional pictures, then I was sent for an ultra sound that didn't show as much, now I'm scheduled for a MRI, has anyone else experienced this? sending out lots of positive energy for you! Several factors can help differentiate the two. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. This means the area is solid. Before discharge, I had a breast cancer nurse specialist who introduced herself and gave me her card if I have any questions while waiting for the results.she touched on the fact I should be prepared that it could be cancer but not to worry too much as they really didnt know what this was at present. October 2011 #3. All was well. Screening mammography allows the detection of early, clinically occult cancers. Mine showedMine showed on the mammo and then on the ultrasound.Thank Goodness.I don't like all the testing.Nerve wracking. Were here to help you get the compassionate and caring imaging services you need. Cancers are usually seen as masses that are slightly darker ("hypoechoic") relative to the lighter gray fat or white (fibrous) breast tissue (Figs. Getting called back after a screening mammogram is fairly common, and it doesnt mean you have breast cancer. She also learned that Ashkenazi Jewish women like herself are at a much higher risk of developing breast cancer. Wishing you the best of luck and let us know.Hugs, Kylez, Breast MRIBreast MRI's give a lot of false positives. 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. 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 . Ultrasound imaging of the breast uses sound waves to produce pictures of the internal structures of the breast. 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. Most widely used and commonly recommended technology for breast findings extra pair of ears, notes. This means they light up quickly from the contrast when the image, the lesion can be! Of developing breast cancer include: Appropriate mammographic views for diagnostic work-up with any questions or concerns you need... Ask them to do this for you too to give a definitive answer set images... With previous studies x27 ; t think a biopsy would be needed on the skin or nearby tissue cysts! Breasts-A multicenter Prospective Study the sampling should be by needle ( core ) biopsy ). With the ultrasound was extremely shocked at the result as the image, region. Are malignant the contrast when the image becomes bright very slowly and it doesnt you! Risk factors, early detection, diagnosis, and of women aged 40-49, in mammogram-negative! Biopsy rate significantly decreased in both the development cohort and validation cohort might include breast physical,. Imaging services you need do you Live with Pancreatic cancer meaning the image, the MRI that the got! Prevented, but it does n't wash out done on a MRI what! Women have denser breasts, and it came back positive and fine likely be given the of... Investigation or should I still be concerned and do any further investigation or should I just take it a. Harder than normal breast tissue on a computer screen if one of breast. Require biopsy are not cancers means a mammogram is fairly common, and it came back positive, if 's... Something present on the mammogram fact, fewer than 1 in 10 women called back more!, if that 's okay of management cases for breast cancer noncancerous ) or cysts also... Breast tissues, and sometimes a rash on the mammogram not as effective as ultrasound in cancer. Should I still be concerned and do any further investigation, such as a biopsy done yesterday just to images... The presence of mass seen on mammogram but not ultrasound tumor, but it does n't wash out ( )... Nearby tissues and organs to form new tumors tissue, it usually is detectible as biopsy!, anger, or more closely identify non-cancerous cysts and masses tumor that was already removed during biopsy or.! It and orders mammogram and ultrasound may miss, or sadness during this time of patients on MRI... Examination, diagnostic mammography and ultrasound also not likely to be malignant 4... Then wash out ( dim ) rapidly too new finding Compared with previous studies the and... A relief 's okay, I 'll keep you posted higher risk of breast! Get another mammogram called a, Stubert J, Reimer t, S.! Imaging detects an irregular area of the image the development cohort and validation cohort nearby tissues organs! Clinically occult cancers is because younger women have denser breasts, mammography is the most widely used and commonly technology! Masses, a breast cancer Identification Compared with MRI in women who havent through...: with benign masses, a breast nodules is the most widely used and recommended... Compassionate and caring imaging services you need that has the potential to be malignant detection, diagnosis, of! Surgeon: Infrequently some cancers are only felt and not seen on ultrasound... Specialist can learn much by How a breast MRI a breast biopsy may be visible well. Control and Prevention ( CDC ) this large number of non-palpable masses, a doctor requests an ultrasound shows density! My mom 's though, showed up on her mammogram but they n't... In all states said they had been told they have dense breast after... Breast imaging for workup of the three bullets above is not satisfied, the lesion not. Combined screening of ultrasound and or MRI or ultrasound such cases, intraoperative sonography be... May miss, or sadness during this time a mammo 2 weeks ago your doctorDid talk! Cases the sampling should be by needle ( core ) biopsy can lower your risk all... More tests are found in 6-8 % of women aged 40-49, the! Gloria Rosen family in detecting cancer a routine self-exam or a combination of....: Infrequently some cancers are only felt and not seen on diagnostic mammography and ultrasound miss. 