"Not totally benign" , MRI needed...

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Vbarstad
Vbarstad Member Posts: 17
edited November 2017 in Waiting for Test Results

Hi everyone! In researching my situation, this forum came up and helped a lot so as a newbie here it goes...

I'm 36, and have zero family history of BC. 1 month ago I felt 3 lumps in my left breast and immediately made an appointment with my doctor. I then had an appointment last Friday for a mammogram and ultrasound. The lumps turned out to be normal BUT they found a mass in my right breast!

This past Wed. I had a core needle biopsy. Results- Atypical Ductal Hyperplasia and Radial Scar. Because my breasts are so dense and my age, I am being sent for an MRI to make sure there are not additional abnormal cells "hiding" anywhere. I also will be meeting with a surgeon to remove the radial scar.

My question is, has anyone been in a similar situation? What are the odds that the MRI is positive? Have you been diagnosed through MRI?

I know I'm now at a higher risk for getting BC, but I just want to know one way or the other so I can start kicking this thing's ass :)



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Comments

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

    Vbarstad, I am so sorry you're here with breast health concerns. I don't have experience with radial scar of ADH, but I do with mri. One of the reasons that mri is reserved as an imaging technology (mammo and us are first line), is that it is very sensitive (i.e. it "sees" lots of stuff in breast tissue that isn't "seen" on other types of imaging) but it isn't specific (i.e. what it "sees" is limited to bc). To help radiologists better define these findings, there are profiles or patterns of uptake and wash out of the contrast dye that are more common to b9 or malignant tissue. But the only definitive way to know would be biopsy. In your case, the best scenario would be that they don't find anything else. But they could, and it could still not be bc. That is another reason that they don't use mri on the 'front lines' (in addition to $$) is that any finding is typically biopsied, which means more anxiety and cost - even if the results turn out b9. So the odds are good that the mri will "find something" but that doesn't mean that the odds are good that it will be bc. And yes, I was diagnosed using mri (well 2 more areas were found that hadn't been seen on mammo + us). Try your best not to dwell on worst case scenarios and keep yourself busy while you're waiting, which is decidedly awful. Good luck for continued b9 results!

  • Vbarstad
    Vbarstad Member Posts: 17
    edited July 2017

    MTwoman , thank you! I'll just be looking forward to knowing. My MRI isn't until the 14th so I'm going to just put it out of my mind until then. ☺

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited July 2017

    Vbarstad, I have my MRI on the 14th too! I hope yours goes well! I have had a benign result of a lump but then he feels that I have thickening of the breast that is separate from the lump that needs to be looked into. I see you're in Aurora, I'll be there tomorrow! I'm your state neighbor, one state over in Nebraska! :) Hope you hear good things next month!

  • Vbarstad
    Vbarstad Member Posts: 17
    edited July 2017

    beachsidesunset thank you! I will be sending good vibes your way as well for the 14th! Keep me updated, we may need each other's support! I thought I'd be able to keep my mind off of it but 2 weeks seems like FOR...EVE...RRRRR at this point. Enjoy Aurora this weekend!


  • MaggieGB
    MaggieGB Member Posts: 2
    edited August 2017

    Hi VBarstad,

    I have been on every other year MRI screening for 6 years due to family history ( annual mammograms but dense breast tissue). Everything has been clear until yesterday. I am told I have a 4mm area in my rt breast that lights up on MRI, but they request that I repeat the MRI in 6 mos. I will talk to Dr, in am, as when he called, kids were within earshot and I couldn't ask questions). I know MRI has some false positives due to high sensitivity, but I have been six months without period, so I don 't think hormones are at play in the imaging. All anyone can do is keep seeking information and soldier on. Best of luck to you, and hugs.

