Just received my final diagnosis....and a tad confused.

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Shayvoe
Shayvoe Member Posts: 23
edited April 2016 in Benign Breast Conditions

After 8 weeks, starting with a routine mamo, then an ultrasound, then ultrasound guided core biopsy, then last Friday, an excisional biopsy, I have finally been given an all clear. The atypical intraductal papilloma, diagnosed from the core needle biopsy, turned out to be just a regular benign papilloma....yippe!!

What I am confused about, and after asking my surgeon a million questions, the one I didn't ask, and should have, is how do atypical cells show on a core needle biopsy, and then not show up on a full biopsy of the 5mm mass? It makes me wonder how this happens and also wonder, which biopsy was the accurate one. Anyone have any answers, or know how a false atypical biopsy happens?

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  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited March 2016

    "atypical" can cover a lot of grounds. It could be that they were inflammatory cells or something. You should probably ask your doctor for the explanation of the initial and final pathology.

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2016

    sometimes, when nothing atypical is found during the excisional biopsy, it is because it was all removed during the core biopsy. I would definitely ask your surgeon for his opinion, and perhaps check with the pathologist as well. (and going forward, continue to keep vigilant with your regular screenings)

    anne

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  • Momcat1962
    Momcat1962 Member Posts: 665
    edited April 2016

    Mine never showed anywhere! I had a Mammo, an U/S, an MRI, and a galactogram that was ok. Two weeks later on the day of surgery to see if "anything was hiding behind proteinaceous debri", my duct was found to be blocked during a second galactogram. ADH was an incidental (hiding behind the debri!) finding.

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  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited April 2016

    Two of my eight diagnostic tests were ultrasound-guided core needle biopsies. IDC was diagnosed in several tests. I chose to have a bilateral mastectomy, but after they examined all the breast tissue they took, they found no evidence of cancer in my final pathology report.

    I asked where it went, and was told that in many cases, especially with very small tumors, it is completely taken out by the biopsies.

    (I'm not complaining! )

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