BIRADS 4 mammogram 2 years ago - didn’t know

Shysarah

Hi all

I don’t want to offend anyone on here by throwing a pity party so forgive me in advance.

I’ve had a lump in my left breast for years. After a sonogram, that lump was flagged as a fibroadenoma.

2 years ago, I started feeling intermittent pain in my breasts, mainly in the left one. Since I’m experiencing early menopause, I thought it was hormonal but wanted to be safe.

I had a mammogram, the Dr didn’t say much to me afterward, said he didn’t find anything knew but asked for my previous sonogram for comparaison.

That’s where I messed up big time. I couldn’t find the sonograms and completely forgot to call back. They were supposed to send my results to my obi gyn. He didn’t call neither so I thought everything was fine.

A few days ago, I get a call from the lab that did the mammogram 2 years ago. They said I have to come and take my file. I assumed it was a routine procedure for them (giving back files after x years). I took the file and left, no one said anything to me.

I came back home and started reading the results: the lump is flagged BIRADS 4 with no sub classification.

I cried my eyes off, made appointments to get a biopsy ASAP.

Now I’m barely able to function. Fearing breast cancer is one thing but now I’m facing possible advanced breast cancer. If this lump was indeed cancerous, in two years, it had all the time to spread.

I’m now questioning every single thing. I don’t feel real changes in my breast. The lump actually feels a little smaller than before but i often feel tired, often have colds, sore throat, dull pain in my lower back etc. The breast is also more often painful (stabbing, burning or itching sensation )

I’m a mess right now

djmammo

Shysarah

Post the report of your most recent mammogram and US.

Shysarah

Last mammogram and US were 2 years ago.

The report says:

Mammography: CC and MLO views

Breast tissue: heterogeneously dense (type III)

Calcification, architectural distortion, focal/breast asymmetry, skin thickening : NOT DETECTABLE

Mass: 2cm lobulated

Sonogram (done the same day)

Mass: 27x22x12 mm hypo-echoic irregular margins

Actually the sonogram is what bothers me the most. Hypoechoic and irregular in a sonogram means malignant right

djmammo

Shysarah

Not always, and besides this report is incomplete as regards all the features they could have described and did not.

The key here is the comparison to your original ultrasound. I don't see a comparison mentioned in this report.

If the FA was originally diagnosed more than 2 years ago and this finding is in the same spot and is unchanged in size and appearance on the US then it would be considered benign.

Can you get the original US to the people who read the recent US so they can make a comparison?

It is important you bring this report and its recommendation to the attention of the doc that ordered it and to the facility that issued the report and ask what you should do next.