scared and have biopsy scheduled

Mfbbo

Hi. I am new to this. I had a breast reduction 11 or 12 years ago. I had one abnormal mammo the year after and it was scar tissue on my left breast. Since then, I have had normal mammo. Last week after my mammo I was called back. I am including the report I received from the call back. I have some questions. Can this be scar tissue after all these years? I have a biopsy on 10/29.What does ovoid focal asymmetry with associated coarse microcalcifications mean? They had a hard time finding the focal asymmetry on the ultrasound but was very clear on the mammogram. I do have a family history of breast cancer, post menonpausal. I am hoping for the best, but of course anxious.

Suspicious 0.5 cm ovoid focal asymmetry with associated coarse microcalcifications 1:00, 1-2 cm from nipple

BI-RADS 4: Suspicious

RECOMMENDATION: Tissue diagnosis. Stereotactic-guided core biopsy will be arranged by Radiology.

Results were discussed directly with the patient by the radiologist or radiology staff.

Narrative

MAMMOGRAM RIGHT DIAGNOSTIC AND RIGHT BREAST ULTRASOUND

** HISTORY **:

60 years old, history of bilateral breast reduction, callback for subcentimeter focal asymmetry right breast upper inner quadrant on screening mammography.

** TECHNIQUE **:

Digital mammographic images of the right breast acquired. Targeted sonographic evaluation of the right breast was performed by the sonographer and/or attending physician.

COMPARISON: Mammograms 10/17/2020, 1/3/2019, 4/6/2017, 4/2/2015 , Mammogram 10/23/2020 )

** FINDINGS **:

MAMMOGRAM:

Breast composition: The breast(s) are almost entirely fatty.

0.5 cm ovoid focal asymmetry with associated coarse microcalcifications 1:00, 1-2 cm from nipple.

ULTRASOUND:

Vague 0.6 cm hyperechoic area with central hypoechoic focus 2:00, 1-2 cm from nipple. This may not correspond with the mammographic focal asymmetry.

No suspicious appearing axillary lymph nodes.\They had a hard time finding the focal asymmetry on the ultrasound but was very clear on the mammogram.

Suspicious 0.5 cm ovoid focal asymmetry with associated coarse microcalcifications 1:00, 1-2 cm from nipple

BI-RADS 4: Suspicious

RECOMMENDATION: Tissue diagnosis. Stereotactic-guided core biopsy will be arranged by Radiology.

Results were discussed directly with the patient by the radiologist or radiology staff.

Narrative

MAMMOGRAM RIGHT DIAGNOSTIC AND RIGHT BREAST ULTRASOUND

** HISTORY **:

60 years old, history of bilateral breast reduction, callback for subcentimeter focal asymmetry right breast upper inner quadrant on screening mammography.

** TECHNIQUE **:

Digital mammographic images of the right breast acquired. Targeted sonographic evaluation of the right breast was performed by the sonographer and/or attending physician.

COMPARISON: Mammograms 10/17/2020, 1/3/2019, 4/6/2017, 4/2/2015 ), Mammogram 10/23/2020 )

** FINDINGS **:

MAMMOGRAM:

Breast composition: The breast(s) are almost entirely fatty.

0.5 cm ovoid focal asymmetry with associated coarse microcalcifications 1:00, 1-2 cm from nipple.

ULTRASOUND:

Vague 0.6 cm hyperechoic area with central hypoechoic focus 2:00, 1-2 cm from nipple. This may not correspond with the mammographic focal asymmetry.

No suspicious appearing axillary lymph nodes.

Moderators

Hi there, Mfbbo-

We're so sorry you find yourself here with these worries! We know it's a scary time. We're all here to support you. and we hope your biopsy goes well. Please keep us posted on what you find out!

The Mods