Clustered pleomorphic micro calcifications
I am 50 years young. For the last 4 years I have had micro calcifications showing on my mammograms that have not changed. I see a breast specialist and 6 months ago they called me back to do magnified mammograms with digital. They classified me at bi-rads 3.
I just went for my 6 month mammogram with more magnified pictures at the same specialist and the radiologist stated that the micro calcifications had multiplied and now they are clustered with pleomorphic micro calcifications. Bi-rads 4b.
I cannot have a stereotactic biopsy due to neck surgery so I am scheduled for an excisional biopsy this month.
I am scared of what I am reading. Has anyone else had this go on with them and if so what did your biopsy show?
Comments
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Oh and the radiologist stated that my breasts are heterogenously dense.
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I had clustered micro-calcs last July and came back in 6 months after it was classified a Birads 3. In January, they had tripled and I was classified Birads 4 (no a-b-c but the radiologist did say mine would be an "a" if they did do that)
I was diagnosed with DCIS, grade 2 after a vacuum assisted stereo-tactic core biopsy. But, I was in the unlucky 20%! 80% of all Birads 4 come back benign. So, don't count yourself unlucky just yet!
Will keep you in my thoughts. Let us know how it goes!
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The testing and waiting is the hardest part. I had to do a lot of waiting, so I had no choice but to let go of the worry. Like April mentioned the majority of biopsies are B9. And those of us who fell into the 20% make it through treatment just fine.
It's overwhelming, I know, but you have a wonderful group here to lean on while you get tested. We all understand the roller coaster of emotions you might experience.
Best of luck and I'm pulling for you to get B9 results! -
I too was in the 20% with a Birads 4 for clustered micro-calcs, but please remember that the people in the 80% aren't spending time hanging out on a breast cancer site, so you probably won't be hearing from many of them - doesn't mean they aren't out there (and are actually in the majority!).
Best of luck!
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Just to back up what Annette has said, my sister had the same thing, Birads 4- she was called back, thoroughtly examined, imaged and biopsied and fell into the 80% who have benign results. They still keep a close eye on the area but she is fine. She doesn't post here because she is fit and well and getting on with her life. I am just one of the B9 ers who likes to come back and give a little support where I can. I hope this helps.
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This whole process can definitely be a rollercoaster. And a scary one at that. This board has been very helpful to me. The thing is right now you dont know what is going on--it is still information gathering and try to remind yourself that most birads 4 are benign.
I went in early February for routine mammogram and was called back. I have very dense breasts and callbacks are not unusual for me. The new thing this time was microclcifications--birads 4. A stereotactic biopsy showed no cancer cells but did show ADH--atypical cells--so I was referred to a breast surgeon for an excisional biopsy. She wanted an MRI first (because I am so lumpy and dense). That led to an MRI biopsy of a second spot which thankfully just showed fibrocystic changes. By this time I was emotionally exhausted and hadn't even had the excisional biopsy yet.
I had the excisional biopsy yesterday. Went very well. Just need ibuprofen and ice packs. And a sports bra for extra support. The surgeon just called to say the pathology report came back and nothing else was found--only b9 fibrocystic changes.
The best advice I got was not to jump ahead of the data and to stop googling. Hard I know. You will get through this and this site is a great source of support. I was convinced that I was going to be in the 20%, especially when one test kept leading to another. But thankfully I ended up in the more common outcome. I am hopeful and praying that you will as well. -
So excited for you Sue! Nice of you to stick around and offer support to others!
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I am so happy for you Sue. My biopsy is not till the 29th. The waiting and worrying is driving me nuts!
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Well I got part of my results yesterday. I have DCIS grade 2 or intermediate. I don't have the hormone receptors back yet.
Thinking I want a mastectomy with reconstruction. I never want to go through this stress ever again! -
Hello there, I am 41 years old and just had a biopsy for birad 4b for pleomorphic microcalcifications. Got results two days later...negative. They want me back in 6 mos for mammogram. I understand the stress and anxiety you're under. Hopefully you will be fine as well. 4b in my case meant a 20-49% chance of malignancy. I was told that even if it were to come back positive that treatment would be easy because caught so early and such small calcifications. Wish you all the best. You will be okay!!
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Isellrejer, so very very sorry that you got this bad news. I have the same diagnosis as you do, but opted for lumpectomy since it is so very early. Gonna start rads on 4/22. Please read all about DCIS (there is a post by Beesie) before making your decision. It is a very personal one and you may be reacting out of a knee jerk reaction. Whatever you decide, I wish you the very best. Lumpectomy v mastectomy has a very similar recurrence rate and there are many years of data to draw from. Hugs and so sorry you got the bad news!
Alwayssmiling, congratulations! You hit the jackpot this time. YAY!!!!!
