Birad 4 on ultrasound

amybirnbaum1

Hi! I am 60 and have had a mammogram every year since i was 35 with no family history. I have 4 children starting when i was 25. Menopause at 53. This year mammogram came back with a circumscrbed oval nodule with paritally obscured margins. So I had an ultrasound. The ultrasound radiologist said nodule was 1.2 cms, new finding and slightly irregular and wanted a biopsy in next few days. Since then I read the report and with my trusty google look like all signs point to malignant. She gave me a Birad 4 and biopsy on Tuesday. Anyone get a benign result at this age with this type of result? Thank you so much.

Jetcat

Hi Amybinbaum1-

you absolutely have a great chance of benign results! Somewhere on this site you will find the statistics for Birads 4. I believe it’s somewhere around 75% benign. From my own experience, I’ve had 3 biopsies and the 2 that were Birads 5 ended up as DCIS. The one recent Birads 4 was benign. I’m 62 yo.

All the best to you. Hoping your results are benign.

amybirnbaum1

Thank you so much for this. it certainly helps me get through the weekend and on to tuesday for the biopsy. radiologist did say no axillary nodes were involved and that if anything it would be a lumpecotmy and im like wow...thats a lot of info from a 2 minute ultrasound. i will hold on to what you said and so appreciate you taking time to answer!

AliceBastable

Google says EVERYTHING is cancer! If you must google, only go to reputable sites like hospital-affiliated ones or this place. Good luck on the biopsy; remember to use ice afterwards, and schedule some fun things to do the day before and day after.

Moderators

(((amybirnbaum1))) keep us posted, and we're routing for benign results

LivinLife

Welcome amy! Throughout my 40's and the first half of my 50's I had several callbacks on my right breast with BIRADs 4 with two stereotactic biopsies - benign.... it wasn't until 58 and my left breast last year it was DCIS (still not invasive cancer) - can't even remember what my diagnostic mammo BIRADS was- curious and will have to look that up soon. Jetcat is right - about 75%-80% BIRADS 4 are benign - similar percentages for biopsies as well.... Please let us know how the biopsy goes and once you get results too - Best!

amybirnbaum1

Thank you all! I certainly will let you know how it all plays out!

Koshka

I am 67 and had a Birads 4 ultrasound. Basically the radiologist said that he couldn't say it wasn't cancer so basically I needed the biopsy. I'll be having it maybe Friday, maybe the week after. If they want you to have a biopsy my understanding is that it will be at least Birads 4.

Rah2464

Amy best of luck on that biopsy. Odds are with you that all will be benign. Try to reassure yourself that you are receiving excellent care, they are simply confirming things are more than likely ok.

KEH75

Hoping to get some advice…

I had a contrast enhanced mammogram and ultrasound earlier in the week and they found 3 lesions in one breast (6mm, 7mm, 12mm) and was given a Birads 4. Recommendation on report is to biopsy all three, put clips in and redo contrast mammogram to compare.

I have a history if multiple papillomas and had surgery ~ 7 years ago

I had follow up appointment with breast doctor today and they said I could take a « wait and see » approach.

My question is ~ should all Birads 4 be biopsied or is it sometimes appropriate to leave some lesions alone and wait and see?

really appreciate any advice

LivinLife

Welcome KEH! I would actually trust the judgment of your radiologist..... BIRADS 4 is benign 80% of the time though they likely want to make sure, esp. if they see anything a little different in these areas? Also, if they're doing one they might as well check all three.... Your history of papilloma's may have something to do with that too??? If you decide to biopsy vs. wait hopefully they can get you in soon so you know what you're dealing with.... Please keep us posted....

KEH75

Thanks so much the quick response LivinLife. I agree it's a good idea to go ahead with all three biopsies…at least for my future peace of mind.

The breast specialist also said that doing biopsies on the smaller Birads 4 lesions (6mm and 7mm) could cause them to break apart into small fragments?

Is this something that happens often to smaller lesions when biopsied? and if this did happen, can it be a problem?

In my report the lesions are described as hypoechoic, lobulated, heterogeneously enhancing mass, without overt internal vascularity. Wondering if this sounds like they could be more multiple papillomas

Thanks again