not able to understand doctors

smohammad

i'm so thankful to find this community! i'm bit worriers about my self i have been through basic diagnosed starting by doctor consultation then ultra sound then FNAC.

So I'm worried and scared of what they find, but hopeful i am not going have this condition.

Would love to hear from experts in this area and suggest what should i do next, would i worried or not for upcoming and shell i go for biopsy?

Note:

i have no symptoms at all of breast cancer, no change in shape/size, no weight loss or gain/ no swelling of all or part of a breast/ no skin irritation or dimpling / no breast or nipple pain/ no nipple retraction.

• Ultrasonography report of both breasts:

both breasts parenchyma appear uniform in echo texture.

A cystic lesion with internal moving echoes and layering of the turbid contents noted at 2 0,clock position of left breast, at the site of lump. Small lobulated echogenic component with internal vascularity noted in its anterior wall. it measured 2.3x2.0 cm.

no obvious focal cystic or solid lesions in right breast.

no macro calcifications seen.

Bilateral prominet retroareolar ducts.

Bilateral likely non specific axillary lymph nodes of preserved fatty hila.

Impression:

U/S findings of left breast lesion likely a complex cystic mass.

FNAC is recommended to rule out neoplastic process.

• Cytopathology Report.

Material:

Fine needle aspiration cytology from left defined cystic mass about 2.5x2cm in diameter located at 2 o,clock yielded 6ml of bloody fluid and material.

Micro: Cytological examination of the smears stained by modified papanicolaous's and giemsa stains in addition to poor cell block revealed low cellular specimen showing few papillary clusters of cohesive ductal colummar cells with mildly pleomorphic hyperchromatic nuclei and preserved cytoplasm.

There aer bare nuclei, lymphocytes, foamy histiocytes and fresh or old erythrocytes in the background.

Diagnosis:

Left breast cystic mass, FNAC guided, Haemorrhagic cystic changes with Papillary lesion of uncertian nature.

Note: Excision biopsy is recommended

your comments on this highly appreciated.

Thanks in advance.

NotVeryBrave

I'm sorry that you find yourself here with concerns.

It sounds like it's probably a complex cyst (benign), but only a few cells were recovered with the FNA and some are difficult to identify. They are recommending that the area be surgically removed so that the pathology can be fully done.

Excisional biopsy is basically a lumpectomy where cancer is not diagnosed but removal is still advised. Once the surgery is done, they should be able to tell you exactly what it is and if any further monitoring or treatment is needed.

Good luck!

djmammo

smohammad

It would be easier for members to follow your story if you keep your inquiries to one thread.

KBeee

FNA does not give quite as big a sample as other biopsy methods, so wince there was some inconclusive results, it looks like they want to do an excisonal biopsy (lumpectomy). This will give more definitive results. That's my take on it.

smohammad

thanks for all your valueable comments, i am preparing biopsy expacing to do by the mid of April.

Outfield

FNA is the easiest way to biopsy something that can be reached with a simple needle, but unless it definitely shows something bad it's not as useful as other kinds of biopsies.

Besides looking at cells, pathologists need to see how those cells are arranged. Often times the sample is such a small fragment that it's not possible to see that arrangement well. Sometimes the thin needle that is used doesn't even happen to get a sample of anything useful.

It's not just an issue in breast cancer. Often FNA is tried with the hope that it will get a diagnosis, but knowing that it may not and a more extensive type of biopsy will be needed, like the excisional biopsy.

So don't think of the vague result as something bad with you: it's just a known limitation of FNAs in general.

tracyn

I am not sure why my BI-Rads were a 4. On Monday I am getting a Stereotactic Biopsy.on my right breast I'm already diagnosed with lcis and alh. My mammography and ultrasound findings are:

Fibroglandular tissue is heterogeneity dense. This may obscure a small lesion on mammography. Small area of stable nodularity is noted in upper anterior aspect of the right breast. There is an area of focal asymmetry noted in the central left breast. There are a few benign calcifications noted in each breast. However, there is an area of loosely grouped punctate calcifications in the upper outer quadrant of the right breast not clearly seen previously. There are a few areas of loosely grouped calcifications in the medial aspect of the right breast only identified on craniofacial magnification view.

Everything I am reading says that loosely group calcification is b9. Is this overkill? Thank you!