Biopsy scheduled 10/26--repeat from 2015--Scared

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Judben63
Judben63 Member Posts: 10
edited October 2018 in Not Diagnosed But Worried

Hello!  I am new to this board & thought I would post to see if anyone had any ideas on what could be going on with me or have had the same experience.  

In 2015 I had a mammogram & it showed microcalcifications.  Biopsy was recommended.  It cam back as a sclerosing papillary lesion.  I was referred to a BC for surgical excision.  The BS said the biopsy appeared to have gotten all of the area in question and recommended we follow up with mammograms every 6 months.  All of 2016 & 2017 the mammograms showed no changes in that area.  (The mammogram in 2017 was from a new provider but they had copies from all previous scans)  On 10/17 I went in for my scan & even upgraded to a 3D scan.  I was a little nervous and stopped by the imaging place to pick up my report the next day.  It stated a new group of calcifications was seen in the same breast from the previous biopsy and they wanted more images.  I had new images on the 19th.  Lots of pictures were taken more so than what I remembered previously.  For whatever reason the radiologist did not perform a US but told the tech he wanted to discuss my images with me.  He showed me on the screen that a new cluster of calcifications has reoccurred in the same spot as the previous biopsy & that I needed to have another biopsy,  He told me to have a seat & he would be calling my referring Dr.  with his findings to get me set up with a BS.  A half an hour later I was set up with an appointment with a BS on 10/26.  This all happened so fast I didn't really have enough time to let it all soak in.  Now here I am surfing the internet.  And you all know the horrible things you can find out there.  I have stumbled upon some good things but mostly what I ready has me nervous.

Does anyone know what this might mean for me?  Or does anyone have any idea about the previous biopsy in 2015 showing a sclerosing papillary lesion?  The stuff I read about this type of lesion could be the start of cancer.  Any help would be greatly appreciated.  Thanks for reading.



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

    Judben63

    Can you post the reports of the recent imaging?

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  • Judben63
    Judben63 Member Posts: 10
    edited October 2018

    Here's the report from the retake on 10/19:

    History:  Screening recall microcalcifications posterior lateral right breast.  Patient with history of calcifications at this location biopsied in 2015 which demonstrated sclerosing papillary lesion.  Surgical consultaion was advised although surgery was deferred.

    Findings:  There is recurrent cluster of microcalcifications at the exact same site of previous micocalcifications that were biopsied in Sept of 2015.  This is the posterior lateral portion of the right breast.  There is an adjacent biopsy clip.  No other definite abnormality see throughout the right breast.

    There are scattered fibrograndular densities.

    Impressions:

    1.  Recurrent cluster of microcalcifications at the exact same site of previous microcalcifications posterior right breast.  Previously this demonstrated  a sclerosing papillary lesion with surgical consultation recommended in 2015.  Surgical excision was deferred,

    2.  Recommend repeat stereotatic biopsy and/or surgical excision.

    Comment:  I discussed these findings myself with the patient at the time of the exam.  I also called these finding to r Few, referring clinician at the time of examination.

    Surgical referral has been scheduled for October 26, 2018 at 8am.


    Final overall Assessment:  BI-RADS Category 4---Suspicious abnormality--Biopsy should be considered.

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  • Judben63
    Judben63 Member Posts: 10
    edited October 2018

    One last thing.  I was recalled in on 10/19 indicating they would be doing magnification views, true ML view, and if necessary an US.  The ultra sound was not done.

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  • Judben63
    Judben63 Member Posts: 10
    edited October 2018

    Djmammo

    I couldn’t figure out how to attach a picture of my last report so I typed it above. Any idea from this what may be going on with me? I’d appreciate any help here. Thanks so much.

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

    Judben63

    There are two diagnostic possibilities. 1) The new calcifications were produced by the papillary lesion that was biopsied and never surgically removed. 2) A new lesion is now present right there that is making new calcifications.

    There are two options to determine the above: 1) Perform another stereotactic biopsy. 2) Have it removed.

    The facts are these: 1) papillary lesions carry a small risk of malignancy and in my experience are always removed when found. 2) a recommendation for excision was already made along with a referral to a breast surgeon. 3) The original findings that were considered suspicious enough for biopsy have recurred.

    The choice it ultimately up to you and your docs and that may be more appropriate than following any advice I could offer as your docs will always know more about your specific case than me.



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