Anyone ever hear of a false diagnosis of DCIS after biopsy?

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Peachygirl
Peachygirl Member Posts: 27

Hey there I am pretty new on here... Just got diagnosed Friday with dcis about 2.5mm on the right breast just above the nipple... So I call and tell my mom about it (I waited to tell her till I knew for sure)... She tells me "don't worry I had that its no big deal... i think grandma has had it 5 times in the same breast... One time they thought I had it again they even did a biopsy and when they removed it it was just fibrocystic tissue... Those doctors don't really know what it is till they take it out"... I'm so confused... I never knew anything about this in our family history...The whole conversation just gave me more questions...she never really came out and explained everything so I know for sure what exactly grandma had and I'm not really sure how many times my mom had it... So I'm meeting with a genetic coach on tuesday and kind of need a clear answer with specifics and she still was vague when I asked her tonight... I'm so frustrated...She keeps telling me to wait till they take it out to decide on surgery options because they could be wrong... I think she is just trying to give me hope because she does not want me to have dcis... Have any of you ever heard of someone having a false diagnosis and it ended up being something b9 after a biopsy?..... I know it's a stretch...

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  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited August 2013

    Have you already had a biopsy? I would say that if you haven't, don't get too far ahead of yourself. Imaging alone is not perfect, so biopsy results will give you a clearer idea of how to proceed . Genetic counseling is a great idea, if you have a family history of bc. Try and get as many details of this history from your mom as this will greatly help the counselor in assessing your situation. Good wishes for you.

    Caryn

  • Peachygirl
    Peachygirl Member Posts: 27
    edited August 2013

    Thanks caryn... I have already had a core needle biopsy... Magnified Mammogram, ultra sound and just yesterday an MRI (results haven't come back yet on MRI)... I think my mom just likes to avoid unpleasant medical things and really hopes I don't have it... I'm 34... And I live far from home... We just moved again in dec to another state (we have moved 3 times) I don't really have any friends here yet

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited August 2013

    If you've already had a biopsy, I think it would be quite unusual for there to be a false positive. I do hope your mom will be forthcoming with family history, but as a mother, I understand how she feels! This forum is a wonderful place to come for sisterhood and support, so although we wish you didn't have to be here, it's a great comfort for those with all types of bc.

    Caryn

  • Peachygirl
    Peachygirl Member Posts: 27
    edited August 2013

    Thanks Caryn, I have only posted on here a few times and i already love this community of amazing women... It's not hard to see why so many of you are still on here long after treatment is over :)

  • Beesie
    Beesie Member Posts: 12,240
    edited August 2013

    Peachygirl, is the size of your tumor 2.5mm or 2.5cm?  Your post says mm but your signature line says cm.

    If is it 2.5mm, that's really really tiny.  And something that small can be misdiagnosed.  Sometimes if the number of suspicious cells in the biopsy sample is really small, it can be difficult to distinguish between ADH, a high risk condition, vs. DCIS.  But even with ADH, usually surgery is recommended, because where there is ADH, there can be DCIS.  So one option is to have surgery and then see what the pathology report from the surgery shows.  Alternately, if you could ask for a second opinion on the pathology of your biopsy sample.

    Do you have a copy of your pathology report?  That could give hints as to whether it's pretty clear that you have DCIS or whether there might be any question about it. 

    And to your specific question, yes, I can think of a number of cases where women were told that their biopsy sample showed DCIS but upon a second review, the assessment was that it was ADH.  It doesn't happen often but it can happen, particularly in cases where the amount of tissue involved is very small.

  • Peachygirl
    Peachygirl Member Posts: 27
    edited August 2013

    Bessie, I'm sorry... silly me I meant to say 2.5 cm... It feels like the size of a half dollar...I'm pretty sure the diagnosis is correct... The pathology report seems to line up with it... I would think most of the time if there is a misdiagnosis there would be a little more going on than was originally thought not less... Guess I'm trying to figure out how my mom could have been told she had it and it turn out to be fibrocystic unless they just guessed and didn't do a biopsy....she is so vague I may never really know

  • CTMOM1234
    CTMOM1234 Member Posts: 633
    edited August 2013

    Peachygirl - The pathology report from a biopsy will report the facts. On the other hand, a mammogram (or ultrasound or MRI) can only identify an area(s) of "suspicion." Is it possible that your mom's stories about what she and her mom had were actually suspicious things on images but that when followed up with additional imagery and/or biopsies, all were benign? 

    There are lots of benign things that can show up on mammograms (or ultrasounds or MRIs) -- in otherwords, false positives that under further investigation turn out to be nothing to worry about. After my stereo biopsy confirmed DCIS, my bs sent me for a bilateral MRI, which picked up something in the other (good) breast. So I underwent an MRI biopsy. Turns out I had a false positive MRI, the biopsy revealed not bc but thankfully was just fibrocystic tissue (benign).  But this is a false positive diagnosis of bc BEFORE biopsy.

    A positive diagnosis of bc AFTER biopsy is true, unfortunately.  So, no, I have not heard of a false positive diagnosis of DCIS (or IDC) after biopsy.

  • SJW1
    SJW1 Member Posts: 244
    edited August 2013

    Peachygirl,

    Since pathologists disagree up to 20 percent of the time, yes it can happen that a person can be misdiagnosed.

    When I had a lumpectomy for DCIS in 2007, my local pathologists told me I did not get good margins, ie there was still some DCIS left. My surgeon wanted me to have a mastectomy. I consulted with Dr. Michael Lagios, a world renowned DCIS expert and pathologist, who has a consulting service that anyone can use.

    He disagreed with my local pathologists and said my lumpectomy did get good margins. I was spared a mastectomy. He also calculated my risk of recurrence without radiation at only 4 percent (using the Van Nuys Prognostic Index). Since you can only use radiation once, I elected to save it in case I ever got invasive breast cancer.

    If you have any questions, please feel free to PM me or you can go to my website http://dciswithoutrads.com/ to read more of my story.

    Wishing you all the best,

    Sandie

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