Disbelief in the histology b9 result

JoTheGreek · July 2018

Hi, guys, I'm Jo, living in Athens, Greece and recently had my cancer fear for a new finding shown in all u/s, mammogram and MRI tests as BIRADS 4 turn out after histology (lumpectomy via hook wire localization) as b9. I've been reading all possible threads here since June 14th 2018 when I was first alarmed by my radiologist about the new finding and, of course, throughout my pre-op check up and following my surgery. I received relatively early my b9 result as today it's the 22nd July and my op took place on July 10th. However, I feel more worried and concerned now than when I was awaiting for my results. My disbelief lies on the fact that I have a gut feeling that my hook wire was somehow dislocated during the night b4 the operation (they installed the hook wire 24 hours prior to the surgery, that is) and that the specimen histologically tested wasn't the one shown on imaging as BIRADS 4 but a nearby normal tissue. Has anyone here ever heard of something like that having happened to somebody else too? I was feeling the traction of the hook wire which was placed deep in my breast, near the chest muscle, up to a point but then a couple of hours prior to the surgery I stopped feeling it "biting" in this spot... I try to calm myself down by thinking that I'll anyway have my first follow up u/s in October and I rationalize that I could have well found it out in October rather than in June -that I did- but it still worries me and concerns me and doesn't even let me celebrate my b9 result. I feel so embarrassed to mention my worries to my surgeon -who I trust in pieces- for fear that he will misinterpret my concern as a distrust towards him, which is absolutely NOT the case. After all I've been handed my patient's files among which there were two mammograms of the specimens taken out of my right breast showing a density 8,6 mm which more or less are the dimensions of my lesions (in u/s 6,6 mm, in mammo 1,1 cm and in MRI 8,8 mm). I'd be grateful if anyone can enlighten me whether the hook wire dislocation is something common (down and middle of the breast, 6 to 7 hours orientation) and I thank you all so much in advance for your time taken reading my concern and for your attention. Thank you.

djmammo · July 2018

JoTheGreek

Can you post the 2 pathology reports? One from the pre-op biopsy and one from the surgery.

Also there should be a radiology report for the image that was taken of the tissue removed from your breast indicating whether or not the target and wire is contained in the lumpectomy specimen. It should be titled "specimen radiograph" and that is one of the safeguards in place to assure the correct area was removed.

JoTheGreek · July 2018

djmammo thank you so much for your response.

there hasn't been a preop biopsy as there wasn't a pre op biopsy conducted, just the histology from the actual surgery, I'll try to translate it from greek to English below, please excuse my inaccuracies in translating as I'm not a native English speaker. Actually I thought that it was a very taciturn histology report...

As for the radiology report, other than the imaging itself indeed showing the hook inside a density (of much darker (or much lighter) shade than the rest of the tissue removed, darker and lighter as there were two shots, the one negative of the other or so it seemed to me) and the quote "Confirm measurements on contact view" on the film I haven't been provided with additional info.

Translation of histology report from the surgery:

quote

===================

6773/18 right breast (small) lump

6774/18 induration of lump bed

Macroscopic: 6773: two (2) parts of mammary gland, the largest one with hook in it measuring 4x3x1 cm. In the sections there were observed whitish, elastic areas (total embedding).

6774: Part of mammary gland measuring 1,1 cm (total embedding).

Microscopic: 6773-74: Adenosis, cysts, apocrine metaplasia, small areas of ductal epithelial hyperplasia of ordinary (common?) type, and calcifications of right breast.

signature

unquote

=============================

thank you so much for your attention and help,

Jo

P.S. forgot to mention that I'm 56 years old and had my menopause for 5 years now

JoTheGreek · July 2018

djmammo thank you so much for your response.

there hasn't been a preop biopsy as there wasn't a pre op biopsy conducted, just the histology from the actual surgery, I'll try to translate it from greek to English below, please excuse my inaccuracies in translating as I'm not a native English speaker. Actually I thought that it was a very taciturn histology report...

As for the radiology report, other than the imaging itself indeed showing the hook inside a density (of much darker (or much lighter) shade than the rest of the tissue removed, darker and lighter as there were two shots, the one negative of the other or so it seemed to me) and the quote "Confirm measurements on contact view" on the film I haven't been provided with additional info.

Translation of histology report from the surgery:

quote

===================

6773/18 right breast (small) lump

6774/18 induration of lump bed

Macroscopic: 6773: two (2) parts of mammary gland, the largest one with hook in it measuring 4x3x1 cm. In the sections there were observed whitish, elastic areas (total embedding).

6774: Part of mammary gland measuring 1,1 cm (total embedding).

Microscopic: 6773-74: Adenosis, cysts, apocrine metaplasia, small areas of ductal epithelial hyperplasia of ordinary (common?) type, and calcifications of right breast.

signature

unquote

=============================

thank you so much for your attention and help,

Jo

P.S. forgot to mention that I'm 56 years old and had my menopause for 5 years now

JoTheGreek · July 2018

djmammo thank you so much for your response.

there hasn't been a preop biopsy as there wasn't a pre op biopsy conducted, just the histology from the actual surgery, I'll try to translate it from greek to English below, please excuse my inaccuracies in translating as I'm not a native English speaker. Actually I thought that it was a very taciturn histology report...

As for the radiology report, other than the imaging itself indeed showing the hook inside a density (of much darker (or much lighter) shade than the rest of the tissue removed, darker and lighter as there were two shots, the one negative of the other or so it seemed to me) and the quote "Confirm measurements on contact view" on the film I haven't been provided with additional info.

Translation of histology report from the surgery:

quote

===================

6773/18 right breast (small) lump

6774/18 induration of lump bed

Macroscopic: 6773: two (2) parts of mammary gland, the largest one with hook in it measuring 4x3x1 cm. In the sections there were observed whitish, elastic areas (total embedding).

6774: Part of mammary gland measuring 1,1 cm (total embedding).

Microscopic: 6773-74: Adenosis, cysts, apocrine metaplasia, small areas of ductal epithelial hyperplasia of ordinary (common?) type, and calcifications of right breast.

signature

unquote

=============================

thank you so much for your attention and help,

Jo

P.S. forgot to mention that I'm 56 years old and had my menopause for 5 years now

Disbelief in the histology b9 result

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