Breast biopsy results

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latin40
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Date Joined Mar 2009
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   Posted 3/11/2009 2:49 PM (GMT -7)   

I'm  40, when I did my mammogram I got a phone call to go back because because they need more images and they also did a sonogram of my breast. According to the results they found a persistent 4cm x 5cm ill-defined density retroareolar on my right breast. The impression is BI-RADS 4 with a 4B subdivision.

After the biopsy my doctor's nurse just called me and told me my doctor wants me to see a surgeon. This is base on the biopsy results: Bening fibroglandular breast tissue with fibrous mastopathy including cystic change, apocrine metaplasia, papillomatosis and intraductal hyperplasia of the usual type.

I don't understand what this mean, the only good thing is that what ever it is, is benign. Can somebody explain this to me in plain english? I'll really appreciate it.

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gma
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   Posted 3/12/2009 9:14 AM (GMT -7)   
You know what? Sometimes doctors and surgeons have a bit of a problem understanding these reports. If this lump is truly cm and not mm it is quite large. 2.54 cm = 1 inch. It is benign which is good but I am guessing that some of the fancy words could mean changes in the tissue and possibly the concern is more changes in the future could mean a change to malignant. Now that is a pure guess on my part, I am not going to pretend to know for sure. BUT I bet your doctor or the surgeon you see will be glad to elaborate on the wording. Do see a surgeon and get the thing removed, if it isn't right I think you would want it out. And at that size if it leaves a dimple in your breast when removed, it will fill in unless you are a really, really thin person. I had quite a large dimple that was gone in a year or less. Come back and let us know what is happening. Hugs MK


postal2
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Date Joined Jul 2003
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   Posted 3/12/2009 6:09 PM (GMT -7)   
HI and welcome. MK gave you great advice. Definately see a surgeon and get it out. Like she said, I am sure the doctor can put it in plain english for you. Hang in there and let us know how it goes. We are here for you!
Gail
  It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is up, we will then begin to live each day to the fullest, as if it was the only one we had.
 
Elisabeth Kubler Ross


aspet
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Date Joined Mar 2009
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   Posted 4/1/2009 7:22 PM (GMT -7)   
hi all newbie.....had first mamo..........microcalcifications indeterminate 13 mm....final on report from magnified view....funny though...first it said loosely clusterred..linearly grouped.......now says indeterminate which means i assume they dont know what the heck they are looking at...so the question si to have or not ot have recommended biopsy..there is a good article in the readers digest for april on this issue..........i am a nurse as well.......the nurse in me says do it.......me myself and i say hold off...after through research it may be best to not fix what isnt broken.........once you start foolign around u create problems......asymptomatic..no wgt loss, no joint pain...iron good...........not sure what direction but the research i have been reading is pointing to alot of uncessary biopsies resulting in major issues for those so call suspicious microcals...........if they can determine a calc is benign by visualtion on films and they can tell it is cancer/malignancy  the same way then when they can tell your better off leaving it alone and watch and wait..........i have some time...had two radilogist opinion now appt with surgeon on 4/14/2009..lets see...oh by the way they also said fibrogladular desities seen in both breast and benign microcalcifications in right...stange.......hugs to all trish........ yeah

gma
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   Posted 4/2/2009 4:35 AM (GMT -7)   
IMHO there is not an unnecessary biopsy. Perhaps there are unnecessary mastectomies, but that is a choice made by the patient and doctor at the time with the facts known. I probably had one of those, but it was my choice. If I knew then what I know now I would have chosen a lumpectomy over a mastectomy, but that is not your question. Calcifications that cluster are problematic, they can be cancer beginning. It is said to take seven years for a lump to form so that it can be seen in a film. I find it interesting that your calcifications are linear in appearance. A biopsy is nothing in the big picture. It can be a needle biopsy or even a surgical biopsy, but neither one are a big deal to go through despite what a few think. If the surgeon thinks it is necessary, please follow his advice. It is better to err on the side of caution. Hugs MK


Jeanette777
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Date Joined Dec 2009
Total Posts : 8
   Posted 12/9/2009 8:49 PM (GMT -7)   
Hi..I'm new..im just wondering if you yourself had Breast problems and or a family history like a mother of aunt grandmother had Breast Cancer?  My freinds mom had died from Breast Cancer! What a shame..
 
Just Curious!
 

