7 mm nodule found on mri, now ultrasound...

triviamom2

Hello everyone,

I have been lurking for about a week here and want to vent.  Here is my history:  have been going for yearly mammos since I was 30 due to maternal grandmother with bc.  I am now 39 and went last week and microcals were found on my right breast.  My gyn sent me for a  MRI of both breasts and just got a call today that the MRI shows that the breast with the microcalcs is fine, but the other breast has a 7 mm lateral nodule that needs further evaluation with an ultrasound, so that is scheduled for Friday.

I am going crazy here!  This waiting is awful, I wish they would just schedule a biopsy so I will know one way or another.  Another thing is that I am so surprised that the breast we were originally worried about is fine and now it is the other one that has the nodule.......

Thanks for listening!!!

triviamom2

My doctor also told me it was found along the chest wall with some microcalcs.  Will an ultrasound be able to tell if it needs to be biopsied with it being where it is?  Thanks!

Anonymous

breast MRIs are very good for finding invasive bc, but they are also extremely sensitive and therefore tend to pick up "everything"--a lot of which is benign "stuff". I have yearly MRIs due to LCIS (non-invasive bc) and family history of bc. My first MRI showed a 7 mm nodule on my good side that docs felt was probalby benign and recommended a 6 months f/u. (I wasn't comfortable with that, so had a f/u mammo that was clear) Same thing happened the next year with 3 new spots appearing, so I had  f/u US that again was clear. My last 2 MRIs have been totally clear of findings. Praying you get good benign results soon.

Anne

mawhinney

MRIs, although valuable screenings, yield many false positives. The Ultrasound will help clarify what was found  on the mri.  Ultrasounds are often better at evaluating & detecting cancers. If something suspicious is discovered, they may do an ultrasound guided biopsy.  I have had many, many false positives but last June cancer was found.  Scary but I was very happy that it was found early. 

This past May my mri showed a questionable area which a follow-up ultrasound proved to be a false positive result. Aren't we lucky that we live in a day and age where all these screening devices are available! 

triviamom2

Well, I had the ultrasound yesterday and the tech and dr used my MRI as a guide to see what the mass was and both decided it was a 7mm lymph node.  The MRI had also said I had enlarged lymph nodes in my armpit, but I guess that they didn't think this was anything significant.

My worry is that I hope they didn't miss anything.  She only did the ultrasound on one part of my breast and said that she and the doc said that was 100% the mass they were wanting to loook at.  I am also still worried about the microcalcifications they found in the other breast.  I know I should just quit worrying and celebrate the results, but I still have this feeling....

I go for follow-up in six months for a mammo. 

jules_1963

So if anyone can answer have a 6mm mass done 3d Mammo. Was called back for more pics and then nurse came back said we are taking you into ultra sound. Then Dr casme in looked at it said get dress lets meet in my office. I went to office biopsy schedular there. But my Doctor who recommend me wants me to see a surgeon to do biopsy. It was graded bi rad 4c highly suspicion of magilancy. Do biopsy Thursday, is this bad are good. I don' know how to feel. But family physicin got her report and sent text keeping yo in our prayers. Radiologist Doctor said he felt it was malignancy I figure he looks at enough to tell. Anyone' opinion would help, taking it one step at a time.

chronicpain

Jules, if you want honesty, with what you describe, assuming competent reads, it is probably a malignancy, but just get the biopsy ASAP and lay the issue to rest. Even if a cancer, however, it could be a very treatable and low grade one like I just had removed.

Hoping for the best for you. If you are having trouble sleeping or much anxiety, ask your doc for a sedative to help you through this

MTwoman

So sorry you find yourself here jules, with questions and concerns. This thread hasn't been active since 2009, but I can answer some of your questions. BIRADS 4c has a positive predictive value of 79%, which means that in 79% of the time a BIRADS 4c finding is malignant. Notice that isn't 100%, so there is still room for a b9 pathology result, but given the radiologist's impression, I would encourage you to try and prepare yourself mentally for a bc diagnosis, continuing to hope that it isn't. I guess I'm not sure whether it really matters whether a surgeon (who does some biopsies) is better than the Radiologist (who does lots of biopsies), but if you already have your biopsy scheduled, that point is mute. I would ask them on Thursday when they expect to get your pathology results back, and also if they will insist on you having a follow up appointment to get the results, or if they will give them over the phone. (different facilities have different protocols and it helps to set expectations) If they want you to have a follow up appointment, I would encourage you to bring someone with you as it can be difficult to remember to ask questions and take in all of the information given - even with b9 results (in that case there will be short interval follow up, or sometimes even removal is recommended). That person can be there to support or celebrate with you. Sending you positive thoughts for b9 results.