Micro calcifications with no mass?

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Kerri-on-cloud9
Kerri-on-cloud9 Member Posts: 19
edited August 2018 in Not Diagnosed But Worried

I just had my biopsy yesterday for micro calcifications. I was trying to listen to the technicians as they did the biopsy for any clue of how the results might come back. I don't believe there is any mass associated with my micros but I still had a birad 4 (not sure if it was a 4a, b or c was too scared to ask)

I'll be out of town for a week so I won't know my results until next Friday.

I met with a breast surgeon who told me not to panic yet. She said most micros are benign and if it's anything it's probably very early stage. I felt better after that appointment but now that the biopsy is done, I'm freaking out again

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  • Rrobin0200
    Rrobin0200 Member Posts: 433
    edited July 2018

    I had a cluster of microcalcifications, no mass. DCIS was my diagnosis. Caught the SOB dead in its tracks. Like your BS said, IF it’s anything, it was caught way early. Best of luck and let us know.

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  • Sunshine1970
    Sunshine1970 Member Posts: 18
    edited August 2018

    I had a core biopsy and was told by my ob/gyn and the breast center that it is DCIS, I was referred to the cancer center,they said it's not dcis and need to have a lumpectomy to remove the microcalcifications, then they will decide after that pathology comes back.

    The 1st one came back atypical ductal hyperplasia with microcalcifications tested positive for E-cadherin and strongly positive for estrogen receptor. So confused about it all because why would one say one thi g and someone else say something else. It was birads 4 when I had mammograms. Had a previous ductal lumpectomy 9 years ago on same breast for body nipple discharge, but it was all b9 then.

    I'm so worried because I am not sure what to think.

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  • moth
    moth Member Posts: 4,800
    edited August 2018

    Sunshine - I posted a link to a study a while ago showing that pathologists don't always agree with each other. Cells can be hard to identify.

    One thing you could consider is getting all your reports and having another pathologist look at it all.

    "overall agreement between the individual pathologists' interpretations and the expert consensus–derived reference diagnoses was 75.3%, with the highest level of concordance for invasive carcinoma and lower levels of concordance for DCIS and atypia"

    I found another part of this study interesting too. They had 3 *expert* pathologists who reviewed the images and they were in accordance 90.3% of the time; I was a bit taken aback by the ~ 10% disagreement rate among the experts.


    https://jamanetwork.com/journals/jama/fullarticle/...

    Here are images from the article showing how much difference in interpretation of samples there was.

    image

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  • Kerri-on-cloud9
    Kerri-on-cloud9 Member Posts: 19
    edited August 2018

    My biopsy came back as fibrocystic changes with a recommendation for another mammogram in 6 months. Huge relief but I now know what to expect and I’m dreading going through this ever again. And wondering “did they do the biopsy right? What if they missed something?”

    This forum was the only thing that kept me sane during those long nights waiting for tests and then waiting for results. Best of luck to every person touched by this disease. 6 months are going to fly by and I’ll be back here for support and information.

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

    Good news, Kerry. I had a couple of biopsies for micro-calcs on the left. Nerve wracking, but always benign. My right breast slipped a fast one on me, darned stupid breast cancer. They sent both breasts to pathology after my BMX. I fully expected to find BC in that left breast. Nope. Just those little calcifications and the clips from my biopsies.

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  • Sunshine1970
    Sunshine1970 Member Posts: 18
    edited August 2018

    thank you so much for this information! I appreciate it very much.

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