2nd Opinion for Biopsy?? Abnormal mammo/ultra -

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New Member

Date Joined Aug 2006
Total Posts : 1
   Posted 8/9/2006 12:57 PM (GMT -7)   
Question: I'm new here just looking for answers. Maybe i'm overreacting but just want your take on it.

Just went for mammogram. Came back abnormal, dense breasts, wanted additional views and ultrasound. I'm 48 yrs. Old. Had additional views and ultrasound.

Showed the following on ultrasound:

right breast:
9 o'clock - 11 cm from nipple, 11x3x9 mm ovoid, hypoechoic mass with central echogenicity compatible with intramammary lymph node.

9 o'clock - 5 cm from nipple, 8x3x8 mm intramammary lymph node.

Left breast:
3 o'clock - 11 cm from nipple, 8x2x4 mm intramammary lymph node.
2o'clock - 4 cm from nipple, 6x3x6 mm intramammary lymph node.
3 o'clock - 4x3x4 mm intramammary lymph node.

benign appearing bilateral intramammary lymph nodes, three on left, two on right.

Birads assessment: category 3 - probably benign

recommendations: advise 6 month sonographic follow-up of both breasts.

I'm a wreck! I don't like the "probably" benign finding. To me that's not definitive enough for my peace of mind. I don't know why biopsy is not recommended to get that "definitely" benign finding. I've read that any lymph nodes larger than 1 cm should be biopsied which is the case with the one measuring 11x3x9mm. Isn't that 1.1 cm?

Does anyone know if "benign appearing" lymph nodes can one day become malignant?

What do you think? Take their recommendation or pursue further. I need peace of mind. I have no breast cancer history in my family. Although there is history of cancer of maternal and paternal grandparents. I think the reason this scares me the most is that my mother-in-law was diagnosed in march with metatastic breast cancer (she was feeling okay but just didn't feel 100% so she went for check up). She sadly passed away 3 weeks later.


Veteran Member

Date Joined Feb 2005
Total Posts : 730
   Posted 8/10/2006 8:39 AM (GMT -7)   

Good Morning Diana! Wow, I wish that I had the medical knowledge to tell you what the report meant from your ultrasound. Unfortunately, I don't. Here is what I can suggest or what I would do. First, I would get copies of the films that were taken. You already have the written report. Then I would find another physician and get a 2nd opinion. Perhaps a surgeon or your obgyn. I have always been a big believer in "following your gut feeling". If you feel this uneasy, then do something about it. Find the dr that will answer all of your questions in a language that YOU can understand. Write down the questions that you have and take them w/ you. Also, be sure and take someone else when you go for the appt. Not only for moral support but for another pair of ears. Don't give up until you find someone that will review your films and examine you. You are your own best health advocate.

Keep us informed and let us know if there is anything else that we can do.



Veteran Member

Date Joined Sep 2003
Total Posts : 1373
   Posted 8/10/2006 10:06 AM (GMT -7)   
Welcome to the board.  I just had to respond to your post because I found out I had cancer when I had a lump and a normal biopsy.  The doctor told me to wait six months but I went to a breast surgeon for a second opinion right away.  he did a needle biopsy, guided by an ultrasound right there and I found out that day because he was leaving for Japan the next day and wanted me to be able to make a decision instead of waiting.  He was wonderful.  If you're near NYC, I'll give you his info.  I would definately go with my gut too.  I know nothing about the medical jargon, but I'd want to feel safe and if my insurance didn't cover the second opinion, I'd go anyway.
"Our greatest glory is not in never falling, but in rising every time we fall." -Confucius
Don't knock on Death's Door.  Ring the bell and run.  He hates that.


Veteran Member

Date Joined Oct 2004
Total Posts : 826
   Posted 8/10/2006 1:44 PM (GMT -7)   
Welcome to the board.  I'm sorry you are going through this.  I agree with Ellen and Deb - get a 2nd opinion.  And if you don't get satisfaction with that, get a 3rd.  You have to follow your instincts.  Please keep us informed on your progress.  We're here for you.
L & H,

Regular Member

Date Joined Jul 2006
Total Posts : 139
   Posted 8/10/2006 9:23 PM (GMT -7)   

I'd like to clarify. Did you mean that you had a a lump and a normal MAMMOGRAM? Cause you wrote biopsy. I have a lump that I've noticed has grown and changed, The mammogram and ultasound were both normal.

Veteran Member

Date Joined Jul 2003
Total Posts : 1294
   Posted 8/11/2006 7:10 AM (GMT -7)   


Second opinion is always best.  You are your best support.  Go with you gut like the other ladies stated.  A second opinion will settle your fears.  Stay with us and peace be with you.



Two are better than one, because they have a good return for their work: if one falls down, his friend can help him up.  Ecclesiastes 4:9-10

Veteran Member

Date Joined Jul 2003
Total Posts : 2921
   Posted 8/12/2006 2:32 PM (GMT -7)   
I hope by now you have decided to push for a biopsy. Not all masses are cancer, certainly, but not all cancer masses look the same nor do benign ones. The best way to know is to have a biopsy. There is a needle biopsy which is easier than surgical biopsy which is not a difficult surgery at all. Personally I would want a surgical biopsy because the needle could possibly hit off the mass, especially if it is a movable mass. However, if cancer is suspected and a needle biopsy confirms it, so much the better. In your case they seem to be saying they believe it is benigh. Keep us posted as to what is happening, please. We care. Hugs MK

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