Concerned&Nervous

Elijahgirl

The odds seemed stacked, I have recently loss my Mother to Breast cancer and my sister has staged 4 breast cancer.

I recently tested positive for BRCA 2 and have had bloody nipple discharge.

I had a Breast MRI which came back with the following; which showed a rapid initial phase and a delayed plateau phase the BI RAD came back as a 4. The MRI also stated that I had mild increased levels of BPE.

I am scheduled to have a biopsy next week. Nothing I have read so far sounds encouraging. I am very nervous about the biopsy. With my history does this increase the possibility of it being cancer

djmammo

Elijahgirl

Can you post the entire report? Need more details.

Also BPE is "background parenchymal enhancement", not an abnormality, just a technical remark indicating how much diffuse enhnacement there is in the tissue, like remarking on the density of a mammogram.

Elijahgirl

I don't have the report yet, will have it tomorrow this was what was told to me over the phone. I do know that nothing originally showed on the US or Mammogram. Just the MRI and I believe the mass is small about the size of a pea or peanut. I know I won't nothing definitive until after the Biopsy. I am concerned because I am already a cancer survivor of Non Hodgkins Lymphoma. The thought of having to have chemotherapy and radiation again sucks. As far as having possible mastectomy even if it is preemptive is something I have already considered because I would much rather be without these girls then have my family go through what I just went through with my Mom or what my sister is going through now

djmammo

Elijahgirl

Did you have chest radiation with the lymphoma? That can increase your chances of breast cancer. When they do the biopsy ask if the mass is in the duct, it may just be a papilloma and not a carcinoma.

With your history ask about the prophylactic mastectomy and oophorectomy (removal of ovaries) which is recommended for some BRCA subtypes (this is incidentally what Angelina Jolie had done).

Elijahgirl

No the radiation was in the upper abdominal area just below the diaphragm. My report says that my breast perechymal pattern is heterogeneously tissue. The mass is only 4mm in size, an a oval circumscribed enhancing mass. It is located at 6:00 axis anterior depth and 1.9 cm from the nipple. It states that this demonstrates subjective rapid initial and plateau delayed phase enhancement. Impression , suspicious 4mm enhancing mass with reported suspicious right nipple discharge anterior depth. Suspicious BIRADS 4. But does not specify whether it is 4 a,b,or c.

So I don't know quite what to think about what I am reading or how concerned I should be

Elijahgirl

So I have an appointment with the oncologist surgeon tomorrow, and on Monday I have an appointment with the plastic surgeon and my MRI Biopsy, still concerned because my surgeon has told me that even if it comes back benign it still may not explain what it was they saw on the MRI and I should consider having the Mastectomy anyway based on my family history. I also just found out that there is a difference in Chek 2 and Brca 2 , I thought it was the same thing, so I wonder which is worse.

wallan

Hi Elijahgirl:

I just need to give you a virtual hug!

I hope that your tests show benign. You have been thru ALOT.

wallan