Microcalcifications found

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TigerFan
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Date Joined Nov 2007
Total Posts : 4
   Posted 11/23/2007 5:27 PM (GMT -7)   
Hi, I'm new on this post.  My mammo revealed group of microcalcifications on right breast Wed.  Looked like a group of 7-8 mini-dots.  New occurrance since last year's mammo.  14 years ago I had a small pea-size lump removed on same breast, which was benign.  Sister was diagnosed with BC age at 57 nine years ago.  I am 52.
 
Have an appt with breast surgeon 11/28 to discuss finding.  Radiologist said they'd probably do a needle biopsy, but thinks the microcalcifications would be benign.  I totally agree that I should have the biopsy, but am wondering if I should request the removal of these 'dots' now.  I'm not the type to wait around and would rather these be gone from my body now that we know they are there instead of fretting about possible development into something more... especially with a family history of BC.
Thoughts?  Experiences?  Many thanks!
 

gma
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Date Joined Jul 2003
Total Posts : 2921
   Posted 11/24/2007 7:12 AM (GMT -7)   
Sinc you are seeing a breast surgeon, I would guess removal might be on the agenda. With your family history, I certainly agree that removal would be best. Of course I personally feel removal is best at all times and the needle biopsy is great to acertain breast cancer when films indicate that most likely it is cancer. If you know ahead of time you can make plans for reconstruction at the same time if you are having a mastectomy.

How is your sister doing? That is important, too!

Hugs MK


TigerFan
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Date Joined Nov 2007
Total Posts : 4
   Posted 11/24/2007 11:38 AM (GMT -7)   
My sister is doing fine; although communication is not great about her cancer b/c she has always refused to talk about it... even to her own adult daughters!

Guess I'm a bit confused by your reply, MK. Are you saying that a needle biopsy is good as a first step b/c if it is cancer, then plans for reconstruction can be made when a mastectomy is scheduled?

But if the findings are benign after the needle biopsy, I'd still have the microcalcifications in my body. And for me, no matter what the findings, I'd want them removed. I'd worry if I didn't have them removed.

I'll get a lot of answers Wed. from the breast surgeon, but thanks for responding so I can arm myself with the right questions to ask!

gma
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   Posted 11/25/2007 7:45 AM (GMT -7)   
Sorry I confused you, but my thinking is that the point of a needle is so small it would be easy to miss a small area. Even when they take several samplings, I'd be afraid a benign result may not be absolute. If the result is malignant, it gives you time to set up surgeons and surgery to a suitable time.

My daughter had the needle biopsy that confirmed cancer, then she set up the surgery to include reconstruction because she definitely had to have a mastectomy. I went into surgery knowing that I would have a mastectomy if cancer was found, no matter what it was. I probably could have gotten away with a lumpectomy because it was caught really early. Her lump was larger and the surgeon was worried it was attached to the chest muscle. It was not, she had chemo and was fine for eight years. Then she found enlarged lymph nodes in her neck and tests showed recurrence. She has been under treatment for nearly a year and seems to be doing fine. She is also one who does not want to talk about it much.

Sorry you are not getting more answers but over a holiday weekend everyone seems to be busy and there is not much activity.

Hugs MK


TigerFan
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Date Joined Nov 2007
Total Posts : 4
   Posted 11/26/2007 3:44 PM (GMT -7)   
After spending lots of time reading other posts here, I called and got the radiologist's report this afternoon. It confirms a "cluster of calcifications, which are regarded as suspicious for neoplasm. Stereotactic core biopsy is recommended."

Question: From my understanding after researching this type of biopsy, I'm not sure this core needle will vacuum out all the questionable cells. If I want to be sure there is no doubt they get all the suspicious cells, shouldn't I ask for a type of biopsy where they cut and remove everything around the cluster?

Thanks for all the advice. I just want to be armed with all the knowledge and questions for the breast surgeon when I go this Wed.

TigerFan
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Date Joined Nov 2007
Total Posts : 4
   Posted 11/28/2007 4:46 PM (GMT -7)   
Saw the breast surgeon today and he recommended the core biopsy at first b/c he doesn't believe the microcalcs are malignant. However, after a discussion on how he can't be sure he would get all types of tissue to biopsy, I requested that he remove all the tissue in question. So, tomorrow I am having a breast needle localization and then he will surgically remove the area.

I feel much happier with this decision. I feel confident that the results from the pathologists will be thorough b/c they will be able to test all the tissue involved. My mind is already at rest!

postal2
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Date Joined Jul 2003
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   Posted 11/28/2007 11:30 PM (GMT -7)   
TigerFan, I am very happy to hear you are having it removed!! Let us know how it goes, ok? Sending good thoughts to 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


rhath
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Date Joined Apr 2008
Total Posts : 3
   Posted 4/7/2008 4:05 PM (GMT -7)   
I just found out I have micro-calcifications around nipple
are most of these benign?

postal2
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Date Joined Jul 2003
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   Posted 4/8/2008 11:06 AM (GMT -7)   
Probably most microcalcifications are benign, just like 80% of lumps are benign, but I always would want to be sure. I agree with MK if you can get it totally removed, do it. You'll then know FOR SURE. Let us know what goes on, OK rhath?
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


rhath
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Date Joined Apr 2008
Total Posts : 3
   Posted 4/9/2008 1:29 PM (GMT -7)   

I will have a biopsy done 3-17-08 will keep you posted.

