Needle Biopsy today

hickjen01

I need help to calm my nerves. First, a little background.

June 2019- Yearly mammogram. Results from yearly mammogram states: Impression: Multiple bilateral dermal calcifications. Within the upper quadrant of the left breast with tomosynthesis adjacent to the pectoral muscle, there is a subtle architecture distortion which measures approximately 14 mm. On the tomosynthesis grid, this projects medially. No obvious finding however is identified on the craniocaudal views however it is difficult to encompass the entire posterior aspect of the glandular tissues on the craniocaudal view. This is a far posterior lesion. For further assessment, recommend compression of this area in the left breast in the MLO projection as well as a true lateral view. In Addition, recommend a cleavage view of the left breast in hopes of beter evaluating the medial portion of the left breast. Additionally , recommend ultrasound of the left breast from 6 through 12:00 for further assessment. **DR. O dictated results*

July 9- Diagnostic mammogram results: Left true lateral view with tomosynthesis shows heterogeneous asymmetric density anterior and overlying the inferior posterior pectoralis muscle and adjacent anterior breast tissue which persists with spot compression view concerning with neoplasm versus scar. However, well-defined rounded or other mass density is not seen. Cleavage view shows no concerning lesion. Impression: Abnormal left axilla mammographic and left breast ultrasound imaging findings concerning for neoplasm versus scar.

Bilateral Breast ultrasound: Left breast:Oval appearing heterogeneous predominantly hypoechoic lesion is seen in the 12:00 position with irregular hazy margins appromimate 0.72x 1.3 x 1.5 cm which appears wider than tall and shows dirty acoustic shadowing and more central homogeneous hypoechogenicity as well as eccentric internal color doppler signal concerning for neoplasm not seen with prior breast ultrasound study 08/26/19.

Incidental left axillary lymph node is seen 2.1 cm length with smooth well-demarcated margins and showing internal color dopplar signal in the sagittal plane.

Recommendation: Left axillary ultrasound guided biopsy of lesion as described above to exclude neoplasm.

Birads Category 4- Suspicious abnormality-Biopsy should be considered. Breast Density- Catergory D

Dictation: Dr. P recommends biopsy

Today, I go to the hospital for my biopsy. After ultrasound, this radiologist doesn't recommend biopsy. He did't even have my report from my diagnostic mammogram in his hand to review. He was out on vacation last week, thus the reason why I had a different radiologist to review my diagnostic mammogram and ultrasound results. I INSISTED on the biopsy and go it. Basically, today's radiologist disagreed with last week's radiologist and thought today's ultrasound showed a "complex cyst" and not a neoplasm. I had to politely remind him that it was he who recommended a diagnostic mammogram and bilateral ultrasound based on my yearly mammogram results. I have two different opinions from two different radiologists. Last week's radiologist is a Radiologist/Oncologist. I am not sure who to trust. Two completely different opinions. I know I must WAIT for the results... but I am wondering has anyone received two different opinions before? If so, how did you handle the situation. At this point, I am ready to move on to a new facility for my follow up ultrasounds and mammograms.

Also, should I be concerned with the 2.1 cm left axillary lymph node with smooth well-demarcated margins?

Please share your thoughts... I realize I am not asking for a medical opinion, just an opinion from others who may have had similar results.

MinusTwo

Hicken - it helps if you stay with your original post & thread, that way everyone who has been following will already know the facts. If I were you, I'd move this post over there.

kathabus

Personally, I would base my decisions on what the worst case scenario is....if not just for peace of mind. I’m a type of person where the ambiguity would nag at me. Then you don’t have to keep analyzing every word of that report. Trust me....we’ve all been there.

I had a bone scan that revealed a lesion and it was one of those situations where it could be something....or it could be nothing. I decided to do the biopsy...it was nothing...and we could all move on knowing what the truth was without relying on interpretations.