Biopsy Completed Today, not on original lump

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Jess122092
Jess122092 Member Posts: 9
edited August 2017 in Waiting for Test Results

Hi All - First you're all wonderful. I've been reading topics since finding a large lump weeks ago (silently, just taking in information). Decided to join today to pose a question. Here goes..

I had my core biopsy this morning. When I walked in the room my US was up on the screen and immediately had a sinking feeling at what a say. A dark, taller than wide (very tall actually and rather slim if you will) with a very irregular shape. This is I figured was the lump I had found that prompted me to see doc in the first place. Now to take you back a bit, doc sent me for mammo and was informaed right after radiologist wanted an US while I was there. Urging US tech asked me if I was aware of a different lump, which I was not. Couple days later. Doc called - I needed a biopsy for suspicious findings. Fast forward this morning when as I mentioned, walked in the room for biopsy and saw that image on the screen, which from all the reading I've been doing looked very suspicious of what could possibly be cancer.

However, as I watched the US guided biopsy happen, I realized they were biopsying the lump that I didn't know was there and hadn't biopied (from what I could tell because the other "oddly shaped, tall one" didn't appear on screen) that larger, scarier one I had first presented with.

my question (finally getting to that lol) is, is that normal?? Could it be that the radiologist could be so certain that that one was cancer that he bypassed the biopsy on it assuming it needed to be removed anyway? Just terribly confused and as you all know, scared overall. Any thoughts or shared experiences would be such a blessing in this anxiety filled time

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  • Moderators
    Moderators Member Posts: 25,912
    edited July 2017

    Dear Jess122092,

    Welcome to the BCO community. We are sorry that these findings and subsequent testing and biopsies have brought you here but glad that you have been helped by reading here thus far. We hope that others might chime in. From what you describe it seems as though you need more definitive information from you doctor about what constituted the suspicion finding on the mammogram and the ultrasound. Is it possible that the lump you were concerned about was not thought to be suspicious but a subsequent finding was considered suspicious and needing biopsy. Can you contact your physician with your questions so as to be more clear about all of this? Do you have a sense as to when you might get the results? While others may chime in here we believe that more information about the results of your screening tests might be in order. Let us know what else we can do to be of help. The Mods

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

    Jess, so sorry you're here with breast health concerns. My take on what you described is the opposite of what you proposed "Could it be that the radiologist could be so certain that that one was cancer that he bypassed the biopsy on it assuming it needed to be removed anyway?" What I'd guess is that the radiologist was certain that the one you presented with wasn't cancer, so he didn't bother to biopsy it while he did biopsy the finding that you didn't know about, but that was more concerning to him. I would get a copy of your written imaging report and the BIRADS score. It will explain about the two findings and why they wanted to biopsy one and not the other. If there are confusing parts, just post them here and we'll help you better understand what's going on. Good luck for b9 results!

  • jjAriz
    jjAriz Member Posts: 28
    edited July 2017

    MtWoman, has very good advice. Get your radiology report, read it thoroughly and check the BIRADS score. Good luck

    Blessings,

    Jamie

  • Jess122092
    Jess122092 Member Posts: 9
    edited July 2017

    You all are the best, thank you for your replies - it certainly does help to have a place to get my, perhaps irrational, anxiety out of my own head and into the universe lol! I've tried very hard not to voice my fears to my husband, as not to worry him more when the likelyhood that both areas are benign is so high! But the thoughts certainly are swirling in my head and having a place to let them out alleviates some of my worry. I feel blessed to have found this community ❤️

    Your advice makes sense. I had called my doctor as well as the women's center at the hospital to get my birad score after learning about those here. All I was told is it was a 4, primpting a biopsy. I asked if it was an a,b,c and was informed they don't classify? And that a 5 would mean I was diagnosed with BC. Now, that is contrary to everything I've read about birads. From what I've read, 5 would be "highly suspicious" meaning the likelyhood is 95% with biopsy needed to make final diagnoses. And a 6 would be already diagnosed. Anyhoo, I will call the office on Monday and request the actual report as you have advised.

    Just want to say for those other women who maybe reading this, the core biopsy was not too bad. I had read conflicting feedback on that lol and had made myself batty expecting a painful experience. I'm sure it differs a bit from one individual to another, but please rest easy in anticipation for that. I let the nurse know immediately that I require some extra "juice" when I have dental work done and the radiologist was as generous as possisble with the local anestesia! Little pressure and a very slight burning sensation when the actual punches happened, but not bad at all.

    Lastly, sending love and light to anyone who is in a space of worry and concern about what the future holds for them. Know that prayers are being sent up today for all those diagnosed or in the waiting period oxo Big Hugs from this lady in MA

  • Jess122092
    Jess122092 Member Posts: 9
    edited July 2017

    Oh, one question you asked was when I am expecting the biopsy results. I was told 3-5 business days and since we are working in the weekend, looks like next Wed-Fri sometime.

    Please have a lovely weekend everyone

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

    A Bi-rads 4 is anywhere between 3% and 95% risk of cancer. Average is about 80% benign when no subclass is given. Bi-Rads 5 is about a 95% chance of cancer. Bi-Rads 6 is a confirmed cancer.

    I agree with MT Woman- the "lumpy" area presented as benign and the other area of concern is what they want to biopsy

  • Jess122092
    Jess122092 Member Posts: 9
    edited July 2017

    Thank you for taking time to reply MelissaDallas ❤️ It means more than you know that perfect strangers have offered support and reassurance. Quite a community you all have here! Speaks volumes about the goodness in people!

    I'm feeling so much better since I posted my question and so glad I did. I'll be sure to post my biopsy results in hopes it eases someone else's anxiety should they be following a along as I had been, trying to educate myself a bit.

    So grateful my friends!

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

    Some clinics/radiologists don't break out a BIRADs 4 into an a, b or c designation. Sounds like yours is one of those.

    There's nothing wrong with that, and it doesn't imply anything for your results (one way or the other).

    HTH,

    LisaAlissa

  • Jess122092
    Jess122092 Member Posts: 9
    edited July 2017

    Hi LisaAllisa -

    Thank you kindly for letting me know! I assumed it must be the case as well, but good to have confirmation of that. Really appreciate your response.

    God bless

  • Jess122092
    Jess122092 Member Posts: 9
    edited August 2017

    Hi All,

    I received good news around my biopsy, benign! I'm uncertain what the rest of this means but I assume nothing to be concerned with. Does any of this sound like it should be watched or followed up more closely? Doc assistant who delivered the results asked if I have a breast surgeon at the hospital - which I do not :)

    Final diagnosis- Left breast density, core biopsies:

    Benign ductolobular breast tissue with chronic inflammation, fibrosis, and larger duct like structures. Negative for malignancy and neoplasia.



  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    Well, the benign part is definitely something to celebrate, but I don't know about the rest. I think that the ductolobular tissue is indicative of where it came from in the breast, not necessarily of any condition, it came from the lobular regions of the breast.. However I could be wrong. I think it sounds completely normal. I would speak to your ob/gyn or see if a surgeon could advise to ask if that is correct information! Otherwise, I think you need a plan to keep you from worrying anymore about these results! Great news though!

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