Mammogram results help

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shaninaz
shaninaz Member Posts: 3
edited May 2018 in Not Diagnosed But Worried

I received the news that I need to have another biopsy. I had one three years ago and it was benign. It was debris from a burst cyst. This year I made the mistake of going to a new imaging center. The report is really basic compared to my previous reports. I had a mammogram as well as an ultrasound. Can someone help me interpret the results. It says I have a vascular solid nodule. Doesn't this usually mean cancer?

Here is all that is written:

1. There are simple cysts seen in both breasts

2. There is a vascular solid nodule measuring 8x6x8 mm seen in the right breast at 10 o clock located 0 cm from the nipple.

Impression:

1. Simple cysts in both breasts appear benign

2. Solid nodule in the right breast is suspicious. An ultrasound guided biopsy is recommended.


Birads category

Comments

  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited May 2018

    So, my take is that the one termed "vascular solid nodule" is the one they're concerned with (Ive never seen that particular term before.)You don't list a BIRADs score, but generally they don't biopsy anything less than BIRADs4. Anything deemed to be 3% risk of cancer or greater gets biopsied.

    BIRADs4 is actually pretty favorable--roughly 80% of those biopsies will be benign. BIRADs5, on the other hand, is MUCH less favorable--only 5% turn out benign.

  • shaninaz
    shaninaz Member Posts: 3
    edited May 2018

    it was Birads category 4. The report is really basic and I don’t have much confidence as they verbally told me they compared to last years scans, but once I got the report, it says they didn’t compare. I guess I need to go back to my original imaging center for a second opinion. Thank you for responding

  • mustlovepoodles
    mustlovepoodles Member Posts: 2,825
    edited May 2018

    I think I would get a second opinion, too. They really need to compare your new films to the old ones.

  • djmammo
    djmammo Member Posts: 2,939
    edited May 2018

    shaninaz

    That description could go either way, benign or malignant. They left out a great number of features that would help decide what it is. Its a fairly non-commital report. Either way if its new or larger since last time it needs to be biopsied no matter what it looks like.

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