Help with Interpreting report?

Drooliagoolia

I am 37. Last year I felt a lump in my left breast. I had a mammogram and ultrasound, likely a Fibroadenoma, but biopsy was recommended. I have breast implants, so they tried biopsy but could not safely get to it without risking the implant. They decided follow up was safe.

Now it's one year later and I had my diagnostic mammogram. That mass has grown a bit, but they still think likely a Fibroadenoma. They want to biopsy anyway. BUT

they also found a new mass on the mammogram. Ultrasound done and it is irregular, 0.7x0.3x0.8cm. Hypoechoic. Adjacent hypervascularity.

I am scheduled for biopsies of both sites for Monday. They said Somethig about needing surgical excision anyway, but I missed it (anxious at that point- she started questioning if it was possible someone in my family has breast ca)..

so- any words of wisdom? Is the adjacent Hypervascularitygood or bad? I know irregular is bad.

Thanks!!

Egads007

Hi Drooliagoolia - I’m sorry you’re having to go through all this, it’s such a worry You might have more luck if you posted this to member DJMAMMO’s thread ‘Interpreting your report’ DJ is a board certified radiologist that very generously answers all our rad questions. We’re lucky to have him. Here’s the link:

https://community.breastcancer.org/forum/83/topics/858196?page=13#post_5202548

Sending you positive vibes for clear results and an easy biopsy on Monday. Keep us posted please!

DATNY

Unfortunately, hypervascularity is usually bad, it is the most reliable sign of cancer. However, since you have implants it could be some weird body reaction to it. If would be me I would start looking up surgeons. The good news is that the lession is tiny, and if it is cancer it was caught very early. Best of luck with everything!

djmammo

DATNY

I would be interested in an article / reference regarding the "most reliable" statement. Thx.

DATNY

Here is one: https://www.sciencedirect.com/science/article/pii/...

Did a lot of reading last year as I was waiting for my biopsy and hypervascularity was always on top of the list. Made me think I ditched the bullet as my masses didn't show an enhancement, but no. So I guess the reverse can happen too.