  • Vbarstad
    Vbarstad Member Posts: 17
    edited August 2017

    ...So my MRI was scheduled for the 14th but I started my cycle on July 30th so I called to see if I should reschedule since the 14th would be outside the ideal window. They rescheduled for today. Got there, got my IV in and about ready to hop on the MRI table when wait... I need to be at least 4 weeks post biopsy. Since I'm only 2 1\2 weeks post biopsy, they made some calls and so...I have to wait about 4 more weeks until I start my cycle again to minimize false positives. I am really getting a lesson in patience with all this. Yay, I'll get results right around my 37th birthday. :) Trying so hard to stay positive but I'm positively frustrated.

  • Vbarstad
    Vbarstad Member Posts: 17
    edited August 2017

    MaggieGB, I'll be sending good vibes and prayers your way that you get and all clear! So glad that they are keeping an eye on you and if it is something they can get it quickly. The technology is quite amazing.

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

    MaggieB, mri are very sensitive, meaning they "see" lots of stuff, but not very specific, meaning that what they "see" is not just bc (they "see" everything). That is why they are not used for everyone, but for specific women. They lead to increased anxiety and increased biopsies, as that is the most reliable way to determine if a find is bc. There are patterns of uptake and wash out of the contrast dye, and those patterns can be more similar to a b9 phenomenon or a malignant phenomenon, but the biopsy is the final word. Hoping your find proves to be b9!

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    Darn!! I'm still scheduled for tomorrow, I'm kind of nervous to get there. I am surprised they told you that you need to be four weeks post-biopsy, he told me that 2.5-3 weeks is fine, tomorrow I'm three weeks post. I hope it is clear, and this can get over with and I can get this lump out and move on!! So sorry that yours is still dragging on!

  • Vbarstad
    Vbarstad Member Posts: 17
    edited August 2017

    beachsidesunset hope everything went well today!! Sending good vibes your way!!!

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    Vbarstad, I got news I wasn't quite ready for, actually. The MRI found one 5.5 mm mass with irregular medial margins, and one region of nonmass like enhancement that is 2.5 cm. Both are in the right breast. I'm being referred to the "best breast cancer doctor in the state," according to my surgeon, at University of Nebraska at Omaha, and I'll have an MRI guided biopsy (at this point this is speculation that the surgical oncologist will want to go this route, the other option will be an excisional biopsy, I think) and then go from there. Of course, I'm aware of the fact that eighty percent of the things that an MRI sees are benign but I'm also a little bit of a realist and I want to be prepared just in case. I really thought there would be nothing to see on the MRI so it was really upsetting to have this happen.


  • Vbarstad
    Vbarstad Member Posts: 17
    edited August 2017

    beachsidesunset I am so sorry. I know it is torture not having real definitive answers and I hope that they turn out to be benign. And if it is something, it sounds like you will have great doctors surrounding you to get you headed in the right direction. I know none of that makes any of this easier to absorb, but try to surround yourself with people who will let you vent, cry and just support you through the next steps. I wish I had better advice since I'm in a similar boat but I'm finding it very hard to keep my mind occupied while waiting. When do you go back?

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

    beachsidesunset, have you gotten a copy of your mri imaging report, or a BIRADS score? that might help us help you "be prepared".

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    MTWwoman I'm BIRADS 4 at this point with the Breast Cancer hospital performing a second opinion today. I'm hoping for a downgrade to a BIRADS 3 but I'll still have the biopsy. The liaison I talked to said that we will proceed as quick as possible, my biopsy will be a week from tomorrow if that's what the surgical oncologist recommends, the results will take 5-7 days.

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

    beachside, if they "downgrade" you to a BIRADS 3, you may want to double check with your insurance company about coverage as BIRADS 4 is typically the "lowest" score for which they will reimburse a biopsy (typically, a BIRADS 3 recommendation is for 6 month follow up). Hope all goes well today at your second!

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    I had the first biopsy at a BIRADS 2 (the original lipoma, last month) and they paid, I'm lucky, I have really, really good insurance. I won't have the biopsy until next Thursday, they'll be doing the report today, and then we don't have a day off until next Thursday and it's a four hour trip to the Breast Cancer center so we have to wait until we can get down there. The "downgrade" is just wishful thinking, from what I've read, radiologists are all very well trained in breast cancer and enhancement identifications, they should be fairly universal with identifying different masses and lesions, so I may be living in fantasy land!

