BI-Rad 4 scared spot mammo results

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trishy
Regular Member


Date Joined Sep 2008
Total Posts : 20
   Posted 11/10/2009 5:39 PM (GMT -7)   
I just went for a sterotactic biopsy and must wait a week for results. Can someone explain what this might mean.
My spot mammo showed several calcifications clusters scattered in the m;iddle third region of the left breast at midline and others in the upper outer quadrant anterior to middle third area. 3 clusters have increased in number since 2008 mammo study. They are quite numerous and somewhat pleomorphic in nature at the clusters. Due to their pattern of calcification in somewhat rounded palisading nature, question whether they are papillary lesions.
Is pleomorphic and rounded bad? What are papillary lesions. Are my odds good that nothing else will have to be done besides the biopsy I just had done? Thank you all.

barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 11/14/2009 8:23 AM (GMT -7)   
Hi, Trishy. I've been trying to post, but for some reason, couldn't log on. Sorry! I was hoping someone would answer you...
I'm sure you know that calcification clusters can be an indication of breast cancer, "in situ", in particular, but not always. "Pleomorphic" just means that the calcifications are of irregular shape and size. Again, could be an indication, but not necessarily. Papillary lesions are typically benign growths in the lining of the milk ducts. Again, typically benign, but they can harbor cancer cells, as well. If the needle biopsy results are benign, you might want to ask your if a surgical biopsy would provide a more definitive answer. Hope this helps you. Let us know how it goes.

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


trishy
Regular Member


Date Joined Sep 2008
Total Posts : 20
   Posted 11/14/2009 9:06 AM (GMT -7)   
Thank you Bev for your reply. Got a call yesterday from the Dr. who did the sterotactic. It was benign but atypical cells were found. I have an appt. with a surgeon in two weeks. Now I'm more scared. What happens if they find the same in the rest of the tissue they take. Meaning benign but atypical? How is that treated in the furture. If cancer is found, is this very early cancer since only microcalcifications were found on my mammo originally? I don't have the report yet and did not get call back from my gyno to explain what type of atypical cells. Thank you for any info . I didn't expect any of this since my mom is 80 and never even had any abnormalty found ever on mammo. Thank you again.

barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 11/14/2009 5:26 PM (GMT -7)   
Hi, Trishy. I'm glad you're seeing the surgeon. You've had lots of "warning!" flags, and I don't think a needle biopsy takes enough tissue to assure a "benign" finding with as many "question marks" as you have. Atypical cells are not cancer, but have obviously undergone cellular changes. If those cells continue to change and proliferate, then they could, theoretically, become cancer. Or they could die off rather than multiply, and then you would revert back to "normal" cells. ( I had atypical cells on my PAPs for a couple of years, then they progressed to dysplasia, and then they reverted back to normal... PAPs have been normal for several years now... who knows why!) At one time, there was a lot of discussion about a procedure called "ductal lavage," which draws ductal cells out of the nipple with suction, in order to follow atypical cell changes in the breast... (kind of a "PAP smear" of the breast ducts). I haven't heard much about it lately, but if your surgical biopsy findings are the same (atypical), then it would be something to ask your doctor about.

If they were to find any cancer in the surgical biopsy, it sounds like you have been diligent in getting your mammograms, so that is a big "plus" for you as far a catching things early.

With no family history, I can imagine that this is a big shock for you to be dealing with all of this. My mom passed away from cancer at 45, so it was always in the back of my mind, that I could have it, too, but when I was diagnosed at 36, I thought the world was crashing in on me, nonetheless. I wish I'd had "HealingWell" back then. I knew no one with breast cancer, and I felt like I just didn't have anyone I could talk to about all this stuff.

Right now, all you have are some red flags, and that ship could very well end up to be deserted! That's what we'll all be hoping for, anyway... positive thoughts. They aren't easy right now, but they're better than negative thoughts any day!

Hope this helps. Let us know when your biopsy is. We'll send out the "benign" mantra.

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


trishy
Regular Member


Date Joined Sep 2008
Total Posts : 20
   Posted 11/14/2009 6:01 PM (GMT -7)   
Thank you again Bev . I'm so sorry to hear about your mom. I'm very lucky to have my mom still . My husband is concerned but she is my shoulder to lean on. I just want to be around so my daughter (just got married) has me to lean on also when she needs comforting. She is 25 has never had regular periods as well as atypical cells with pap smears. She is on the pill and I always worry about the side effects from that also as well as the constant atypical cells. It scares me that it's just like waiting until the cells are no long just atypical and nothing is being done about it.
I just turned 51 and I'm sorry that you had to go through all of this at such a young age. I will let you know how it all turns out. The waiting again is the worst part. Especially around the holidays. Thank you so much for the information and kind words.
Pat

barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 11/15/2009 3:55 PM (GMT -7)   
Well, I am very lucky to have a terrific stepmom who is going strong at almost 78 (I think). I know what you mean about the atypia on the PAPs. At the time, I felt like they were just prolonging the inevitable by waiting, but I was past the "childbearing" stage. If your daughter just got married I'm sure there are grandbabies to be made! I'm 51 as well, have one grandbaby, three grandpuppies, and two grandkitties. Much to be thankful for!

Again, let us know when your biopsy is scheduled.

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

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