Tavish
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Date Joined Jul 2003
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   Posted 12/10/2009 8:06 PM (GMT -7)   

ASPET:

I agree with MK, the biopsy is not unnecessary. THey cannot TELL from films if the calcs are benign or not. They can speculate and make a medically educated opinion that may well be right...but without a biopsy, they cannot be sure of anything. What problems or complications might be caused from a biopsy?  I am not saying everyone needs a biopsy...but it is the only way to tell for sure what's going on.  Most of us that had breast cancer were asymptomatic. The pain and abnormal blood levels occur after the cancer has potentially spread to other parts of the body. I had an aggressive 2.5 cm tumor with no symptoms other than a palpable lump, dx'ed at age 30.

Just don't get complacent.

Lori



Jeanette777
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Date Joined Dec 2009
Total Posts : 8
   Posted 12/11/2009 5:45 AM (GMT -7)   
aspet..Hi..I definatly agree with you.and to tell you the truth..why open a can of worms!!!!!!!!!! Alot of these drs. are guessing..that is why they have what we call "Biopsies" I have already been halfway through a "Stereotactic" biopsy procedure went "Wrong"! And let me be truthful with you..its Pretty Painful..speaking for myself and small Breasts here.. I spoke to a few freinds of mine that had large Breasts and had this procedure done. and they said its not painful at all..because when you are small breasted they have to lay you on the table ..pull your breast till you cant take the pain no more.. and its worse then childbirth..(speaking for myself and small breasted woman.. That same day..the radiologist felt sorry for me..and saw me in tears..non stop and said. ."Listen..I'm gonna do films of my own.. and when she did..she said she did'nt see changes for 3 years on my mamo of the calcifications.. and lemme tell you..I will not have my self cut open for this wire-surgery biopsy! I had seen a Surgeon..and he said. 95 % it is Nothing!! I'll stick with that ..Thanksyou!

Jeanette

barkyboys
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Date Joined Jul 2003
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   Posted 12/12/2009 9:04 AM (GMT -7)   
I don't think you can compare a breast biopsy to "opening a can of worms." I don't know too many people who have died from opening a can of worms, but I know too many who have died from breast cancer. I've had one benign biopsy, and the peace of mind it gave me was well worth the few minutes of minimal pain from a bandaid surgery. Of course, the years of life I gained when breast biopsies showed malignant tumors... well, they're priceless. One does not "create problems" by having a breast biopsy for a suspicious finding. One creates problems by ignoring suspicious findings. As Lori said, if you wait until you have symptoms other than a radiographic or palpable finding, your chances of surviving are much more limited.

Jeannette, I'm sorry you had such a traumatic experience, and aspet, I haven't read the Reader's Digest article, but I think there are better resources for medical information. If they are seriously recommending that women ignore medically advised biopsies based on suspicious radiographic findings, then I would call that unscrupulous and unconscionable.

BEV
"There's a difference between a philosophy and a bumper sticker."  --Charles Schulz


mcjane
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Date Joined Jun 2009
Total Posts : 285
   Posted 12/12/2009 12:31 PM (GMT -7)   
Aspet, The same day I had my mammogram the doctor looked at the film and said you have BC.
Of course she needed to confirm it and asked me to stay for both needle plus core biopsy, not a stereotactic. The area was numbed and the needle biopsy did not hurt at all, the core did, but was very bearable. A week later her diagnosis was confirmed.
Later I had a lumpectomy and restoration, spent three days in the hospital because my BP was too low 80/40. The only real pain I felt was in the recovery room and I was given Dilaudid. When I went home I was practically pain free and took only X-stength Tylenol.

Please listen to MK, Bev & Lori they are giving you the very best advice and the small amount of discomfort is worth maybe saving your life.

Jane
The greatness of a nation is judged by the way it treats its animals.
 
Mahatma Gandhi 


Jeanette777
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Date Joined Dec 2009
Total Posts : 8
   Posted 12/12/2009 3:27 PM (GMT -7)   
Re: BEV..Hi.Thanks for the Advice.. I'm just Curious..what kind of "Biopsy" did you have .. and did they tell you to STILL come back in a few months after it was "Benign? Did they say Exactly what it was?? Btw.. was it a Lump or calcifications? again..Thanks for responding!
Jeanette

barkyboys
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Date Joined Jul 2003
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   Posted 12/12/2009 5:33 PM (GMT -7)   
My biopsies have been surgical. They were for palpable lumps that were not evident on mammography. I've had two malignant tumors, and one benign tumor. I've not had microcalcifications, but I have lost a friend who had microcalcifications that proved to be DCIS (which is why clusters of microcalcifications are "suspicious." No, they are not always cancer, but if they are...) She was treated aggressively by her choice, with mastectomy followed by chemotherapy. She lost her battle a few years later. But it was a few years with her children that she would not otherwise have had, and I'm sure she never regretted for a minute that she fought for those years.

