Husband freaking out

Ar12

Hello! Last week my wife had an mamagram and US done because she is now 40 and she also has had a benign mass (fibro fatty) biopsy/removed from right breast when she was younger. I don't understand these findings I toyed below and it will be 2 weeks before a surgeon can get us in for a consultation for biopsy. Radiology Doc couldn't tell us anything. They found 2 spots on her left breast. Currently, I'm freaking out more than my wife is. Is this report something I should be really worried about or am I just freaking myself out for no reason right now? Birads 4b sounds really concerning. Any help appreciated!

Tissue density: The breast tissue is heterogeneously dense.

Findings:

Mammogram findings. The dense tissue may obscure some lesions mammograhically. Chronic biopsy changes of the right breast upper outer quadrant. In the left breast, there is a small but elongated mass medially, best shown on tomogram images partially obscured by overlying parenchyma tissues. This measures less than 2cm in length. Additional small circumscribed ovoid mass slightly further medial and prosterior. No suspicious Calcifications found in either side.

Ultrasound

In left breast, ultrasound reveals an irregular Hypoechoic mass in the 9:30 sector 6cm from nipple measuring 1.5 x 0.9 x0.5 cm. Internal echotexture favoring a solid lesion. Adjacent small Hypoechoic well-circumscribed lesion measuring 4 mm in the same coordinates with similar sonographic characteristics.

Impression

1. Two adjacent masses in the left breast 9:30 are indeterminate. Correlation with biopsy is recommended

2. No suspicious findings in right breast

Category Birads 4b suspicious (intermediate)

Recommendation

Needle biopsy left breast

KBeee

Why did they choose not to do an ultrasound guided biopsy or needle biopsy there, and instead do a surgical referral? BIRADS of 4 is generally about 20% chance of being cancer. A needle biopsy too often misses things. A core biopsy (vacuum assisted) is the most common.

DJMammo has a thread called "interpreting your report" in the "Not diagnosed but worried" forum where you can post the findings and get more input. Keep us posted.

Moderators

Hi Ar12, and welcome to Breastcancer.org,

We're so sorry you're here and worrying, but as you can see, our Community is a good source of information, support, and advice.

The thread KBeee mentions is here: Interpreting Your Report

We hope this helps!

--The Mods

Ar12

Hello KBeee, I’m assuming they couldn’t do the needle biopsy while she was there getting the ultrasound/mammogram. They referred us to a general surgeon to meet with us and then set up the needle biopsy for another day. I will post this over on the results thread. Thanks for the information.

jo6359

I had a surgery referral prior to my biopsy.