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I talked with my bs on Thursday night, he said that I am hormone positive. We talked about my options and I told him I wanted to go ahead with the double mastectomy with reconstruction. He said that he understood why I wanted to. I will have the mastectomy the middle of May.
I have not made this decision lightly, this is a personal choice for myself and my family.
My dcis size so far was over 3 cm and he would have to go in again. -
Isellrejer and april485, I am sorry you have to go through this. I wanted to thank you, and everyone else, for your posts on here. Best of health and healing, and best of surgeons to both of you.
I had a pleomorphic microcalcification cluster, followed by stereotactic biopsy.
I have no history of any breast or ovarian cancer in my family - not even cousins' cousins. So when I got the call that they needed more pics of my left breast, I just thought they hadn't gotten a clear picture the first time. Then when they took so many images, and lots of close ups, I started to worry a little. Next was the ultrasound, and I asked if the radiologist could show me my pics. She did, and I was told about the microcalcs and they scheduled the biopsy.
I went home and promptly started researching. They didn't give me a BI-RADS rating, but the "pleomorphic" suggested to me it was either a 4b or 4c. I tried to not research anymore, and tried to keep my head in the right place. I found myself making stupid mistakes, getting zombied out, etc. So I went back to the computer and armed myself with knowledge. This site (and others) has been very helpful. I was armed with the knowledge that most likely I do not have cancer, but if I do there is support and options. And the likelihood of a complete cure was very high, even without chemo. I recommend this site and those targeted at radiologists. Most lay opinion sites are not really good sources of info, but may offer support. If they don't make you feel better, don't go on 'em!
The biopsy process was a bit difficult, as I also have DJD in my neck. I brought an ice pack for my neck, requested extra help positioning, and also brought vicodin. It was, for me, very uncomfortable. Without my neck problems, I think it wouldn't have been much worse than going to the dentist.
But the absolutely worst part was the waiting, the not knowing. My husband went with me to my ARNP visit yesterday to get the results. At that point ANY news was welcomed, just so long as I could know SOMETHING. I think I slept for about 20 minutes the night before.
I was pleasantly surprised with B9 results. My ARNP had some questions about the type of cellular changes. They are definitely benign and no hyperplasia was mentioined. I felt great, but I also felt like Rambo with 2 full bandouliers of ammo and lots more strapped to my belt. All ammo'ed up and no one to fight! So we went to breakfast and laughed about it.
I know there are ladies reading this that are going through the same thing. I hope you do have a partner or friend you can talk to, and that you have fun things to keep you busy while you wait. The chances are very good that yours is also benign - 80% are. Even if it isn't, the ladies on this site are a good source of support. The cure rate for cancer that is found this way is close to 100%.
And as far as lumpectomy/mastectomy decision goes, that has to be a very individual one. There are pros and cons to both, and even after 2 weeks of study and worry, I really don't know what I'd do. My sympathies to women making that decision.
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Chicav I am so happy for you. Super great news.
My mastectomy is scheduled for May 17th. My breast surgeon said that I will have to see the oncologist once I have the surgery for the hormone positive results. We will see what he says, but I am concentrating on getting over this hump first. I have a grand baby due October 20th and I want to be done with the reconstruction by then. I want to be able to help my daughter and hold the baby do a lot of spoiling.....lol -
lsellrejer....So sorry that you are in this place. I was also in that 20% who's calcifications turned out to be DCIS. I hope that your surgery goes well and that your reconstruction and recovery are easy and quick. I, too, am expecting a grand baby (my first!) this year and I am so grateful that all of this cancer stuff is behind me. I had my yearly MRI to screen the breast that I kept this week, and all is well. I had my son's wedding to look forward to the year that I had my dx. and surgery. It helped me to look forward to such a happy event and helped me to see the light at the end of the tunnel. Good luck to you and I hear that grand babies are the best medicine for whatever ails us!!
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Well I had my surgery, I am doing all of this in 3 surgeries. The first was the double mastectomy with nipple sparing. My plastic surgeon did a peek-a-boo to move my nipples up then I will have the expander sugery in about 5 weeks, when the areole and scars are healed. I will get my implants in about 6 months from the expanders going in as long as all goes well.
Just over 3 weeks out and still feeling as though a thousand bees are stinging my chest with an elephant bouncing on me.
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New member -- radiology report today for my mammogram call back states Pleomorphic microcalcifications BI RADS4.. etc etc. Biopsy next week. I turned to the University of Google for info (bad, I know!) and found this group... which I can see is a safe place to be for information. I'm 47 yrs old -- with no family history of BC, just fibrocystic breast disease (all women on my mom's side). While that was giving me some level of comfort before my mammogram today, I know the reality is that BC can pretty much strike anyone these days. The reality is also that the stats are good... so no pity party here.