It boils down to this... I would like to see breast cancer eradicated! Until that happens, I would rather see women living with it than dying from it. If doctors have to do biopsy 80 benign tumors to catch 20 malignant ones, I'll send up three cheers for the 80 benign ones, and thank those women for helping save the lives of the 20 who were unlucky enough to be diagnosed with cancer.

BEV
"There's a difference between a philosophy and a bumper sticker."  --Charles Schulz


Jeanette777
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Date Joined Dec 2009
Total Posts : 8
   Posted 12/12/2009 9:07 PM (GMT -7)   
Bev..I'm so sorry about your freind. thats a Shame.. when does it all end?? So you had Two Biopsies.. and a malignancy..does this mean you have Cancer now? doesnt Malignant mean cancer?? So you never had calcifications.. I have a freind in California who said her mamo said they saw something suspicious on her mamo.. and she never went for the biopsy..it's been many years. .and she feels her lump and has pain from it time to time..THIS.. I would go,get checked.. she got a 2nd opinion from a major hospital..and they said they made a mistake..she doesnt need a biopsy..so you're saying.. you got the 2nd biopsy and it was benign? I'm a little confused ..sorry! Is there anybody here who just had ONE biopsy and they are ok..where does it end.. is it the mamos that are causing all this and the radiation ..perhaps?? Who really knows! We dont ! SOrry.I have to Vent.. Btw..I have a young daughter who went through two not one but two brain tumors..I had recently got a kidney transplant and skin cancer.. its just too overwhelming to me. .Oh..to prove that i could live well into my 80's and prove them all wrong that its the mamos/radiation making this all worse.. better left alone..sorry..this is how I feel..
Jeanette

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 12/13/2009 4:00 AM (GMT -7)   
Jeanette, I had two malignant (invasive cancer) tumors in one breast, one benign biopsy on the other side. I was 36 at the time I was diagnosed with cancer (15 years ago!). I had never even had a mammogram prior to finding the lumps. The reason mammograms save lives is this: breast cancer is typically slow growing, so a breast cancer can be often be detected on a mammogram years before it becomes a palpable lump. Of course, the longer the cancer is present, the larger it grows, the more likely it is invasive. So mammograms do save lives. Most women who come here to this board worried and then have a benign biopsy come back to report their benign findings and then we don't hear from them again. That's a good thing! They don't have cancer. So you won't find women posting who had one biopsy and are okay unless you look at old posts.

You have certainly been through the wringer, haven't you! I was so sorry to read about your daughter. How old is she? And how is she doing? And you, with a kidney transplant? (Diabetes?) And skin cancer, too? What type of skin cancer?

I truly wish we knew what causes cancers. I had genetic testing done, and I was negative for genetic markers (my mom died of cancer when I was 7, my brother has had prostate cancer, lost one aunt to lung cancer, the other to leukemia, after she survived ovarian cancer, a first cousin with breast cancer... and the list goes on!) I think we just don't know enough about how cancers start...and we sure don't know enough about how to cure them! In the meantime, I think we just have to do what we can to detect them early so they don't take lives that could otherwise be saved.

Hugs to you!
BEV
"There's a difference between a philosophy and a bumper sticker."  --Charles Schulz


