Feeling nervous and confused waiting on biopsy of birad 5

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neenie311
neenie311 Member Posts: 5
edited January 2017 in Waiting for Test Results

I originally felt a lump in my left breast, I was thinking it was nothing until I started having swelling and enlarged nodes in my neck and arm pit. I went to my DO and he said it was probably coming from my chest (I also suffer from COPD and get chronic infections) he put me on antibiotics but I had no physical examination of the breasts at all. Several months go by and the lump is still there, I asked my DO to schedule a Mammo. Had mammo got call back for additional images and sonogram, At this point I was told not to worry it is probably nothing. I received results back from sonogram. The radiologists said there was a hypochoic ill defined mass with acoustic shadowing. I also had an area of several clusters of pleomorphic calcification's. Birad catergory 5. Again I was told not to worry that most biopsies come back benign. I went two days ago for core biopsy. Keep in mind not one person has gave me a physical exam or said anything other then not to worry. I did get written reports so my research (i know bad idea) tells me I should worry. The radiologist that did the biopsy even said that 4 out of five are benign? I asked if that was for birad 5 too. He seamed a little stunned by my question but just nodded. I have a feeling he didnt know I already was aware of the rating. I am now waiting on results. My stomach is in knots and I cannot sleep...but mostly I am confused as to the birad 5 rating and everyone still saying not to worry? The waiting is the worst!!! Is it common for birad 5 to be benign or is it more likely the somewhat dismissive professionals I have met so far are just trying not to scare me?


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  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited January 2017

    While it is true that 80% of biopsies will be benign, BIRADs 5 is highly suggestive of malignancy. Of course, it's not cancer till they say it's cancer, so don't lose hope. There are people on this board who had BIRADs 5 and turned out to be benign.

    I had a very similar experience. Never felt a lump, never saw it coming. Had a routine mammogram, got extra films,had an ultrasound, everybody said don't worry it's nothing. I received the report almost a week before anybody called me. I didn't understand what the words meant, so I Googled them. I knew right then and there that i had breast cancer.

    Let me just say up front that breast cancer sucks. It sucks. I didn't like having to have all the surgeries and the chemo, but it's done and I'm on the other side. I hope for you that you do not have breast cancer, but if you do just know that you can get through this

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

    Hi Neenie.

    You have obviously researched and seen that a Bi-Rads 5 biopsy only comes back benign about 5% of the time. I would be absolutely livid that someone would be minimizing that to me, rather than honestly telling me that I more than likely DO have cancer and that the biopsy will more than likely confirm that. If I asked a specific question after being told odds of 4 out of 5 benign (Birads4) when I had a Birad 5 I would be very angry

  • neenie311
    neenie311 Member Posts: 5
    edited January 2017
    Thank you all for responding, as I appear to be getting minimal information from the doctors I have been left to my own devices on trying to figure out how worried I should really be. I had my biopsy right before the weekend so it only adds to my waiting time, and right now an hour feels like a day and a day like a week...I guess I am a little angry at how all this is happening so far. First from mentioning the lump with no exam only to initiate a mammo on my own to being told not to worry and just wait...I hope it turns out benign but I am glad to know this board is here for me to vent if what I suspect comes true...it is very kind of you ladies to take your time to comfort those in limbo!
  • Moderators
    Moderators Member Posts: 25,912
    edited January 2017

    Hugs to you neenie311. The waiting is always the hardest. We are routing for benign!! Please keep us posted.


  • aven
    aven Member Posts: 36
    edited January 2017

    "I asked my DO to schedule a Mammo...

    I did get written reports so my research (i know bad idea) tells me....

    I asked if that was for birad 5 too..."

    First of all, fingers crossed that your results turn out to be benign.

    Either way, I'd find a different set of doctors, because you seem to be doing the heavy lifting.


