BI-RADS category 4C

JPRacket45
JPRacket45 Member Posts: 12

I'm waiting for my first visit to the breast surgeon next week after receiving a report stating, "8 mm complex subareolar mass with history of clear/bloody nipple discharge". Also says "complex cystic mass with nondependent area of soft tissue density with internal vascularity.  Please be honest with me with feedback!!  I kept thinking it was just a papilloma because that's what my OB/GYN has been saying for the last two years when I've told her I have a clear nipple discharge.!!!  Now I just picked up this report and I am freaking out!!   Anyone have any similar experiences. I have a tendency to underplay things and not ask for support from family and friends because I dont' like to create drama when there isn't a need!!  Been thru enough rough things in my life thru the years.!!

Comments

  • J9W
    J9W Member Posts: 395
    edited May 2011

    Hi,  i didn't have that issue so can't be of help in that regard. However, I'm sure someone will post soon that has/had a similar experience. 

  • dlb823
    dlb823 Member Posts: 9,430
    edited May 2011

    JP, I haven't been in your situation either, but here's a link that explains the Birads rating system for suspiscious lumps:  http://breastcancer.about.com/od/diagnosis/a/birads.htm

    I can also tell you that 80% of breast biopsies turn out to be B9, so at this point the odds are still in your favor that it's not bc.  Have you been scheduled for a biopsy?      Deanna

  • 37antiques
    37antiques Member Posts: 643
    edited May 2011

    Hi, From experience, all I can tell you is that discharge can be from many things and come in many colors.  Bloody discharge may be a sign of certain types of cancer, grayish, clear or green may be a sign of infection or mastitis, otherwise it is put down to lactating or cycle.  It's hard to know, but it sounds like you have one mass they are attributing to the discharge, and one other mass that looks like a cyst.  I hope that's all it is, sending B9 wishes your way

  • redsox
    redsox Member Posts: 523
    edited May 2011

    I had clear/milky discharge from the nipple.  PCP said it was probably a papilloma.  Mammogram showed nothing.  Ultrasound showed something but not clear what.  Core needle biopsy came back as benign but did not explain symptom.  BS said probably a papilloma but we need to check it out.  Excisional biopsy found a papilloma and also DCIS, ADH, papillomatosis, etc.

    So you probably have a papilloma but it should come out anyway just in case there is something else.  Based on what you know so far -- take steps to get a definitive diagnosis, but don't freak out!

  • JPRacket45
    JPRacket45 Member Posts: 12
    edited May 2011

    Thanks for your response Redsox.   My gut feeling is that it is more than a papilloma since I've had this clear discharge for almost 2 yrs, I just started having the tiny red spots on my bra two weeks ago.  It's frustrating because I told my OB/GYN when this first started and she biopsed the discharge, which was benign and sent me for a digital mammo.  I've had two more mammos since and then last week, they finally decide to do the ultrasound.  The doctor at the breast health center didn't say anything about a papilloma when she met with me and said I should see a breast surgeon and probably will need an excisional biopsy.  That's what I'm expecting.  What is an excisional biopsy like and what was your treatment for your DCIS, ADH, papillomatosis, etc??

  • Emaline
    Emaline Member Posts: 492
    edited May 2011

    I had wire guided excisional biopsy done for my DCIS, which at the time was just calcifications.  It was done as outpatient surgery.  After I got checked in and changed, they took me done to radiology when they did a mammogram, much more intense then the diagnostic one I had.  Once they got the picture up that they needed, the radiologist, numbed my breast and then inserted a needle/tube into my breast. They stopped to check the picture a few times to make sure it was where he needed it to be, once everything was positioned to his liking, he then inserted the wire on either side of the DCIS and removed the tube.  Since mine was on both two sides (only one side ended up havign DCIS, the other side was A-typical), I ended up looking like I had antennas sticking out of my breast.  The whole thing took maybe 25 minutes?  It was not fun being squeezed but once you were numbed it wasn't bad. The worse part, I froze.  They gave me a heated blanket afterwards, which was lovely.

    Then they took me back up to pre-op where I waited in bed with my husband (well he sat on the chair).  They did knocked me out for my surgery, which I wasn't crazy about but I had a twilight a few years ago, and honestly couldn't tell the difference.  He gave me a sedative that didn't take affect until we were in the surgery room.  I moved with no problem from one table to another, then he said he was giving me oxygen and that is all I remember Laughing  Woke up as they wheeled me back into the recovery room.  I dozed for a bit but never really fell back asleep.  Spent the next 30 minutes or so talking with the nurses.  They gave me ice chips since I had a horrible taste in my mouth.

    Then another 45 minutes in general recovery with my husband. They gave me some food, water and coffee. Then sent me home.  Got there at 9am and was home about 3:30pm.  They gave me a small heart shaped pillow to use under my arm, and it was heavenly. I parked in the recliner and that is where I stayed all night.  Use ice. It will help.  I took percocet at the hospital and then again at about 8pm.  I then switched to Motrin the next day.

    I have a large hematoma, so my healing has been less then ideal, so hopefully you will not have to deal with that part of it.  I was back at work on Monday (surgery was April 1, Friday), no problem.

  • redsox
    redsox Member Posts: 523
    edited May 2011

    The excisional biopsy was quite easy.  I did not have to get the wire-guided placement since nothing really showed up on imaging.  Instead the surgeon used the discharge as a guide for the area of the breast to excise.  I walked into the operating room, got settled, they put something in the IV, and the next thing I knew I was in the recovery room.  Quite quickly we left to go home.  I told my husband he could go to work and I napped/took it easy for the afternoon.  That was a Friday and I intended to veg out for the weekend.  I woke up Saturday morning feeling almost normal and wound up doing normal weekend errands -- a light schedule but close to normal.

    I did have a bad hematoma after the core needle biopsy but nothing much after the excisional biopsy.

    After the excisional biopsy I had a lumpectomy, radiation therapy, and tamoxifen.  

  • JPRacket45
    JPRacket45 Member Posts: 12
    edited May 2011

    Thanks to Emaline and Redsox for you thorough responses to my questions.  I'm trying to stay busy this week, my appt. is 5/9 with the breast surgeon.  I'm not expecting great news so we'll see!!

Categories