another biopsy only 3 months after surgery

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Regular Member

Date Joined Sep 2008
Total Posts : 20
   Posted 3/27/2010 9:54 AM (GMT -6)   
I had surgery done on my left breast after stereo biopsy for microcalcifications. Two benign papillomas were removed and a large area of severe atypical ductal hyperplasia. Now three months later I had my followup MRI with contrast and got a call back from surgeon that I need another biopsy this time MRI guided Core needle. Left breast showed irregular heterogenious clumping with washout. It was a birads 4. I can't believe that in this short time I'm facing this again. Why oh why wasn't the MRI done before the surgery three months ago? I'm now facing possible surgery again and I feel this would have all been taken care of with last surgery. Also I'm worried that this has been there all along and mammo did not pick it up. Also can anyone tell me if the MRI findings look really bad for a diagnosis of Cancer this time? I know only Biopsy can tell but I have to wait two weeks and I'm so anxious again. Thank you ladies.

Veteran Member

Date Joined Jul 2003
Total Posts : 1106
   Posted 3/27/2010 1:49 PM (GMT -6)   
Trishy, I am sorry you are going through another surgery. I can't help you with your question, but someone on here may be able to. Weekends it is slow, so hang in there and stay with us. I am sending hugs, positive thoughts, and prayers for you.
  Be the kind of woman that when you feet hit the floor in the morning,
                                    The DEVIL say's,
                                "Oh crap!  She's up!!

Regular Member

Date Joined Sep 2008
Total Posts : 23
   Posted 4/14/2010 4:44 PM (GMT -6)   
Routine breast MRI are not generally done even in patients with your history (papillomas and atypical ductal hyperplasia). One of the reasons is that it tends to be too sensitive and picks up a lot of stuff that the doctors don't know what to do with. So, of course this leads to alot of biopsies. The vast majority will be negative.

The reason you didn't have a breat MRI to begin with, is that it is not the community standard of care. So I'm actually not sure what it was ordered in the first place? Regardless, don't worry, I know it's a hassle, but like I said, the vast majority will be negative. "Irregular heterogenious clumping with washout" could just mean hyperactive breast tissue (fibrocystic changes, etc.)

Good luck.

Veteran Member

Date Joined Jul 2003
Total Posts : 1564
   Posted 4/14/2010 8:36 PM (GMT -6)   
Trishy, I'm so sorry you're going through this again so soon! I really don't know that much about breast MRI's, but my guess is, since you had the surgery done so recently, they wanted a good, clear picture of the breast tissue. I know it is easier said than done, but our friend MK would tell you not to worry til you know if there is something to worry about. And there is nothing like a negative biopsy to ease one's mind.

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

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