Dr. Donald Goodwin, MD

On the show

“Our job is to find it as small and early as possible, because the smaller the lesion, the earlier the stage, the better the prognosis.”

Dr. Don Goodwin, a radiologist Dave says has been reading images for more than 50 years, opened Breast Cancer Awareness Month by walking through when screening should start and how often. He sides with annual mammograms from age 40, explains why dense breast tissue can hide small cancers and how ultrasound and MRI add detection, and puts the radiation from a 3D mammogram at about 0.4 millisieverts, roughly one flight across the country. He also reminded listeners that men get breast cancer too.

Background

• He is a radiologist and co-founder of Palm Beach Radiology in North Palm Beach, which opened in 2007.
• Tampa General Hospital acquired Palm Beach Radiology in October 2022, and the center became TGH Imaging at the same North Palm Beach location.
• When the practice joined Tampa General, he was one of the three physicians named to continue leading it.
• The North Palm Beach center is accredited by the American College of Radiology and offers 3D mammography, breast MRI, ultrasound and image-guided biopsies.

Watch the episode

Play: What Your Mammogram Can Miss

Episode 17

What Your Mammogram Can Miss

Dr. Donald Goodwin, MD

Radiologist Dr. Don Goodwin has read breast imaging for more than 50 years. He explains why most medical societies still say screen every year from 40, why dense breasts can hide up to 60% of cancers under 10mm on a mammogram, and when ultrasound or MRI should be added.

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• ▶Play clip: You can miss up to 60% of the cancers under 10 millimeters.

  You can miss up to 60% of the cancers under 10 millimeters.

• ▶Play clip: About two months of walking around on earth.

  About two months of walking around on earth.

• ▶Play clip: Men get breast cancer.

  Men get breast cancer.

• ▶Play clip: 15 per thousand.

  15 per thousand.

• ▶Play clip: In the 80s and 90s, about 95% of breast surgeries were for benign disease.

  In the 80s and 90s, about 95% of breast surgeries were for benign disease.

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