First mammogram at age 30

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MLT2015
MLT2015 Member Posts: 7
edited July 2017 in Waiting for Test Results

Hi all!

I have to say that this is the most helpful site I've found so far, and thank you in advance for taking the time to read this.

About a month ago I was doing a self breast exam and found a lump in my right breast. The next day I called my doctor to schedule an appointment. I couldn't get in for about 3 weeks. My appointment was this past Monday (7/18). The doctor did a breast exam and said he thought that it was probably fibrocystic change, but he wanted to do an ultrasound just to make sure, and depending on what was seen possibly a mammogram as well. I had a bilateral ultrasound while in his office.

I got a phone call on Wednesday (7/20) to schedule a mammogram for Friday (7/22). I had my mammogram yesterday afternoon. I was told by the technician that the mammogram would probably be read that afternoon, and results should be available soon after via the online patient portal. I checked this morning and here is what the report said:

MG FFD DIAGNOSTIC TOMO CAD BILATERAL CLINICAL INDICATION: N63 unspecified lump in breast COMPARISON: None. TECHNIQUE: Bilateral MLO, ML and CC views of the breasts. Breast Tomosynthesis and CAD. FINDINGS: BREAST COMPOSITION: The breast tissue is scattered fibroglandular density. MASS: There is a slightly irregular nodule in the 12:00 position of the right breast. This corresponds with the area of clinical concern. I do not see radiographic evidence of malignancy in the left breast. CALCIFICATIONS: No suspicious calcifications. ARCHITECTURAL DISTORTION: No architectural distortion. IMPRESSION: 1. I do not see radiographic evidence of malignancy in the left breast. 2. Abnormal soft tissue density seen in the 12:00 position of the right breast. Surgical consultation is suggested. SUMMARY: BI-RADS 4 - Suspicious finding- Surgical consultation and/or biopsy should be considered. A negative mammogram should not preclude biopsy of a palpable lesion since mammography may be negative in 15 to 20% of cases of carcinoma.

I'm optimistic by nature, and have been trying not to worry too much or fall down a rabbit hole looking for information on the internet. I think I had myself convinced this would be over after the mammogram. I haven't heard from my doctor yet about a biopsy. I'm assuming they were already closed by the time they received the report. It was late Friday afternoon when I went, and I'm sure they'll call Monday.

My question is, when they call, are there any questions I should ask about the results of the mammogram?


Thanks again! You guys rock!

Comments

  • Icietla
    Icietla Member Posts: 1,265
    edited July 2016

    Welcome to BCO. We are very sorry about the situation and concern about which you have come here, but we are glad you found us. You have indeed come to the best place on the internet for true understanding about these things. We are more than a Community -- we are a Family of men and women who care about and support each other.

    Yes, your Doctor's Office should be in touch very soon. They will likely have requested a biopsy appointment or surgical consultation for you already by then.

    Your biopsy procedure may be done by needle, or it may be done by excision. Remember that most breast biopsies are found to be of benign conditions.

    The waiting times will be difficult -- they will seem very long waits. Best to keep yourself distracted as you can, your focus absorbed by doing what you love or like very much to do -- you know, the favorite things that make your time passage rate tend to fly. But if it would help to put you more at ease, you are welcome to hang out with us here on BCO.

    Remember, just now you and your Health Care Providers are doing all that can be done to investigate the nature of that nodule. Whatever it is, it will be taken care of.

  • MLT2015
    MLT2015 Member Posts: 7
    edited July 2016

    Thank you for the words of encouragement Icietla. Hoping to hear something today!

  • Icietla
    Icietla Member Posts: 1,265
    edited July 2016

    You are very welcome, MLT2015.

    Now your waits in view are for your Doctor's Office to call, then for your biopsy procedure, and then for your biopsy results. I think if you have not heard from your Doctor's Office by about 11 a.m. today, you should call them to make sure they know that your mammogram report says BIRADS 4 and that you need a surgical consultation or biopsy arranged.

    Either method might be used for your biopsy, but I would expect that they will want that nodule out of there anyway. You will need to wear very good support -- around the clock for a time -- to help hold your incision seam together once your nodule has been excised.

    Please keep us up on your news. We are here for you.

  • dtad
    dtad Member Posts: 2,323
    edited July 2016

    IMO you should have a breast MRI before any treatment decisions are made. It was mentioned in your report that your breasts are dense. MRIs are the best screening tool for dense breasts. Good luck. W all know how hard the waiting is but try to remember that most breast lumps are benign....

  • Beesie
    Beesie Member Posts: 12,240
    edited July 2016

    dtad, MLT2015's report actually indicates that her breasts are not dense. "Scattered fibroglandular density" is the second lowest level of density.

    MLT2015, your report is pretty clear, saying that there is a nodule that most likely requires a biopsy. This doesn't mean that it's cancer - it just means that the imaging can't rule out cancer so a biopsy should be done to find out what that nodule is. 80% of BIRADs 4 biopsies turn out to be benign. Since mammogram imaging identified the nodule, it's likely that a stereotactic biopsy, which is a core needle biopsy that is mammogram guided, will be recommended. That's the less invasive approach (vs. a surgical biopsy) and usually the first choice for a BIRADs 4 biopsy unless there is some reason why the doctor believes that the needle might not be able to pick up an accurate sample (for example if the nodule is in location in the breast that is difficult to reach with a needle). Here's some information about this type of biopsy: Stereotactic Breast Biopsy The only questions I would have are if your doctor or a surgical consult were to say that a biopsy isn't required, which would be unusual with a BIRADs 4, or if a surgical excision was recommended, which would be unusual for a BIRADs 4 (again, unless the nodule location makes it necessary). Good luck with your biopsy!

  • MLT2015
    MLT2015 Member Posts: 7
    edited July 2016

    Thank you Beesie for the information! The link you posted was very helpful.

    Still no word from my doctor. I called around lunchtime, and the person I need to speak with wasn't in the office today. I'm going to try again tomorrow morning when they open.

  • Butterflyninja
    Butterflyninja Member Posts: 9
    edited July 2017

    I went to do the mammogram and ultrasound but the radiologist suggested me not to have them unless I really want...But since I am only 30 and when she checked my nipple, she didn't think it was scary thing.. uhm. They mentioned (radiologist and nurse) the mammogram could cause more problem because it changes the hormone?

    Idk...... i don't know what to expect now.......... I am just thinking about getting ultrasound only in other place since they said they do not do just ultrasound

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited July 2017

    What? I've never heard of a mammogram "changing the hormone". Doesn't make sense. ANyone else?

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited July 2017

    It doesn't make sense, plus it is completely out of context in this thread instead of being posted in her original thread

  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited July 2017

    Mammogram "changing the hormone?” W to the T to the F????

  • LisaAlissa
    LisaAlissa Member Posts: 1,092
    edited July 2017

    Hmmm...were they perhaps saying that you were at the wrong time in your cycle to have a mammogram when you were there? That your hormones would make it more difficult to read the results? That false positives (problems?) were more likely if you had a mammo at the wrong time in your cycle?

    That you couldn't have an US then, because their procedure is to do a mammo first?

    That you should reschedule the mammogram for a better time in your (hormone/menstrual) cycle?

    Just an idea. (If I've guessed right, I wouldn't go to another place, necessarily. I'd check djmammo's list of accredited breast imaging centers, and choose one of those...and if yours is on the list, I'd go back. If I've guessed right, then I respect them for telling you those things and suggesting a delay!)

    HTH,

    LisaAlissa

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