DCIS in 2011 - routine MRI finds NEW 6mm lesion

SydSyd
SydSyd Member Posts: 37
edited March 2015 in Waiting for Test Results

Hello - I am writing for my sister who was diagnosed in 2011 with DCIS in the right lower breast and had a successful lumpectomy and radiation. She's been having regular screenings since...her MRI on Friday found what is described as: " 6 mm lesion nodular demonstrates suspicious enhancement kinetics" in the upper right breast.

She had a second-look ultrasound today and the lesion did not show up. The radiologist suggested she s speak with person who read the initial MRI.

Would love to know more about her options. Her surgeon suggests an MRI-guided biopsy. She's already had 2 lumpectomies and 3 biopsies of that breast and really wonders if another biopsy is needed.

First - is a biopsy really needed? (she's been told yes - small can be lethal too)

Second - if it is so small - does it not make sense to remove it entirely and then biopsy it ...

Third - If so, what re the surgical options for removal...what about MRI breast biopsy and ablation?

Thanks for your thoughts and best to all!



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  • Moderators
    Moderators Member Posts: 25,912
    edited March 2015

    Dear SydSyd, we're sorry your sister has had such a time after 2 lumpectomies and three biopsies. Her new lump may not be BC (as one of the other biopsied lumps was obviously not either. No need for unnecessary surgery. However, biopsy is the only way to be sure if a lump is B9. Surgeon has all the test results, history and subject to assess and if they feel a MRI biopsy is her best option, it is hard for us to second guess that.

    We hope you'll pass on our best wishes to your sister.

    The Mods

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  • SydSyd
    SydSyd Member Posts: 37
    edited March 2015

    Thank you for your thoughts..she will have an MRI guided biopsy on Wednesday.

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  • nmh35
    nmh35 Member Posts: 96
    edited March 2015

    hi, I'm sorry she is going through this. I had 2 situations, one that was atypical cells and one with DCIS that were only found with MRI and MRI biopsy, did not show up on ultrasound. So I am definitely a big fan of MRI's and the MRI biopsy is able to Pinpoint a more specific area. I hope all goes well

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  • SydSyd
    SydSyd Member Posts: 37
    edited March 2015

    Thank you to all those who supported us during this period. Thankfully, my sister's lesion turned out to be scar tissue. She's having an appointment with the surgeon next week in any case, as she needs to got though options. It can't be good to have continual biosises and lumpectomies not to mention the anxiety...would love any advice on the options. She's been told she should have her ovaries out (she's 54) - which she is planning. Mastectomy is obviously a big decision...have read quite a few posts on here about recurrence post mastectomy so not sure what to think. Also the new surgeon, was surprised by how much tissue had been removed during the last lumpectomy and suggests plastic surgery.

    So that's where we are...thank you and good luck to all, SydSyd

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