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nanbre
New Member


Date Joined Jun 2005
Total Posts : 10
   Posted 6/6/2005 3:07 PM (GMT -7)   
Hi.. am seeing a surgeon tomorrow for two lumps.. one large, one very small.. same breast... I got the reports and was TRYING to read them.. ha ha... saw one thing that someone might help me with...and that is a BIRADS score.. mine was a 4, with "suspicious abnormality"... what type of score is that? does it go to ten? I know my surgoen will answer, but was hoping for a few answers before I go.... thanks!

nanbre
New Member


Date Joined Jun 2005
Total Posts : 10
   Posted 6/6/2005 3:08 PM (GMT -7)   
they were the radiology reports.. I didn't clarify that... sorry!

Tavish
Veteran Member


Date Joined Jul 2003
Total Posts : 2272
   Posted 6/6/2005 3:42 PM (GMT -7)   
Hi Nan, sorry, I do not know about a BIRAD score, but someone else may. Frayda has a medical background and she may know. The key findings in the report will be the last paragraph, I think. The reports have 2 parts, one is a description of what they see and the other is their impressions and opinions.

Don't be surprised if the surgeon wants to take them out within a couple of days. You may want to make a list of questions and even take a tape recorder or a friend to help you hear everything.

L&H,
Lori


Lmmackey
Regular Member


Date Joined Mar 2005
Total Posts : 316
   Posted 6/7/2005 6:37 AM (GMT -7)   
Here is some information on the BIRADS system, along with some links for further information. Good luck to you - we'll be thinking about you and I wish you the best!!!!!!!!

Laure'


BI-RADS™ Assessment Categories:

Category 0: Need Additional Imaging Evaluation
Category 1: Negative
Category 2: Benign Finding
Category 3: Probably Benign Finding – Short Interval Follow-Up Suggested
Category 4: Suspicious Abnormality – Biopsy Should Be Considered
Category 5: Highly Suggestive of Malignancy – Appropriate Action Should Be Taken

The ACR’s BI-RADS™ system is the product of a collaborative effort between members of various committees of the ACR with cooperation from the National Cancer Institute, the Center for Disease Control and Prevention, the U.S. Food and Drug Administration (FDA), the American Medical Association, the American College of Surgeons, and the American College of Pathologists. According to the ACR, the BI-RADS™ system is intended to guide radiologists and referring physicians in the breast cancer decision making process that facilitates the management of patients.

The ACR provides detailed information on the BI-RADS™ system including a full text version of the document at http://www.acr.org/cgi-bin/fr?mast:masthead-products,text:/departments/stand_accred/birads-a.html

Patient information about the BI-RADS™ system is available at http://www.imaginis.com/breasthealth/acrbi.asp
The finger of God touches your life when you make a friend.
----Mary Dawson Hughes---


Tavish
Veteran Member


Date Joined Jul 2003
Total Posts : 2272
   Posted 6/7/2005 6:56 AM (GMT -7)   
My ultrasound said category 5, highly suggestive of malignancy. I guess the radiologist was right!

Thanks, Laure'!

Lori


Lmmackey
Regular Member


Date Joined Mar 2005
Total Posts : 316
   Posted 6/7/2005 7:55 AM (GMT -7)   
Lori, my score was also a 5. Another correct radiologist! Fortunately, she caught it early at 1.0cm x 0.7cm. My first surgeon was very impressed that the radiologist even caught it. I love her for finding it so early!!!!

L&H,
Laure'
The finger of God touches your life when you make a friend.
----Mary Dawson Hughes---


gma
Veteran Member


Date Joined Jul 2003
Total Posts : 2921
   Posted 6/7/2005 11:58 AM (GMT -7)   
My radiologist was also very correct, altho I don't recall that there was a BIRAD number. He said it was spiculated and highly suspicious for malignancy. He spoke to me directly after the second mammogram was done and showed me the film and explained it all. Love good caring doctors. Unfortunately this guy retired soon after my diagnosis. Hugs MK


babyseeester
Veteran Member


Date Joined Oct 2004
Total Posts : 826
   Posted 6/7/2005 12:54 PM (GMT -7)   
I hadn't ever paid attention to that on my report, but looked at it after reading this post.  Yep, mine was right, too.  I was a 5.
Kathy


nanbre
New Member


Date Joined Jun 2005
Total Posts : 10
   Posted 6/7/2005 12:57 PM (GMT -7)   
well then I am going to be happy with my four for the time being! Surgery is set for Friday... nervous, but ready to move on.. thanks for all your help!

Lmmackey
Regular Member


Date Joined Mar 2005
Total Posts : 316
   Posted 6/7/2005 1:48 PM (GMT -7)   
Good luck with surgery on Friday, Nan. We'll all be there is spirit and will be chanting B9, B9, B9, B9. Take care of yourself and let us know how things go, or write if you need any moral support. We're here for you!!!!

