Just wanting some advice

Tishah

I had my second mammogram this year (first one in 2018) and was called back for a diagnostic. They found a cluster of microcalcifications that were not present on my 2018 mammo. It was read as a Birads 4. It had no letter after to know which category of birads 4 I fell into. I had to wait 6 weeks for my stereotactic biopsy, and the general surgeon that performed the biopsy called a few days later and left a voicemail that my results were good, no abnormal cells (so much relief). Immediately after I received a call to schedule my diagnostic mammo in 3 months? Then I was confused again... why such a short follow up? I had a couple regular mammo pictures done immediately following the biopsy to confirm placement of the markers, and my doctor has only released that report it states:

"Post surgical changes are noted in the right with a sterotactic biopsy clip in the area of concern. No mass, architectural distoration, or cluster of microcalcifications is present.

BI:PP

FU:PP

DY:C"

I have no idea what those letters mean and she hasn't released the pathology report to me. I am a worrier, this I know. Just wanted to know if this seems ok to you guys. She is a general surgeon, not a breast surgeon, but pathology is pathology, I guess.

moth

Hi, I hope someone comes along who might know those abbreviations. Your doctor should explain why you need a 3 month follow up. It could be just the protocol following the BIRADS 4?

Glad you got good pathology report! I hope you can relax now and enjoy the December holidays.

LivinLife

I agree with moth! If you have portal access you could write for additional info/clarification thru the portal. Otherwise a phone call....

Tishah

Thank you guys so much.. I have the portal access, I will request through there. I know the surgeon said she was going out of town for the holidays. I need to just stop worrying and enjoy the results, but I'm not sure if that's in my DNA. lol.

Moderators

Welcome to the BCO Community, and good luck, Tishah! Please let us know what you learn!

The Mods

MelissaDallas

Tishah, I don’t think those abbreviations are medical results, per se. Maybe notes for the office coding staff? Something like maybe “bilateral imaging, post procedure” or “follow up, post procedure.” I don’t have a guess on the last one off the top of my head.

Poppy_90

Tishah, if you’re worrying I would give the office a call. They may be able to put your mind at ease quickly. Not knowing is always so hard. I think it’s worth the call, especially since everyone will be shutting down for a few days. Hoping you can get some answers and find a way to a peaceful holiday.

moth

Melissa, those were my guesses too lol. My guess for DY:C is a breast density score

Moderators

Hi Tishah, just checking in to see if you've learned anything new? Keep us posted!

--The Mods

Tishah

Hey guys! I did finally receive my pathology results.. They do say negative for Atypical breast proliferation or malignancy. It doesn't say why I need to come back so soon. My surgeon was unavailable this week. I am just gonna try to relax and take the win.

As far as the letters, I still don't know. The "Bi" is where my Birad 4 was previously on my diagnostic mammo.. but I am guessing you guys were right on the letters

BI:PP - Guessing Post Procedure

FU:PP - Guessing Post Procedure

DY:C - Guessing that my density is C rated

SuseMarie

Moth, I'm new here as of yesterday. I want to start off with a special mention to you Moth because in searching around for a forum to post in I noticed your three separate dates of diagnosis and the latest so recent. You have a lot going on yet are there for others. Just wanted to mention, that to me, being new and not exactly experienced with discussion boards, I'm impressed and 'tip my hat' to you :-). Thank you from all of us for your strength and kindness.

I am so new to all of this - feeling like I've stepped into a web of uncertainty and scary potentials. On December 17 I went in for a re-do Mammogram. This was for a recall after a screening Mammogram I did last January. I was leery about doing the screening Mammogram almost a year ago now because of my history of this same area of my left breast which has troubled radiologists since the late 90s when I had a screening Mammogram and then an ultrasound but it was decided it was just dense breast tissue. Then in 2013, I had the whole shebang which ended up as a excision biopsy and after several days of scared waiting it was determined to be nonmalignant.

Fast forward to last January which was the next screening mammogram I had after 7 years. yes too many years between, but in my mind and thoughts during that time I felt that area of my left breast is just "funny" and will bother them and they will want to go in there digging again - only to find nothing of concern. Because as I figure most of us probably believe - it can't be cancer.

So finally I went in for the re-do, one year later, not concerned all this time of there being any real need for that re-do. Part of the reason I did it though is my insurance deductible is met this year. To briefly mention, it has been a crazy year medically for me - someone who has always had excellent health. Started off in September, a broken foot requiring surgery, then worsening reflux and hiatal hernia requiring surgery on Dec 7. In-between there i was having severe chest pain and went through a whole series of heart evaluations - ending with a cardiac catheterization which showed the heart of a 20 year old!! (I'm 63) It turns out the reflux and hiatal hernia can cause esophageal spasms which can feel like a heart attack. Nice to know I have a good heart though!

Back to December 17. Many films of that left breast, then ultrasound, then radiologist coming in talking about a "mass" that appears suspicious, and strongly recommended a biopsy. She said it appeared slightly larger than what they were seeing last January. She called me the next morning with the news that it was cancer, and in My chart connected with hospital my system, it shows Invasive Ductal Carcinoma Grade 2 with size 0.8 mm.

On Christmas eve I went in for an MRI which showed the tumor to be 3 cm. This was quite a shock - a big difference and tough news for myself and my husband. It also showed in the report in My chart that the tumor extends to 5 mm from the pectoral muscle, not showing clear invasion of it but that the muscle is displaced.

Yesterday my tissue pathology report showed up as estrogen and progesterone positive, Her2 negative (thank goodness - from what I've read/seen so far). I have taken 100 mg Progesterone for 11 years, and a slight smidgen of Estrogen compound formula skin cream for 7 years. Stopped the cream last night and will call my MD today for advice on weaning off Progesterone. I am concerned how I will sleep without it since I take it at night and it definitely helps with sleep. Also concerned about side effects of hormonal therapy which I assume I will be doing, and the effects of eradicating every bit of those natural hormones from my body...

My surgery consult is scheduled Tuesday. My only unknown now, for staging where I am at, is lymph node involvement. I'm now worried about the tumor having a year left alone, and what it might have done in all that time.

My daughter asked me if I'm upset at myself for not going in sooner for the recall Mammogram. And I'm really not. I understand why I didn't, after my terrifying experience all for naught back in 2013. But hindsight does us no good anyway.

Thank you for taking the time to read my story, to you who did. Any thoughts are appreciated.

SuseMarie

MelissaDallas

Hi SuseMarie,

Sorry you find yourself here. You might want to start your own thread in the “Just Diagnosed” forum here:

https://community.breastcancer.org/forum/5?page=1

LivinLife

Welcome SuseMarie! I agree with MelissaDallas on starting your own thread... I just logged on and do not have much time to be on before getting ready for work so if you've done so already please forgive me.... You have a lot of history you presented and have been dealing with quite a bit, esp. the last year! I'm glad you found us with all you are dealing with now! As you have already seen this is a great site for information and support. I will leave it at that for now in case you've already started your own thread. I will look for that later and write more then... can keep all feedback specific to and for you in one place that way.