  • AnotherMichelle
    AnotherMichelle Member Posts: 39
    edited January 2017

    WEEKENDS ARE THE WORST! But we are here with you. One other thing to keep in mind: some insurance companies won't pay for additional tests (e.g. biopsies) unless the radiologist gives it a high score (usually 4 or 5; often doctors take "'wait and see for 1 and 2s and 3s can go both ways, depending, so radiologists can give a higher number in order to get the test ordered. I'm not saying they're lying; I'm saying that some may feel they have to be give high numbers in order to get tests.). So if most biopsies are done on 4s and 5s, then yes, there is still room for a benign finding here. I'm hoping that's what happens for you!

    Hugs,

    Kelli

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

    AnotherMichelle, a radiologist does not rate imaging based on insurance and they certainly wouldn't rate an area a 5 just to justify a biopsy. A 4, which is only a 20% chance of malignancy would be covered in any insurance plan because a 4 is "biopsy recommended

  • marie5890
    marie5890 Member Posts: 3,594
    edited January 2017

    Neenie,

    I agree with Aven. You need different doctors, especially with the more than likely possibility that you do have cancer, if it was indeed the doctors who told you not to worry. If it was some lay person telling you, "not to worry", than that is a different story.

    But no doctor should have told you "not to worry, most biopsies come back B9" with a BIRAD5. That is malpractice IMO

    I agree with Melissa, too. I would be LIVID that these professionals were minimizing the situation with a BIRAD5. NOT acceptable.


    Is there a breast center in your area? Make sure, if you do have BC, that the surgeon you get is a breast surgeon, not just a general surgeon.

  • neenie311
    neenie311 Member Posts: 5
    edited January 2017

    Ugh...as suspected it came back invasive ductal carcinoma grade 2 her2 negative not sure what all this means. Just more questions and more waiting. I am not sure which board I could turn to now...My DO wants to send me to a general surgeon to do a lumpectomy and then send me to oncologist? For some reason that makes me nervous.....


  • MTwoman
    MTwoman Member Posts: 2,704
    edited January 2017

    Okay Neenie, take a breath. I'm so sorry for your results and am sending you big hugs.

    Here are a few thoughts, I'm sure others will add more. Scheduling an initial appointment with a surgeon is a good next step. You probably also want to schedule an appointment with a medical oncologist (this is the person who determines what types of chemo might work best on your cancer cells and if it is recommended to have chemo first or surgery first). If you choose, and are close to one, a center that has a team that works together can be quite helpful. I did go to "breast day" at Duke Cancer Treatment Center and, amazingly enough, saw my BS (breast surgeon) who was also a PS (plastic surgeon), a Radiologist and then another specialist who did more US (ultrasound) guided biopsies. All in ONE DAY. They then came up with a plan. That kept me from going to one expert, doing whatever diagnostics they needed and then getting a referral to another expert, waiting for an appointment and then going through their diagnostics.

    As far as the best boards, maybe start with "just diagnosed" and/or "idc". there are so many knowledgeable women that should information and great support for you. Best of luck!

  • lintrollerderby
    lintrollerderby Member Posts: 483
    edited January 2017
    I"m sorry to hear of your diagnosis. Actually, I'd recommend you meet with a medical oncologist (MO) prior to having any surgery. In some cases, the MO prefers to do chemo (not saying you will need chemo, but just in case) before surgery. This is called neo-adjuvant chemotherapy. Since you're HER2-, you won't need Herceptin, but without knowing your hormone receptor status, you could wind up Triple Negative. Many MOs like to administer neo-adjuvant therapy for Triple Negative and HER2+ diagnoses so that they can monitor the tumor's response to chemo. Again, I'm not saying you absolutely need chemo, but it's probably a good idea to keep your options open since you don't yet know your exact diagnosis. The MO may be perfectly ok with your having surgery first, but it's always a good idea to keep options open while you learn the lay of the land, so I'd seek out a consult before undergoing any surgery.

    If you live near a National Cancer Institute-designated Comprehensive Cancer Center or an NCI-designated Cancer Center, I'd highly recommend you go there, at least for an opinion. Here's a link to the site where you can locate one: https://www.cancer.gov/research/nci-role/cancer-centers/find

    I'm sorry you've joined the club.

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