Meet with Dr. today they said there are about nine spots.


rhath
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Date Joined Apr 2008
Total Posts : 3
   Posted 4/25/2008 12:31 PM (GMT -7)   
Hello went and had biopsy done everything went well all benign.

postal2
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Date Joined Jul 2003
Total Posts : 1106
   Posted 4/25/2008 8:24 PM (GMT -7)   
Rhath, GREAT NEWS!! Thanks for letting us know! We are celebrating with you!
Hugs, 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


jaclc
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Date Joined Apr 2008
Total Posts : 3
   Posted 4/27/2008 7:30 AM (GMT -7)   
tigerfan, how are you? I hope all benign and you are well.

With my clustered microcalcifications, I removed all the calcification area (all the few dots) usingreotactic vacuum-assisted percutaneous breast biopsy with the Mammotome device as recommended. Histology of the mommotomy cores was reported low grade nuclear grade, micropapillary and cribiform carcinoma in situ..
Hi,

Because of my family history of breast cancer on my father's side. 2 aunties (father's sisters) and 3 cousins (children of other sisters) and because I have very lumpy breast, I have mammograms done every 18months - 2 years since 1 was 41 years old. I am now 48.

I had nipple discharge in May 2005. Operation was done in June 2005 in Singapore to remove the benign intraductal papilloma of 6mm.

Ultrasound was reocommended as follow-up in 6 months but I decided to have it done in October 2005.Ultrasound showed a lesion of 6mm by 5mm. Mammogram showed nothing.My this doctor (in Malaysia) and his radiologist believed that this is the same lesion found earlier on.Intepreted to be benign. Follow-up ultrasound and mammogram in )October 2005 found lesion of now 4mm by 6mm to be stable. I went for ultrasound again in february 2006. The lesion has disappeared,where the region is a few microcalcifications noted and architectural distorion. I was recommended to do a biopsy on that left upper quadrant of my left breast.

I then had a mammotome biopsy done by another breast surgeon in Singapore in May 2006.I was diagnosed with DCIS on my left breast, upper left outer quadrant. Was recommended to do 6 weeks of radiation followed by 5 years of tamoxifen. As I have read on all the side effects of the drug and since am a born worrier esp. with my string of family history, I decided to have a mastectomy done I had the left mastectomy with two sentinel nodes removed same month in Australia.

My doctor ran into my hospital room with the histology report the next day and said I made the right decision to remove my left breast. Report shows that there were 3 lesions on all four quadrants of my left breast. Not seen on ultrasound nor mammogram. One lesion in the inner upper quadrant, one lower outer quadrant and the third lesion in the lower inner quadrant. The first lesion was 10x20x50mm@nd lesion measures 15x10x10mm. The 3rd lesion in the lower inner quadrant measures 15x14x10mm. DCIS lies over 10mm from all resection margins.DCIS's nuclear grade intermediate, architecture cribiform and comedo necrosis present.No evidence of metastatic malignancy in the two lymph nodes.
Both progesterone and estrogen receptor at 90% strong.

I went back to remove my right breast in June 2007. Dread those mammograms and ultrasounds!! Didn't want to worry anymore. Histology report on the right breast is lobular hyperplasia, columnar cell change and focal sclerosing adenosis. Benign tissues.

It is almost a year now. I have been on holistic nutrition and I feel healthier than ever. I am now with breast cancer support group in my region, I am most happy to be of help to others.


jaclc
New Member


Date Joined Apr 2008
Total Posts : 3
   Posted 5/7/2008 6:58 AM (GMT -7)   
jaclc said...
tigerfan, how are you? I hope all benign and you are well.

With my clustered microcalcifications, I removed all the calcification area (all the few dots) usingreotactic vacuum-assisted percutaneous breast biopsy with the Mammotome device as recommended. Histology of the mommotomy cores was reported low grade nuclear grade, micropapillary and cribiform carcinoma in situ..


That was about same as mine. Did they just remove the calcifications? Did you have a course of radiation? With mine, I was recommended to remove the area followed by 6 wks of radiation. I opted for mastectomy and the pathology report of the breast removed that there were actually 3 lesions over 4 quadrants of my breast that was not seen on mammogram nor ultrasound.

Close monitoring as they always tell us. I wish you well and happiness.

CindiVF
New Member


Date Joined Jul 2015
Total Posts : 2
   Posted 7/7/2015 9:27 AM (GMT -7)   
Hi all. I had two stereotactic biopsies on July 3 for two areas of microcalcifications in my right breast. I was told one group was starting to "line up." I could actually see them - six little dots in a row. The radiologist couldn't make out their shape. The second was a cluster within some dense tissue (I have very dense breasts). I've had other biopsies in the past as well. One excisional (fibroadenoma) in 1999, right breast, one ultrasound guided (fibroadenoma) 2006 right breast, one needle aspiration (cyst) 2006 left breast, stereotactic 2010 (microcalcifications - fibrocystic changes) right breast. I'm 48 years old. The biopsies I had on July 3 came back as fibrocystic changes. I was very worried because of the calcs that were in a line for the one area, I was worried because there were TWO areas of calc, and I was also freaked out because the radiologist used the words "of intermediate concern" for both areas that were to be biopsied (I didn't ask, but probably was a BIRAD 4B). That of course is better than highly suspicious (4C or 5), but still, there was not one point during this last round of biopsies when any of my providers (2 radiologists, my GYN or any nurses) told me not to be worried.

I wanted to share my story because sometimes what doesn't look to be good turns out okay. I have a grandmother who had two separate instances of BC, and many biopsies leading up to her diagnosis. As I was reading through stories on this site and others about microcalcifications, I hadn't come across anyone who had had as many biopsies as I have had at my age, but I'm sure there are many who have. Just in case you are reading this and are getting more scared about the number you have had, a good outcome can happen.
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