Confused

BarbieT
BarbieT Member Posts: 22
edited July 2018 in Not Diagnosed But Worried

Hello,

This is my first post here. I recently found a lump in my left breast and went to see my doctor, she scheduled a diagnostic mammogram and ultrasound. It turns out that I have two lumps. The report states within the left breast at the 1 o'clock position 4 cm from the nipple a smoothly marginated anechoic focus is present with good through transmission, wider than tall with preservation of the adjacent fat planes. At the left breast 7 o'clock position 2cm from the nipple corresponding with the area of palpable lump localized by the patient, an irregularly marginated mixed cystic and solid appearing focus is present which measures approximately 20 x 18 mm. This demonstrates blood flow within the internal solid septations. No posterior shadowing is visible. The clustered structures is taller than wide and crosses adjacent fat planes. BI-RADS Category 4. When the radiologist spoke with me he made is seem like there is nothing to worry about and I get a call from my doctor saying they are going to schedule me with a surgeon! I looked at the report and it suggest a FNA, but wouldn't a radiologist do this. Now I am worried out of my mind. If anyone has any knowledge of what all of this stuff means please help me understand. Thanks in advance!

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Comments

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

    Texas1188

    The report is well written, containing all the required information.

    The description of the finding on the left makes it sound like a benign cyst

    The finding on the right contains suspicious findings and I am assuming thats the one they want to biopsy.

    In my experience we radiologists always did the biopsy. Many docs will make the appt with the surgeon to save time in case the biopsy is positive, it saves time.

    A radiologist would do a core biopsy not an FNA and it would be US guided for accuracy. This would be done as an outpatient. Either way, you want the person who does the most image guided breast biopsies a day/week/year doing your procedure.

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  • BarbieT
    BarbieT Member Posts: 22
    edited July 2018

    Thank you so very much for your response. I have not gotten my appointment with the surgeon as of yet. I understand the report now that you have explained it to me. Thanks again!

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