I do want to educate myself though. This is all new territory for me. Can someone explain to me what hormone receptors are and what that's all about? I've seen it mentioned everywhere here, and would appreciate some insight.
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Hi pesky, and welcome to BCO. You've come to the right place for information and support!
Until other members come along to post with their experience and advices, Breastcancer.org main site has a section about Hormone Receptor that may help you understand what they are and what they do.
Hope this helps!
--- The Mods
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Pesky- I was diagnosed with exactly the same this week, 42, and also waiting for biopsy. The radiologist said it is highly likely benign, but that there is a chance it is DCIS, more likely if the clusters followed a ductal pattern, which mine didn't. I am still in freak out mode, mostly because of high risk background. He also said that the fibroandenomas (from my fibrocystic breast disease) can cause the calcifications and since I'd also had two lumpectomies, they could be caused by the scar tissue.. No knowing until the biopsy, so just have to tough it out...We'll keep our fingers crossed for good news!
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I also had cluster micro calcifications 4B had biopsy my first Mamo age 50 had biopsy and it was B9 !!! Thank God !! Stay positive
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Thanks for the info on hormone receptors (Moderator)! Very helpful!
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Hi Mermaid -- biopsy tomorrow. I cannot lie - I do NOT want to do this...
Ugh. This is gonna stink. Did they say it was more likely to be DCIS if the calcifications followed a ductal pattern, or didn't follow that pattern? I'm pretty much prepping for bad news so that (a) I can be at peace with it... and (b) so that the words "benign" will be that much sweeter. I just had a thyroid biopsy 2 weeks ago - that thankfully was negative. It didn't look like it was going to go that way - so I feel very grateful and relieved. Have you gotten your results yet? Hoping for the best....
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idontlikethis3.... (love your name- lol) Thank you for sharing your benign results. It does give me hope... and I'm feeling a bit "funky" right now. The thyroid biopsy hurt (the lidocain shot was awful) ... can anyone just say one way or the other if this biopsy is going to be awful? LOL Maybe put it on a scale of 1 - 10. 10 being med-less childbirth and 1 being a thumb jab for a blood test.... any advice on how to have an out of body experience so I won't even know I'm there? That'd be good... LOL
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Pesky, it really isn't bad. I had more trouble from neck and shoulder spasms from my position lying on my stomach on the table than the biopsy. One sting when they start injecting the numbing agent. No pain at all during the biopsy, just a little pressure. Drove myself home and took Aleve a few times over a day or two. You will have a good sized bruise. The idea of it is lots worse than the reality.
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Mine wasn't bad I did feel a hard jab
nothing unbareable thou ! I did have 2 glasses of champagne too before i went lol just to take the edge off !!! Good luck to you
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I'm so glad this site is here. I'm also going thru this terrible waiting game. I was called back after my very first mammo due to cluster micro calcifications in both breasts. Thankfully, after diagnostic mammos, they have "cleared" my left breast, but are still concerned with the right. I have seen a surgeon and we now go forward with stereotactic biopsy that is scheduled for the day after tomorrow.
I'm so terribly worried. My friends and family have no idea how anxious I truly am as I work very hard to not show it. I keep my fear to myself. Perhaps I'm so worried because i watched my grandmother go thru,and pass on due to breast cancer, but many yrs ago when the cure was much worse than the disease itself.
I think I just needed to say out loud that I'm scared. Thanks for listening -
Of course you are scared. We all have been. Better than 80% of biopsies are benign, so fingers crossed for you. The waiting is the worst, so here's hoping you get your results quickly.
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Pesky, he said more likely if it followed a line, because then it is showing a pattern in the duct..Less likely if they are random and scattered, is what he said. I haven't even gone in for my consult for the biopsy, another week before that and then MORE waiting. That was the earliest they could get me in. Maddening!
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I've had two excisioal biopsies prior to this, that ended up being lumpectomies for fibroadenomas. The second one was more uncomfortable, but not that bad, probably a two-three...
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Hi Mermaid and Pesky, with regard to the pattern of calcifications, the two that are often considered suspicious are linear (in a line--as you said--going up the duct) and clustered. I don't know that it can be definitively said that one pattern is more likely than the other to have the DCIS. I had one biopsy years ago with a very obvious linear pattern, and the radiologist was fairly certain it was DCIS. It turned out to be atypical ductal hyperplasia, which is a high risk condition, I'm sure you've read about on this website. More recently, the calcification pattern was clustered and not linear, per se, and this time they found ADH again on the stereotactic core biopsy and DCIS (lots and lots, multifocal) in the excisional biopsy. The DCIS does follow the ducts, but the calcifications might not, but they don't actually see the DCIS on the mammo, only the calcs. Sooooo, you can't actually be sure of what you've got until it's biopsied, and even then, sometimes you have to go to a surgical biopsy to see what you've really got.
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