Laure'
The finger of God touches your life when you make a friend.
----Mary Dawson Hughes---


nanbre
New Member


Date Joined Jun 2005
Total Posts : 10
   Posted 6/7/2005 1:54 PM (GMT -7)   
one quick question... they are doing two exisional biopsies.. ( please forgive my spelling!) 1 hr surgery, 2 hrs recover, and home... how long realistically will I be "out of commission".. will I be in bed for a day or two or will I feel like being up and around the next day? I need to figure out if my husband should stay home a few days, have mom come do the boys, or what?

Lmmackey
Regular Member


Date Joined Mar 2005
Total Posts : 316
   Posted 6/7/2005 4:46 PM (GMT -7)   
An excisional biopsy is one where the doc does remove the lump and some surrounding tissue. If the two lumps are close together, doc will probably remove both together with the surrounding tissue. Here is an excellent article discussing it: http://imaginis.com/breasthealth/biopsy/open.asp

It is very much like a lumpectomy, which is what I had for my first surgery. I also had one lymph node taken. I also went home same day and went right to bed (mine was late in the day and I got home at 9pm). The next day I showered and felt good, although I was sore. I have two boys, 10 and 7, and I would not have wanted to be home alone with them because of all of the miscellaneous things that come along. Making lunch, for instance, since reaching etc. is difficult. Also, remember that you will be undergoing anesthesia and that is hard for your body to just instantly recover from. You'll need at least one full day of rest and doing nothing. If you can get help for several days, I would suggest it since your breast will be pretty tender. I was supposed to wear a bra for support and compression on the incision, and for 3 days I couldn't put it on myself. Other than the tenderness, I felt pretty good, had a good appetite, but really just wanted to relax. Listen to your body! What state do you live in?

Feel free to ask anything else. Everyone here on the board has been through probably every bc experience and can offer loads of information. Good luck!

Laure'
p.s. still chanting B9, B9, B9
The finger of God touches your life when you make a friend.
----Mary Dawson Hughes---


nanbre
New Member


Date Joined Jun 2005
Total Posts : 10
   Posted 6/7/2005 6:07 PM (GMT -7)   
that is so helpful.. thank you! My parents will just keep the boys all weekend long... so I can sleep and get better! I will have two incisions, since they are at 7 and 3.... I will email friday or sat to let you know what they find! I live in Houston, Tx by the way!

Tavish
Veteran Member


Date Joined Jul 2003
Total Posts : 2272
   Posted 6/7/2005 6:19 PM (GMT -7)   
Nan, there are so many factors in play. How old are your boys? Lifting them may be hard, but if they are older or can climb on your lap, you may be fine. You will want to protect the breast for a while, just listen to your body. I slept on my right side (left was surgery) with a pillow to prop my arm and keep it off my breast. I was very alert and had little pain after surgery. I took either 1 or no pain pills, can't remember, but I may have just taken advil. Any activity with that arm will be a little harder. With my surgeon's agreement, I went back to work the next day. I could only tolerate gentle hugs but felt no reason to stay at home. Especially since I had my diagnosis when I left the hospital, I needed to be with people and try to remain normal and active. Your attitude and power of the mind will take you far.....I was so determined to get right back up and I have a high threshold for pain,.....so there are some individual factors.

It may also depend on the anesthesia. For my lumpectomy, I had a local with a twilight. For the lymph nodes, I had a general, which is a whole 'nother ball game. My surgeon allowed me to shower the next day, no restrictions. I recall noticing the breast at times when I never did before, like going up or down stairs or sitting up in bed from a lying down position.

Concentrate on the B9 chant and if you listen, you'll hear it coming from all of us too!
Lori


nanbre
New Member


Date Joined Jun 2005
Total Posts : 10
   Posted 6/11/2005 4:37 PM (GMT -7)   
surgery went well.. removed both lumps... dr. seems very positive!  Will know results Thursday.. thanks for all the support!

Lmmackey
Regular Member


Date Joined Mar 2005
Total Posts : 316
   Posted 6/11/2005 5:09 PM (GMT -7)   
Glad it's over for you Nan. How are you feeling? Remember to take it easy! Please let us know how things go on Thursday, and if you need anything before then, we're here!!!!!

L&H,
Laure'
The finger of God touches your life when you make a friend.
----Mary Dawson Hughes---


gma
Veteran Member


Date Joined Jul 2003
Total Posts : 2921
   Posted 6/12/2005 5:23 AM (GMT -7)   
Glad to hear the doctor seemed positive. They usually can tell once the surgery is done. I will be waiting to hear good news from you. HUgs MK

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