Jeanette777
New Member


Date Joined Dec 2009
Total Posts : 8
   Posted 12/13/2009 5:18 AM (GMT -7)   
Bev..So sorry to hear about your family.. wow..you have alot to deal with too ! My mom never went on the kidney transplant list.. so she died ,they say..an accidental death from 5 yrs on dialysis..my daughter is doing Great..believe it or not.. Thanks god.. she' is smarter then me.. and knows alot stuff.. sometimes I get embarrassed of how much more she knows then me..she had many jobs thruout all her problems.. never complains or even worrys about the past.. its a "Miracle" I tell ya! As for me. I had two skin cancers sqaumaus..caught in time.now I see a 3rd one coming up on my face.. its due to this pill im taking.they say..if you get more then 3..time to cut down or stop the transplant pill..nice huh..just dont want to loose my kidney in the process and go back on dialysis..oh btw.. I was on dialysis for 4 yrs too..it wasnt a picnic..but I dealt with it.better then most on the machine! I'm driving my husband crazy that I hope he doesnt get a stroke or somthing.but all in all I feel Great..the last skin cancer on my neck I was in Postpain for 6 mths.. didnt sleep at night tossing an turning.. the pain was so imbearable.. I had to go to {Physical Therapy" for my neck for 6 mths.. and the stupid cancer dr. said..oh ..the operation had nothing to do with your neck..yo u never know the after affects.. they never tell you the Post Pain.. well I had to ask this Breast Surgeon im going to..and he said.. OH..dont worry about that now..! Nice.. the last Breast dr. I saw..two years ago said. ."There's good Calcifications and there's bad Calcifications. .YOU>.have the good ones.. two years later..they're saying.. its clusters.. I dont get it! Sorry..here I go again.. tight hugs!!!!!!!

Jeanette

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 12/13/2009 8:17 AM (GMT -7)   
Okay, here's the thing about microcalcifications. If they just look like salt sprinkled over the film, then that is okay. But they watch those little grains carefully. If they change and start to cluster, then that can be an indication of cancer, usually "in situ," which is usually easy to treat. So if they are telling you that you didn't have clusters before, but now you do, then I would check with a breast surgeon. You don't have to have a wire guided biospy... talk to the doctor about a regular surgical biopsy. If he knows about your past experience, I don't see why they couldn't just put you out and do a surgical biopsy. I never had to take more than a couple of Tylenol 3's after a biopsy.

I'm assuming the pills you are taking are immunosupressants. They also suppress our bodies ability to fight cancer cells, and they grow like wildfire, which is why the skin cancers keep popping up. If your microcalcifications are clustered, and if they are cancer "in situ," it would be logical to think it could become invasive more quickly than most people's would. Please check this out with your transplant team. I'm sure they could address this more knowledgeably than I can or could direct you to a good surgeon to discuss it with.

And you are right, doctors just don't address pain or complication issues as well as they could. I read an article about oncologists who had cancer, and they all said they heard their patients talk about fatigue, but they never fully understood the extent of it until they had to go through it themselves. I'm sure the same holds true for pain. I had a rather complicated reconstruction called a TRAM-flap, which takes abdominal muscles to create a new "breast." They told me that in 6-8 weeks I'd be back to normal, I just wouldn't be able to do sit-ups anymore. Ha! Try years later, and I'm still dealing with the ramifications of that surgery.

I know you didn't go through 4 years of dialysis and the transplant process just to die from the complications of immunosuppressive therapy, so please check on this!

Can I ask how old you and your daughter are? She sounds like an incredible young lady!

BEV
"There's a difference between a philosophy and a bumper sticker."  --Charles Schulz


Jeanette777
New Member


Date Joined Dec 2009
Total Posts : 8
   Posted 12/13/2009 2:04 PM (GMT -7)   
Bev..SO then I probably have Cancer then..especially if they're in cluster?? And if I do..its hopeless..those drugs would be of no use!! I'm not on as many immunos as I used to be when I first got my kidney..im on much less..my choice.as far as the skin cancer goes, I had it removed and im watching that..btw..I had the skin cancer on my face way before the kidney, but the Prograph im taking is responsible for that..cause that drug alone causes skin cancer and diabetes! I got my second one after the transplant..only one. I'm 55 my daughter is 24! How old are you? If your cancer was Malignant..how many years.. does this mean you're still on Chemo? Radiation? Btw..I have a Breast Dr. he said 95 % you have nothing .but they want to check out 2 areas that need attent. and they're saying it could be Dtis something like that in Situ..like you said!

Jeanette

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 12/13/2009 6:25 PM (GMT -7)   
Hi, Jeannette. DCIS (ductal carcinoma in situ) is a non-invasive, very early form of breast cancer (sometimes it's even referred to as a precancerous condition). Left untreated, DCIS can become invasive breast cancer. Clusters of microcalcifications can be an indication of DCIS. I can't tell you statistically how many clusters turn out to be DCIS, how many turn out to be nothing. I do know that if you catch DCIS early, it is very treatable, and with your current health situation, it would be much better to catch DCIS before it has become invasive cancer. The only way to know for sure if your suspicious areas are DCIS is through a biopsy. I hope you will get that biopsy sooner, rather than later, because of the immunosuppressants.

