Waiting for Follow up 6 month ultrasound

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Buddyrock
Buddyrock Member Posts: 28
edited November 2018 in Not Diagnosed But Worried

Good morning,

I'm new to dealing with any Breast concerns. Went 11/16 for annual mammogram, thought I'd get the all clear. Instead I was sent for diagnostic mammogram, 3D and us-due to asymmetry in right breast at women's health imaging center affiliated w breast cancer center of excellence. The asymmetry was given all clear when copared to previoous us and mammogram supportedthaat but something was found on the other side of my right breast

My report, it's left me feeling in limbo. Birads 3 back in 6 months "Probably" benign isn't reassuring. I dont even know what they're watching-cyst, lump-Dr just says a "mass"

FINDINGS:
Mammogram:
An asymmetry in the inferior right breast has a similar breast
parenchymal pattern dating back to 2015 on additional diagnostic
imaging with no underlying suspicious findings on spot compression
tomosynthesis views. Findings are compatible with superimposition of
fibroglandular tissue. Due to dense breast tissue, targeted right
breast ultrasound was performed.

Ultrasound:
Targeted right breast ultrasound of the inferior half for the
mammographically detected finding was performed. No suspicious solid
or cystic masses are identified. No sonographic correlate for the
asymmetry seen in the inferior right breast. Incidentally identified
at 8:00, 6 cm from the nipple is an oval, circumscribed, hypoechoic
mass with no internal vascularity and parallel orientation measuring
0.3 x 0.2 x 0.3 cm. This is a probably benign mass.

I've talked to my gynecologist, she said she'd be fine waiting 6 months if it were her mammogram but will give me breast specialist referral if that will help me with anxiety. Dr also said nothing she sees in radiologist report jumps out as concerning to her.

I'm not sure what to feel right now about this.

Thank you in advance and best of luck to all

Comments

  • Spoonie77
    Spoonie77 Member Posts: 925
    edited November 2018

    Buddyrock -- I'm not a dr but I do have a website that was helpful to me when I was trying to make sense of the strange vocabulary techs use on the US report. Maybe this might be helpful to you as well?


    The Radiology Assistant: BI-RADs for Mammography & Ultrasound

    http://www.radiologyassistant.nl/en/p53b4082c92130/bi-rads-for-mammography-and-ultrasound-2013.html


    ----

    "Incidentally identified at 8:00, 6 cm from the nipple is an oval, circumscribed, hypoechoic mass with no internal vascularity and parallel orientation measuring 0.3 x 0.2 x 0.3 cm. This is a probably benign mass."

    ----

    Using the Radiology website, you can find these bolded words there and they (circumscribed/hypoechoic/oval) do point to "benign" according to the website, as is stated in your US.

    According to the American Cancer Society:

    image


    I know that doesn't alleviate worry. Not knowing is the hardest. Hopefully seeing the breast specialist will help you decide what is best to do for you going forward.

    Please keep us posted.


    ((((hugs))))

  • Snowchick
    Snowchick Member Posts: 34
    edited November 2018

    Hi Buddyrock! I understand that "probably benign" is not the same as definitely benign, which is what everyone wants to hear :) Unfortunately, imaging alone cannot determine benign status, therefore "probably benign" is the used terminology. Too bad we can't say that our medical bills are "probably paid" and get away with that! 😀 Lol

    It may give you peace of mind to accept that referral to a breast specialist. It is not uncommon to follow new benign-appearing masses with recheck in 6 months. The breast specialist may be better able to address your concerns and put your mind at ease a bit.

    Mass is simply the term used for any solid lesion. Lump, mass, lesion, tumor... all of these words are used to illustrate a solid form and as stand alone words, they do not indicate neither benign nor malignant finding.

    I'm sending good vibes your way! I wish you peace and benign findings. I hope you find a breast specialist who addresses your concerns! Keep us updated! ❤

  • Buddyrock
    Buddyrock Member Posts: 28
    edited November 2018

    thank you Snowchik!

    I’m still undecided if I want to wait 6 months or see a specialist, my Gyn mention the specialist could tell me that I should wait 6 months...hard to figure out what will put my mind at ease

  • jp18
    jp18 Member Posts: 23
    edited February 2019

    Buddyrock - I hope you are finding some information that is helpful for you as well as allows you to step back from that brink of anxiousness. I am with you. I was called back in August (2018) after my mammogram and had a diagnostic mammogram and diagnostic ultrasound. The 'results' have only led to more confusion and anxiety especially when the doctors provide conflicting information. I have been told that hypoechoic is more solid and hyperechoic is more cyst/liquid - no solid matter. Then I have been told the reverse! Same with 'shape' and 'visual' - as in round/oval clear and hyperechoic is what you want - not the hypoechoic. But then no, you do want hyperechoic. My point is, if there is a growth/mass/lesion/ found, why wait 6 months if they cannot definitively state that is NOT cancer as apposed to 'PROBABLY' benign? I understand the 'over diagnosing' and too many invasive procedures increase health costs across the board, but the guessing game most women are left with is pretty rough to deal with - almost cruel. I find myself fluctuating between, "It is all ok. They would get you in if they were worried." to "There are so many cases of women that were told to 'wait and see' that ended up with cancer." On a more positive note,I have found that the further away from that initial phone call to return for more testing, the more able I am to put it out of my mind. I have also had to be very aware of my 'Google' time and how it can be my worst nightmare - too much information - almost all of which predict horrible things! If I get tempted to 'research', I try to force myself to do something else - away from the computer. If I just have to gather information, I try to only peruse forums such as this. I have checked with a few other doctors and unfortunately, I have to wait the 6 months before any other steps will be attempted.

    Snowchick: I loved your analogy of saying our bills are 'probably paid'!

    Spoonie77: Those radiologist sites/resources can have some great information. Those are about the only resources that seem to be consistent with each other at least.

    My 'Findings' report: (right breast; left was 'unremarkable' - shhh - don't tell it that it is unremarkable! No one likes to be thought of as such! ) Sorry - having been using humor quite a bit lately to try and shield and deflect the worry!

    • Persistent 4 mm nodule upper outer quadrant consistent with mammogram
    • asymmetric density in upper outer quadrant
    • 4 mm hypoechoic nodule or cyst with internal septation/internal debris 10 o'clock;5-6 cmfn
    • corresponds to mammogram findings
    • BI-RADS III
    • Density Category B
    • Scattered Fibroglandular Densities that could obscure lesions
    • Hypoechoic area with echogenic center


    I hope all of you are doing well. Thank you for taking time to read this 'word purge'.

    jp18

  • Moderators
    Moderators Member Posts: 25,912
    edited November 2018

    Hi jp18! The waiting really is so very hard! Thank you for sharing your story, and please keep us posted on how things in the next few months!

    The Mods

  • Buddyrock
    Buddyrock Member Posts: 28
    edited November 2018

    I decided to call the breast center this morning and request a new patient appointment to get a second opinion on my results, a clearer understanding of what this could be and if they agree with waiting for a 6 month ultrasound follow up.

    They gave me an appointment with an internal medicine dr at the benign breast center on12/19!!!

    My husband has been a rock, keeping me positive and distracted.

    Thank you all for your support!

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