    Thanks for your well wishes!

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

    Oh good, just didn't want you to get good news quickly followed by a bill for ($$$) :)

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    MTwoman, I have some advice needed! So my liason today said that the Breast Cancer center, when reviewing the MRI did NOT downgrade the BIRADS, however, they feel that they can't "reach" or "get" the 5.5 mm lesion due to its size and position. They want me to come for a "consult," which is a four hour drive, but this is still not definitive yet, this was just a preliminary assessment they still have to consult with the surgical oncologist and determine the best course of action, this was just the radiology oncologist that had told the liason this. This was not even in regard to the 2.5 cm NMLE, which still needs to be biopsied, this is ONLY in regard to the other lesion. The liason stated that they may consult to get a surgical excision, but she wasn't sure what their options were, as she isn't a doctor and didn't know what they would do. What are the options when they can't reach an "invisible" lesion that is very small but is suspicious for malignancy?? Any ideas? I'm really confused and worried about what my next steps will be.

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

    you know, that is beyond my ability to give you good information. But I do think that DJMAmmo may be able to better advise you. Let me see if he's around.

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    Thank you so much, MTwoman, I just am so lucky to have found this site!!

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    I have all my appointments set up for this week, I meet with my surgical oncologist on Thursday, along with either an Ultrasound or MRI-Guided biopsy done by my new diagnostic radiologist. She is part of my team at UNMC cancer center. I assume since she is doing the imaging, she'll have a pretty good idea on Thursday when she does the testing, however, I'll have my official results on next Tuesday at 4:20. She said that if the timing (?) is correct and the images are what they look like that it is very concerning, but she said she has a policy to never trust anyone else's images over her own. If the results are cancer, I'll meet with my multidisciplinary team next Wednesday or Thursday. I don't know what she means by timing, or what she means by if the images match with the timing or whatever, but she said she'd show me when I'm there here in a few days. So I have been just trying to relax and get ready for the trip across the state!

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

    It sounds like you've got a good one. Not trusting anyone else's images but her own is okay (picky about her own protocol) coupled with being willing to "show you" what she means so you understand is awesome. Try to take good care of yourself in the next few days while you wait!

  • Vbarstad
    Vbarstad Member Posts: 17
    edited August 2017

    Hoping for good news for you tomorrow! Glad you have a great team no matter what!!

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    Thanks for the thoughts over the last few days! I just got home from the Breast Center, what a frustrating and emotional trip. The radiologist said she has no idea what it is. She said she's leaning toward some type of atypical change in the tissue, it's definitely different than the surrounding breast tissue. She could find it easily with the ultrasound, but she just isn't sure what the images show. She said that it doesn't scream typical breast cancer, for sure, she said that she wishes she could tell me I don't have breast cancer, but she can't. I asked for a number and she gave me 20%, which isn't surprising, since that's the average for all biopsies, however, I was really hoping to show up and have her say, "I'm sure you don't have cancer, but we'll do the biopsy, just to verify." Instead, she said that she was pretty sure it was just the atypical tissue changes but it still could be cancer, which just makes me more unsettled. She did ten different "grabs" or whatever it's called with that "torture device" aka biopsy gun and then placed the clip. Now I wait. She said that even if it is just an atypical change, we will need to discuss a treatment plan because I have some of the most dense breast tissue she's seen in over thirty years at a breast center. She said that I'll be doing maintenance every three months for a while, at the very least, and possibly tamoxifen or raloxifene? (sp.?) if it is what she thinks it may be. It's a lot to think about but I'm just glad that she's so on top of it. She was incredibly intelligent. I had a doctor holding my hand, one assisting, my diagnostic radiologist, the tech, it was quite a team.

    I will find out on Tuesday what the results of the biopsy are, I meet with my local doctor, the breast center will be sending the results here for him to give to me in person. I guess I'll be in continued limbo until then.

