BI-RADS 4A - 18 year old

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fiveoclock
fiveoclock Member Posts: 38
edited May 2017 in Waiting for Test Results

I'm worried - I'm her mom. She had an ultrasound that showed a fibroadenoma, and then she found another lump so she had a second ultrasound.

This is the result - biopsy was done two days ago. I'm not a worrier, but I'm worried.

The ultrasound images demonstrate an irregular area of hypoechogenicity that exceeds the measured lesion on the mammograms showing a poorly defined hypoechogenicity that involves the retroareolar breast, and extends over at least 3.7 x 11 mm. Another poorly defined area of hypoechogenicity is demonstrated in the 12:00 location that has been measured 1.2 x 0.8 cm, and is associated with increased vascularity. There is no axillary adenopathy demonstrated. A few prominent lymph nodes demonstrated normal fatty hilum and no cortical thickening are noted. In summary, there is a poorly defined hypoechoic mass in the retroareolar location that is at least 3.7 cm, and a second hypoechoic mass identified at 12:00 in the palpable area of concern. In view of these findings, a repeat ultrasound and biopsy if appropriate will be performed at that time.

BI-RADS 4A (Biopsy is recommended)

So I'm reading hypoechoic, increased vascularity, poorly defined... ugh. Does this sound better to you than it does to me?

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

    All fibroadenomas don't look "typical" on imaging, but that is exactly what they turn out to be most of the time, In a teenager it is really unlikely to be anything else, and a 4a is a very low level of suspicion.

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

    So sorry you're worried about your daughter's breast health. While there are some worrisome words, there are also some reassuring words. With the biopsy already done, while you're waiting for the pathology report, I would just do your best to distract yourself (and maybe your dear daughter) binge watch some Netflix, go on a long walk, deep clean something? paint a room? Alternate this with practicing relaxation. Maybe the two of you can go sit in a hot tub? get massages? It is awful waiting, but at least it shouldn't be too long now that the biopsy has already happened. If it makes you feel any better, see the process below:

    So your daughter has had her biopsy, and 80% of them are B9. If you factor in her age, then the odds are very much in her favor.

    Image result for breast cancer statistics by age

    I know it's hard not to worry, but do try not to go too far down the "what if" road. ((hugs)) to you and your lovely daughter

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  • fiveoclock
    fiveoclock Member Posts: 38
    edited May 2017

    Thank you. You're right, I need to remember - she's 18 and breast tissue can be different in someone so young. :)

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  • fiveoclock
    fiveoclock Member Posts: 38
    edited May 2017

    Thank you. This is helpful! 80% sounded great until I realized that's only 4/5. But, certainly 4A is less frightening than a higher BI-RADS, right? It's all scary, but we've got thjs

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

    But your daughter's odds are even better than that! Since her radiologist said "4A" (instead of just "4"), her odds are 90-98% that she'll get a B9 result. (2-10% cancer...). Take a look at the description of the BIRADs 4A designation "here."

    Hang in there!

    LisaAlissa

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  • fiveoclock
    fiveoclock Member Posts: 38
    edited May 2017

    hhh, I like these odds better! Thanks for sharing the link. :)

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

    Do you know or have you ever known any eighteen year olds with breast cancer? No? Me either, and I daresay nobody on these boards does either. The odds of this being anything other than benign breast issues is infinitesimal

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

    I've been an RN for 40 years and I have NEVER met anyone under the age of 24 who had breasts cancer.  And the one I do know had BC at 24 was my aunt, diagnosed in 1912. Had a mastectomy and no follow-up.  She lived well into her 90s and died of dementia.

    I would be HIGHLY surprised if this turns out to be BC.  Breasts in an 18yo can have all sorts of lumps, dents, and indentations. My money is on fibroadenoma.

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