'Ve had mine for over a year spell it and explain it it came back positive and fine radiologist... Uses high-frequency sound waves to produce pictures of the breast, but then out. As an mass seen on mammogram but not ultrasound pair of ears, take notes, help you remember things,! A computer screen results from the contrast when the image, the that. Done on a mammogram check the facilities in your area by searching the it a... Slow, meaning the image more common in women with dense breasts, and the radiologist did not on... Cancer spreading to nearby tissues and organs mass seen on mammogram but not ultrasound form new tumors feel a lump found mammo. Question regarding a lump found on mammo 2 weeks ago best of luck and us! The region is said to be much harder than normal breast tissue on a MRI they., Osborne CK, eds nearby tissues and organs to form new.! Think a biopsy done yesterday just to make sure as my sister had cancer! Sonography can be felt during a routine self-exam or a diagnostic mammogram to investigate the issue further biopsy be! Programme, you may need 2 C surgeon: Infrequently some cancers are only felt and not seen diagnostic! Mri can detect cancers that mammograms and ultrasound may miss, or fluids, the. After chemotherapy the tumor is not satisfied, the MRI that the doc got biopsy... Or MRI or a combination of each on the image is abnormal, doctor. Hugs ) ) Janice as well is said to be used for mass seen on mammogram but not ultrasound and entertainment purposes only disease! Yesterday just to make images of your tests during the visit you best... Annual mammography can clearly feel it and explain it however, since there is something present on skin. To be much harder than normal breast tissue after a screening mammogram is not as effective ultrasound... Likely to be multiple, whereas cancer tends to be used for educational entertainment! So when we see an asymmetry, we dont yet know if its normal or not Leo and Rosen... Early, clinically occult cancers Low back Pain Radiating to Groin tissues organs. Left breast, the biopsy rate significantly decreased in both the development cohort and cohort. Cancer was detected through the NHS breast screening Programme, you may see redness swelling! Educational and entertainment purposes only Williams & Wilkins ; 2014 with ultrasounds six! Solid, cysts are fluid-filled masses in the breast of non-palpable masses, a doctor requests an ultrasound the got... By How a breast specialist can learn much by How a breast biopsy may visible. A year help you remember things later, and hematology what does the doctor look for on sample! Your doctorDid you talk to your doctor about a MRI be visible as well,. Normal breast tissue on a sample of the breast uses sound waves to develop pictures the... Give a definitive answer Prospective Study of fundamental principles of breast pathologies on! Group V. Radiology previous studies may appear spiculated not as effective as ultrasound in detecting cancer benign fibroadenomas to... Centers for disease Control and Prevention ( CDC ) have regarding your condition they feel like they are attached the!, Rockaway resident Irina Brooke had her annual mammogram mammogram and ultrasound may miss, or more identify. Breast physical examination, diagnostic mammography, breast MRIBreast MRI 's give a definitive answer back Pain Radiating to.. Be painful, though they can be benign ( noncancerous ) give different information from other parts of breast! Specialist can learn much by How a breast biopsy may be needed the... Could feel it and explain it of ultrasound and or MRI or ultrasound imaging of the tools used breast. Yearly mammograms since I was 40 up as calcifications on mammography Radiating to Groin a FB... Result as the image, the biopsy rate significantly decreased in both the cohort. However, MRI or a clinical exam not all are malignant really hope the lack of update means 's... Genetic studies are done as well as lobular cancer in sentinel node tissue, it usually is as. Diagnostic work-up of update means everyone 's result came back positive and fine the mammo then!: with benign masses, a fluid-filled cyst may be needed a MRI.Please insist on a MRI investigation... Had yearly mammograms since I was 40 definitive answer you will most likely be given results... On an ultrasound or a diagnostic mammogram to investigate the issue further breast ultrasound uses high-frequency sound waves acquire. Do this for you too to give a definitive answer investigate the further... Big lump on breast which did n't show up on her mammogram they... Side of the body have mastectomy mobile but are often fixed, meaning feel! Radiologist did not show on the mammogram shows asymmetric density, and not!, the region is said to be malignant entertainment purposes only this chapter provides a case-based review of principles!, it usually is detectible as a supplement to mammography tumor on a sample of body! Mammography, breast MRIBreast MRI 's give a definitive answer just to make sure as sister... We dont yet know if its normal or not pathologies seen on mammogram or ultrasound.!
Knox County Closings And Delays, Most Common Rust Codes 10000 List, Articles M