MRI
I got a copy of my MRI today, can anybody translate some of this?
Multple spiculated lesions with a rapid enhancement and washout kinetics are identifed... At the 12:00 position anterior right there is a 12mm spiculated lesion. In the retroaerolar region both medial and lateral to the nipple there are spiculated rapidly enhancing lesions measuring 14 and 13mm. At 6 and 7 o clock postions there is a 2cm and 13mm lesion respectively. There is ill-defined enhancement including a 4mm nodular focus of rapid enhancement and more anteriorly a spiculated 6mm spiculated focus of rapid enhancement. There is mild abnormal increased enhancement within the right nipple. A few small scattered cysts are present. There are a few small foci of low grade enhancement likely represent adenosis.
Extensive multicentric and multifocal malignancy within the right breast is confirmed. There is likely intraductal extension to the nipple.
I guess I can see why the whole breast has got to go but I'm not sure what the intraductal extension to the nipple means. I'm also guessing no mammograms until 51 probably wasn't such a good idea!
Comments
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I have been diagnosed with DCIS grade 3- they want to do lumpectomy.
Should I push Doctor to have MRI- to make sure they have as much information before surgery- to know whether to take any lymph nodes?
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bcolliegirl, have you already done a biopsy? I only had the MRI because I needed biopsied on both breasts but my right breast bled too much and they couldn't do the left so when the pathology report came back malignant, they decided to do an MRI before my mastectomy to see if they could figure out the left breast. She said my lymph nodes "looked good" but they are still going to have to do an SNB so I don't think the MRI really helps with that. You should ask your doctor though if you are concerned!
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Many doctors are using MRI after biopsy to rule out any additional areas before surgery and treatment begin. I know several women who have had additional areas of cancer discovered, and that changed the treatment plan. I would much rather have the MRI before surgery to attempt to not be back in for more surgery and treatment at a later date for an undiscovered cancer. No guarantees, but it sure is nice to only have to go through this once.
I am not a radiologist, but without researching the term, I would assume that the intraductal extension to the nipple would mean that you would not be a candidate for nipple sparing mastectomy. If you have a cancer resource center near you, they are great at going through your reports and helping you understand every aspect of them. If not, talk to your doctors, or an oncology nurse and see if they will help you. It truly helps give us peace of mind to understand every aspect of this process, something many doctors do not understand.
Positive thoughts for peace and healing to the both of you.
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And get the MRI done by somebody who specializes in breast MRIs.
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I have not had my surgery yet, but my MRI showed another area in my right breast I did not know about that looked suspicious and warranted a NB. We NB and found IDC. BUT, that said, the MRI also said highly suspicious metasis on my sternum and T2 bright lesion in the liver. My BS set up immediate bone scan and CT scan. The MRI was wrong. There was no metasis on sternum or liver. Talk about panic.
So, I'm scheduled for a unilateral mast. The left breast was totally clean in all the scans. My BS said mammograms are not enough, women should have an MRI every year and mammogram alternating years. They just don't pick up enough and so much gets missed.
And thanks for the hint about going to the breast cancer center and getting all these reports read. I'm confused with some of the pathology reports I've gotten. By the way, how can they tell if your nodes look normal?
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I wish, wish, wish they had done an MRI on me prior to surgery. I was "mammo occult". My BC did not visualize on mammo (14 in 14 years). Now I am worried they may have missed BC in other areas or the other breast. I am scheduled for my first mammo with US next month. I am going to see if I can get an MRI instead. After completing surgery, chemo and rads, it would be my greatest nightmare to have to do it all over again if something was missed. By the way, my BS said about 30% of BC is NOT visualized on mammos. Failure rates like that should be publicized more. I had no idea!
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JBinOK,
Thanks for the reminder about scar tissue and rads damage preventing mammos and US from seeing things. Jeez, why do WE have to think of these things? Shouldn't there be some standard protocol? If someone like me has a mammo which does not show BC and then a positive biopsy, shouldn't they MRI both breasts before lumpectomy? If I had it in both breasts, I would probably have chosen MX without rads. I think I will get an appointment with my BS tomorrow . I do like her and trust her. Hopefully she will agree to a breast MRI.
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