Could someone help with my mammogram?please

Janet_111

Hi ,

I recently had mammogram and going for biopsy soon .

My mammogram results shows

The breasts are heterogeneously dense, which may obscure small masse

BIRADS CATEGORY 04-SUSPICIOUS FINDING- Biopsy Should Be Considered

It doesn't says Birads A,B or C.

Could someone explain to me what's Birads A, B or C.

Or why I don't have in my test results.

Thank you so much for reading my post

GiddyupGirl

Janet hopefully Beesie will be along to give you details she kind of a Wonder Woman with this stuff. As I understand it the letters indicate the possibility of a non benign finding. My hospital didn’t use letters just gave me a virals 4. I know it’s hard but try not to worry yet. We’re there any other details on your report. Hang in there ladies on this board are great support

Beesie

BI-RADs 4 is assigned by the radiologist whenever a biopsy is recommended. Some facilities use 4a, 4b and 4c while other facilities don't. My facility doesn't.

Janet, do you have the complete imaging report? The information you provided is the summary conclusion, not the detailed report that led to that conclusion. Normally the report would include a description of the area of suspicion and an explanation on where it is located in the breast.

Janet_111

Dear GiddyupGirl and Beesie ,

Thanks for kind words.

Here is more details.

Beesie

"grouped amorphous calcifications spanning up to 0.7cm in the middle depth"

That's why you are having the biopsy. The malignancy rate on calcifications of this description seems to range from 10% to 20%, with the diagnosis more often being DCIS than invasive cancer. Calcs of this type might also be found to be non-malignant but a high risk condition, such as ADH. The size of the area of calcs, at 0.7cm, is small.

Two sources:

Grouped Amorphous Calcifications at Mammography: Frequently Atypical but Rarely Associated with Aggressive Malignancy https://pubs.rsna.org/doi/10.1148/radiol.201817240...

"Biopsy of amorphous calcifications remains necessary, with an overall malignancy rate of 10.5%; only 17 of 497 (3.4%) biopsies showed invasive cancer, and all of these were estrogen and progesterone receptor positive. Grouped amorphous calcifications in women younger than 50 years without history of breast or ovarian cancer showed a low malignancy rate of 3.1% (four of 127)."

Radiology Associates:

Janet_111

Thank you so much Beesie for your care and explaining.

Thanks GiddyupGirl for kind words.