By the way, I'm 51. I had was diagnosed with two invasive breast cancers with lymph node invasion at 36, had a mastectomy and reconstruction, 6 months of chemotherapy, and I've been "no evidence of disease" and no treatment ever since. I still see my oncologist every 3-4 months for blood work and occasional scans. Because breast cancer can be very slow growing, I will never be able to say that I'm cured. I'll have to die of something else first! LOL

I have two daughters myself, 27 and 28. Daughters are just the best, aren't they?

Anyway, please get those areas checked! Jeannette, they could be nothing! But if they are something, then it is so much better for you to deal with it now!

Hugs...
BEV
"There's a difference between a philosophy and a bumper sticker."  --Charles Schulz


Jeanette777
New Member


Date Joined Dec 2009
Total Posts : 8
   Posted 12/13/2009 7:10 PM (GMT -7)   
Good for you..no reacurrance.. sounds promising.. you see..if I do have this cancer.. DCIS..they may want to do Radiation and Chemo one or the other.. thats one thing I cannot do..cause of my transplant.. All my life I have been against these.. I said to myself ..Id rather die then go through this..and put my 2 Beautiful daughters through the pain again ..of watching me in the hospital..
my daughter was in tears seeing me go through and leaving her when I got that phone call 4 yrs ago for my new kidney.shes' crying on the couch as I said.. if I dontgo now ..this is my 3rd call.I refused the other two..do to the fact. .I wanted a clean kidney of no cancers/problems. a healthy Young Kidney.. btw.. she just got out of the hospital that same week from her 2nd brain operation.. I dont wanna go through life. .wonder ing .what next.. how many more mamos.. is it gonna show up now.. are they gonna send me yet another letter of what they found next.. ya know half of my freinds..didnt go for that biopsy.I had just went to a forum now that knocked the guy..yes a guy that invented them ..in 1963,they say..what did all the people do before that. they didnt go nowhere ..I just r ead an article stating that..since the Mamogram came out. more and more people are dying ! How come now since they came out.. and why would a Dr. invent a machine that had Radiation amed at you ..when they say it very dangerous.. lemme tell yyou.. they caleld me back.. 7 times withint 1 year and also did 8 photos on my one breast alone..this is a little to much .my husband is goind "Bulistic" aside from me! Sorry..I have to vent again!!
Jeanette

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 12/14/2009 4:57 AM (GMT -7)   
Jeannette, you simply have to be proactive about your health, especially since the transplant. Again, I can't give you statistics on the likelihood that this is DCIS. Maybe someone who has had DCIS can answer that for you. But I do know that the only way to know for sure is to have a biopsy.

As for the radiation, I don't know. Having you go back 7 times in one year sounds crazy. I don't know that we've had anyone with that many callbacks. Are you going to a breast center for this? For now, mammography is the best tool we have for early detection. Until they come up with something better, we're stuck with it. But I'll tell you, sometimes I wonder, if my mom had had a routine mammogram at 40, would she maybe have lived a longer life? We'll never know.

I don't know your daughters, but I know mine. They would much rather see me take care of myself than ignore a potential problem. They want you around for a long time!

Hugs...
BEV
"There's a difference between a philosophy and a bumper sticker."  --Charles Schulz


Jeanette777
New Member


Date Joined Dec 2009
Total Posts : 8
   Posted 12/14/2009 2:37 PM (GMT -7)   
Bev..yeah.. my daughters too..but you just dont know if all these magnification views and mamos so often is really helping you at all..I have freinds that dont go for many years ..and they let it go.. you mom had breast cancer.. thats what would make me go..especially if its someone close in the family..hey..my mom died on dialysis..she had a genetic kidney problem so do i.. but not any more thanks to my new kidney.. soooooooo..i'm gonna close with..everyone has to deal with something..
Have a Great day!
Jeanette

barkyboys
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Date Joined Jul 2003
Total Posts : 1564
   Posted 12/14/2009 4:57 PM (GMT -7)   
Jeannette, that is so true! We all have to deal with something, it seems. But it doesn't seem fair that some people have to deal with so much more than others.

Take care,
BEV
"There's a difference between a philosophy and a bumper sticker."  --Charles Schulz

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