    Vbarstad, when is your MRI scheduled?? I'm anxious for you to get some results as well!! Good thoughts going your way!

  • Bellapam
    Bellapam Member Posts: 71
    edited August 2017

    Good to know you are in capable hands, Beachside! I get my results on Tuesday as well. The waiting is just so much hell sometimes. I'm looking for bingeable shows online currently because I have used up all my other distraction tactics. I have kept up with your thread and I'm glad you are making more progress towards a dx. Healing vibes!

  • Vbarstad
    Vbarstad Member Posts: 17
    edited August 2017

    Hey beachside! Man I know how frustrating it is!! I have to start my cycle before I can schedule the MRI. I haven't wanted to start my period so much in my life LOL. I should start any day now and hopefully get in for the MRI the week of the 4th. Honestly, my nerves are shot and I feel like a dark cloud is following me every minute, but I'm trying to be my normal, funny, outgoing self for everyone but I'm ready to just figure it out and get IT out.

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    Bellapam, I've been watching a lot of shows, and I recently turned to Roblox games! They're addicting, my kids got me started haha. They're six and four so they sit with me and we play them together. As far as shows, I watched Stan Versus Evil, and now we're bingeing (binging?) (the spelling just isn't right!) Midnight, TX which is pretty good, we like those kind of shows. We watched The 100 a few weeks ago, we've pretty much watched them all! I'm hoping Tuesday gets here soon for you, too, so we can get some answers!

    Vbarstad, I'm sorry it's taking so long to get here, it seems like it's dragging on for me and it's not even my period! I remember how bad I hated it, I don't miss it at all. I bet its so frustrating for you that you have to wait for such an annoying time lol. I am anxious for you to get your answers too. Not too much longer. I hope that you can get it done before your birthday so you can enjoy yourself.

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    Oh as a side note.. The doctor yesterday said there is NO LIPOMA.. so the surgeon here at home was going to do a lumpectomy on NOTHING. Interesting, I thought. She said there's nothing there. Also there's no lumps, she said I have a fat/lobular shelf that is what i'm feeling but there's nothing that she feels that would have led him to think there's anything there. So who knows.

  • Bellapam
    Bellapam Member Posts: 71
    edited August 2017

    That would have been interesting (no doubt you would have a stronger word) to see how the surgeon would react to and explain finding nothing to excise during the lumpectomy. It is really good that you found another doctor! I called my breast clinic today, and no way would they tell me about my biopsy results, so I have to wait for Tuesday. Sigh. My biopsy was last Thursday. Thanks for the ideas, Beachside! I had forgotten about the Midnight, Texas show, and Manfred (main character) is one of my favorite supporting characters from another Charlaine Harris book series.

  • beachsidesunset
    beachsidesunset Member Posts: 36
    edited August 2017

    So I got my results today, the biopsy was benign. The path results state "fibroadenomatous changes." Of course, my fool of a surgeon tells me first, that it was just "fibrocystic changes," which would have been better, but still. I'm very happy. I see the surgical oncologist on the 14th to discuss the follow up plan, because this doctor just had no idea what was going on.

    I don't love the fact that the changes are kind of vague, it's not a fibroadenoma, when I could clearly see it and it was very visible and "concerning" on MRI, but they're just fibroadenomatous changes, which to me seems very confusing. I try not to google things, however everything I read says there is either fibroadenomas or not, in my mind, how can tissue be changing into a fibroadenoma but not be there yet, but still be clearly visible on ultrasound and MRI, but not a fibroadenoma?? I'm just really confused. I am anxious to meet with the surgical oncologist to see what he says about it and he will have reviewed the MRI, the ultrasound, and the pathology, and made some ideas about a plan. The doctor today said there was no need to follow up, because it was benign, but I already had spoken with the breast center, and I just thought to myself, you are a fool. I have been through the ringer, there is no way I would just NOT follow up! UGH!

    Anyway! I am hoping for benign results for you, Bellapam!! Keep us posted!!

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