Should I wait for follow up.

Gdavis

Looking for advice. In 2012 a lump was found in my breast by my obgyn. I couldn't feel it myself and when sent for an ultrasound because I couldn't feel it they wouldn't even perform it. Last year I felt two small lumps in my armpit and didn't think it was anything to worry about and let it go. In the winter I found a lump in my breast. I thought it was just a cyst. In April my husband noticed and made me make an appt, and after ob finding both the breast and node lumps set up mammogram and ultrasound.

The result were and these are the docs exact words..it is PROBABLY not cancer but not sure. They even sent the same in a letter.

I did genetic testing and all is negative.

My concern is that they should have done a biopsy. I have a 6 month follow up in September. And of course WebMD is just scary and I'm worried I am freaking myself out. The lymph nodes have not gone away, the lump in breast hasn't either. My chest hurts, like in the center and around the lump though lump does not hurt. I'm losing weight fast and not trying. I'm petite but 97 pounds is not my norm, sleepy and weak. Am I freaking my self out. Any words of wisdom would be helpful

Ginny

gb2115

Is your OB ok that you didn't get a biopsy?

Gdavis

It would seem so. I'm thinking I should get a second opinion. I don't think I would be as worried if there was no lymph node involvement

moth

do you have a copy of both the mammogram and ultrasound reports and esp the BIRADS scores which should be listed there

Gdavis

LIMITED RIGHT BREAST ULTRASOUND Findings: Focused sonographic evaluation in the region of palpable concern, at the 3–4:00 axes of the retroareolar right breast, demonstrates a circumscribed, parallel, mixed cystic and solid nodule at the 3:00 axis, measuring approximately 1.0 x 0.4 x 0.5 cm, demonstrating slight edge refraction with no abnormal internal vascularity. Areas of central internal echogenicity and possible layering debris level suggest possible complicated cyst. Focused sonographic evaluation of the right axilla, in the region of palpable concern, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.5 x 0.8 cm with preserved, echogenic fatty hilum and vascularity. No abnormal cortical morphology or pathologic enlargement by size criteria. IMPRESSION: 1. Complicated cyst at the 3:00 axis of the retroareolar right breast corresponds to the palpable concern. Imaging appearance is likely benign, however follow-up right breast ultrasound in 6 months is recommended to ensure stability, which has been scheduled. 2. Benign-appearing right axillary lymph node. ULTRASOUND EXTREMITY LIMITED - LEFT AXILLA Indication: Left axillary lump. Findings: Focused sonographic evaluation of the region of palpable concern, at the left axilla, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.6 x 0.9 cm, similar in appearance to the right axillary lymph node, with preserved echogenic, fatty hilum and normal vascularity. No abnormal cortical thickening or pathologic enlargement by size criteria. IMPRESSION: Palpable concern at the left axilla corresponds to a appearing left axillary lymph node. All imaging findings were reviewed in person with the patient and her husband at the time of the examination. BI-RADS 3–probably benign; short interval follow-up right breast ultrasound suggested.

Gdavis

arrativeBILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM Indication: Palpable lump at the 3:00 axis of the right breast in the periareolar region. Additional palpable masses within both axillary regions. Family history of breast cancer in the patient's mother, diagnosed at age 40. Comparison: None available. Technique: Bilateral CC and MLO projections were obtained, along with spot compression right CC and MLO views. CAD software was utilized during image interpretation. Findings: The breast tissue is dense, limiting sensitivity. No suspicious mass, architectural distortion or suspicious calcifications are identified. Palpable markers are visible overlying the inferomedial right breast and both axillary regions. Multiple small lymph nodes are visible within both axillae.

Gdavis

Dense breast tissue, limiting the sensitivity of mammography. No mammographic evidence of malignancy. Sonographic evaluation to follow. LIMITED RIGHT BREAST ULTRASOUND Findings: Focused sonographic evaluation in the region of palpable concern, at the 3–4:00 axes of the retroareolar right breast, demonstrates a circumscribed, parallel, mixed cystic and solid nodule at the 3:00 axis, measuring approximately 1.0 x 0.4 x 0.5 cm, demonstrating slight edge refraction with no abnormal internal vascularity. Areas of central internal echogenicity and possible layering debris level suggest possible complicated cyst. Focused sonographic evaluation of the right axilla, in the region of palpable concern, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.5 x 0.8 cm with preserved, echogenic fatty hilum and vascularity. No abnormal cortical morphology or pathologic enlargement by size criteria. IMPRESSION: 1. Complicated cyst at the 3:00 axis of the retroareolar right breast corresponds to the palpable concern. Imaging appearance is likely benign, however follow-up right breast ultrasound in 6 months is recommended to ensure stability, which has been scheduled. 2. Benign-appearing right axillary lymph node. ULTRASOUND EXTREMITY LIMITED - LEFT AXILLA Findings: Focused sonographic evaluation of the region of palpable concern, at the left axilla, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.6 x 0.9 cm, similar in appearance to the right axillary lymph node, with preserved echogenic, fatty hilum and normal vascularity. No abnormal cortical thickening or pathologic enlargement by size criteria. IMPRESSION: Palpable concern at the left axilla corresponds to a appearing left axillary lymph node. All imaging findings were reviewed in person with the patient and her husband at the time of the examination. BI-RADS 3–probably benign; short interval follow-up right breast ultrasound suggested. 5 year breast cancer risk assessment 0.5 % Lifetime breast cancer risk assessment 17.2 % Breast cancer risk category Low (<15%) NarrativeBILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM Indication: Palpable lump at the 3:00 axis of the right breast in the periareolar region. Additional palpable masses within both axillary regions. Family history of breast cancer in the patient's mother, diagnosed at age 40. Comparison: None available. Technique: Bilateral CC and MLO projections were obtained, along with spot compression right CC and MLO views. CAD software was utilized during image interpretation. Findings: The breast tissue is dense, limiting sensitivity. No suspicious mass, architectural distortion or suspicious calcifications are identified. Palpable markers are visible overlying the inferomedial right breast and both axillary regions. Multiple small lymph nodes are visible

moth

Well..... BIRADS 3 means 98+% chance it's benign.

But the fact that you have dense breasts and a family history of young age bc are important factors. And if you're just going to be worrying about it then really, waiting might not be an option for you.

Maybe ask for an MRI because those are better for imaging dense breasts https://www.areyoudense.org/

On the minus side, MRIs seem to have more false positives so you'd have to be ok with having the stress of possible further investigations which lead to benign results but keep you anxious in the meantime...

Lula73

between the masses, lymph nodes, weight loss and fatigue I personally think you should be worried. Sometimes you have to connect the dots for your dr. If you didn’t mention the fatigue and unintended weight loss you need to. You can always ask for a biopsy to be done vs waiting 6 months for more imaging.

muska

Your report indicates it is most likely - 98% likely - to be benign. Your six month follow up is in September, i.e. in two months. I would follow your doc's recommendations and get more imaging done in September. I am not a medical professional but I doubt they would know what spot to biopsy since you apparently have more than one cysts there.

It looks like you had a 3D mammogram that is much better at identifying breast issues in dense breasts than older mammogram techniques. It concluded " No suspicious mass, architectural distortion or suspicious calcifications are identified." I would wait till your next appointment.

Good luck!

Gdavis

Thanks everyone. I really appreciate the advice.

djmammo

Gdavis

Your report says the lymph nodes are normal.