Help!! I don’t know what this means.

izzy6139

I thought I had two “suspicious” spots sort of attached to each other. Was told one has jagged edges and some liquid (which sounds like terrible news) but my results look like FOUR masses? I’m terrified but want to be realistic as well

Mammogram:
OVERALL BREAST DENSITY: Heterogeneously dense

The breast is heterogeneously dense, which may obscure small masses.
Persistent focal asymmetry in the lower central left breast.

Ultrasound:
Focused ultrasound performed which demonstrates a 1.3 cm mostly cystic
lesion at 4:00 position, 6 cm from nipple with a 4 mm hypoechoic/solid
component. At 4:00 position, 6 cm from nipple, there is also an oval
solid 1 cm mass. At 6:00 position, 5 cm from nipple, there is a 1.4 cm
mixed cystic and solid lesion which corresponds to the mammographic area
of concern. No morphologically abnormal axillary lymph nodes.

MelissaDallas

I only see three:

1. 1.3 cm mostly cystic lesion at 4:00 position, 6 cm from nipple with a 4 mm hypoechoic/solid component;

2.At 4:00 position, 6 cm from nipple, there is also an oval solid 1 cm mass.

3. At 6:00 position, 5 cm from nipple, there is a 1.4 cm mixed cystic and solid lesion which corresponds to the mammographic area of concern

I could be wrong, but it sounds fibrocystic to me.

Moderators

izzy6139, when do you meet with your doctor to discuss? Most lumps are indeed benign. Please keep us posted.

izzy6139

I feel like I’m too old for Fibrocystics...just turned 49. And I’m concerned about “calcifications in both breasts”. Do you know if it’s common to have multiples benign masses? Especially with “jagged” edges 😩 Monday we will decide if we do a lumpectomy or biopsy. Then more waiting. Multiple makes mme think it’s already spreading or a something. Thanks for replying

izzy6139

the “component” made me think it was a seperate one. Maybe not? Ugh the waiting.

Moderators

The waiting is really the worst, we all completely know where you are coming from. Here is a section on benign breast conditions that could provide you with some helpful advice. We're all here for you!

izzy6139

Reading all my spelling errors...sorry! I am not completely there right now. 🤦🏻♀️

Beesie

You are definitely not too old to have fibrocystic breasts. The most common ages for breast cysts are 35-50 but many older women have cysts - I had many through my 50s.

Were the calcifications identified as being concerning? Everyone (well, almost everyone) develops benign breast calcifications as they age. Larger, coarse calcifications in a scattered pattern are not worrisome. Concerning calcs are those that are very fine (like sand) and found in either a clustered or linear formation. But even approx. 80% of these more concerning calcs end up being benign.

It is more likely to develop multiple benign lesions than multiple cancerous lesions.

It's unclear from your post but it sounds as though a decision has been made that you will be having a biopsy, but it's not decided yet if it will be a core needle biopsy or an excisional (surgical) biopsy. Do you know which of the masses will be biopsied, or if it will be all of them? The solid mass most likely warrants a biopsy. The other masses sound to be complicated cysts although the third mass is possibly a complex cyst. Complicated cysts, which are fluid-filled cysts with solid debris, usually are monitored but not biopsied. Complex cysts include a larger solid component and usually are biopsied. (As an FYI, simple cysts are fully fluid filled and are harmless.)

Let us know how your Monday appointment goes.

Meow13

izzy, hope you get good news!

izzy6139

This is what it says

further evaluation of
the solid components of the masses at 4:00 and 6:00 positions in the
left breast.

OVERALL ASSESSMENT: BI-RADS Category 4. Suspicious

*I’m mostly creeped out by how concerned they were about the jagged edges. They never even mentioned the calcifications at all. But they also never mentioned anything except the one mass with a jagged edge thing attached so reading this ultrasound has me along sorts of clueless. If they arecancerous does that mean it’s already spreading?

Beesie

Sounds like they are doing masses 2 and 3, the solid mass and the complex cyst. That makes sense.

You mentioned that there are calcifications in both breasts. Where did you see that in the report? Was it the mammogram report? Ultrasounds tend not to 'see' calcification. If the calcs aren't noted as being a concern, then they are clearly benign, so don't worry. Those look very different on a mammogram than calcifications that are concerning.

Nothing in your report indicates that you have cancer that is spreading. Where was the reference to jagged edges? It's not in any of the information you've provided from either the mammogram or ultrasound report. Jagged edges can be a sign of a malignant tumor vs. benign tumors that tend to be more smooth and round or oval (it's good that your solid mass is described as being oval), but sometimes benign tumors form to have jagged edges. A cancer that is spreading is one where the cells have moved into the blood stream or lymphatic system, which isn't something that would be visible on imaging. Your ultrasound did look at your lymph nodes to see if they are enlarged, and found nothing abnormal.

At this point there is nothing in your report to indicate a concern about spreading.

Good luck with the biopsy.

izzy6139

The tech kept talking about the irregular shape like enough to make me cry saying she’s been through this before and would be there through the biopsy and every step of the way (like seriously?!)and then the radiologist kept wanting more pictures and he mentioned “jagged edges” THEN my primary Dr called with the same phrases. And then I get my report and nothing mentions it at all. So i have no idea why. The calcifications are mentioned in both my mammogram results and the one Ultrasound like up in the description part it says “calcifications seen in both breast.” But further down (what I posted) there’s no mention of them.

I appreciate the reply’s more than you know