Waiting for biopsy

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Sep745
Sep745 Member Posts: 8

I found a lump on my L breast a week ago. I had a diagnostic mammogram and ultrasound. They found a 2 cm mass with 2 6mm vascular lesions and 3 enlarged hypoechoic lymphnodes in armpit. My Dr has been available for all my questions and the last thing she said to me is to remember I found the mass, I made the appt. to see her right away and we have been very proactive in getting this dx as quickly as possible. She also said depending on the results of my biopsy things tend to move quickly from there. Meaning Drs. appts etc. To me this just doesn't sound good and I am so worried. My biopsy is Monday.

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  • djmammo
    djmammo Member Posts: 2,939
    edited February 2019

    Sep745

    Can you post the report?

  • Sep745
    Sep745 Member Posts: 8
    edited February 2019
    I tried to post report and it said cannot post link at this time. I was able to copy and past report results if this is helpful.


    EXAMINATION:
    MM BREAST DIAGNOSTIC, BILATERAL

    TARGETED DIAGNOSTIC BREAST US, left

    CLINICAL INFORMATION:
    Palpable lesion left breast

    COMPARISON:
    2/27/2017

    TECHNIQUE:
    Diagnostic mammography. Bilateral digital mammography.

    Targeted diagnostic ultrasound: Left breast

    Computer-aided diagnosis was utilized.

    Projections included: Craniocaudal and mediolateral oblique views

    Additional projections: spot compression

    FINDINGS:
    Mammography:
    Breast density; There are scattered areas of fibroglandular density (breast composition category b)

    Large irregular mass lateral lower quadrant posterior depth left breast corresponds to the symptomatic area.

    Diagnostic ultrasound:
    Irregular hypoechoic mass measures up to 22 x 16 x 21 mm 4:00 position 8 cm from nipple corresponding to the symptomatic area. Adjacent satellite lesions measure up to 6 and 5 mm demonstrating a similar morphologic appearance. Lesions are vascular. The
    satellite lesions are within a centimeter of the dominant finding at 4 o'clock.

    Moreover, there are abnormal axillary lymph nodes which are diffusely hypoechoic and rounded in morphology largest measuring up to 12 mm. 3 adjacent lymph nodes identified.

    IMPRESSION:
    Palpable abnormality corresponds to a large mass highly suspicious for malignancy 4:00 position with adjacent satellite lesions and pathologic left axillary lymph nodes

    BI-RADS category: 5, highly suspicious

    RECOMMENDATION:
    Ultrasound-guided core biopsy left breast as well as left axillary lymph nodes.

    The findings and recommendation were discussed with the patient.
  • Sep745
    Sep745 Member Posts: 8
    edited February 2019

    I tried to post report and it said cannot post link at this time. I was able to copy and past report results if this is helpful.

    EXAMINATION:

    MM BREAST DIAGNOSTIC, BILATERAL

    TARGETED DIAGNOSTIC BREAST US, left

    CLINICAL INFORMATION:

    Palpable lesion left breast

    COMPARISON:

    2/27/2017

    TECHNIQUE:

    Diagnostic mammography. Bilateral digital mammography.

    Targeted diagnostic ultrasound: Left breast

    Computer-aided diagnosis was utilized.

    Projections included: Craniocaudal and mediolateral oblique views

    Additional projections: spot compression

    FINDINGS:

    Mammography:

    Breast density; There are scattered areas of fibroglandular density (breast composition category b)

    Large irregular mass lateral lower quadrant posterior depth left breast corresponds to the symptomatic area.

    Diagnostic ultrasound:

    Irregular hypoechoic mass measures up to 22 x 16 x 21 mm 4:00 position 8 cm from nipple corresponding to the symptomatic area. Adjacent satellite lesions measure up to 6 and 5 mm demonstrating a similar morphologic appearance. Lesions are vascular. The

    satellite lesions are within a centimeter of the dominant finding at 4 o'clock.

    Moreover, there are abnormal axillary lymph nodes which are diffusely hypoechoic and rounded in morphology largest measuring up to 12 mm. 3 adjacent lymph nodes identified.

    IMPRESSION:

    Palpable abnormality corresponds to a large mass highly suspicious for malignancy 4:00 position with adjacent satellite lesions and pathologic left axillary lymph nodes

    BI-RADS category: 5, highly suspicious

    RECOMMENDATION:

    Ultrasound-guided core biopsy left breast as well as left axillary lymph nodes.

    The findings and recommendation were discussed with the patient.

  • blah333
    blah333 Member Posts: 270
    edited February 2019

    I'm so very sorry...... BIRADS 5 is the rating they give it when they are certain it is cancer. It becomes BIRADS 6 when confirmed by biopsy. So you should prepare your mind that this likely will be cancer. Hopefully you can get answers soon. The uncertainty and waiting can be excruciating. Hopefully your doctor can answer more questions at the biopsy so you don't have to wait even longer for results, or you can get an idea of what kind of bc you're looking at here.

  • djmammo
    djmammo Member Posts: 2,939
    edited February 2019

    Sep745

    Agree with blah333's assessment.

    I assume the biopsy will be positive from the reports. They will bx the dominant mass and perhaps one of the satellites and maybe one of the lymph nodes. These can all be done under US, with results usually within a week in most places.

    After that our routine was an MRI to see if there are other satellites and/or additional nodes, and to evaluate the other breast for occult disease. This will be followed by a surgical consult and perhaps an appointment with an oncologist depending upon your doctor's routine. Keep us in the loop.

  • Shelbybelbyboo
    Shelbybelbyboo Member Posts: 20
    edited February 2019

    Did you get pathology results? Thinking of you and hoping for the best

  • Sep745
    Sep745 Member Posts: 8
    edited February 2019

    I went in for my biopsy yesterday. They took 6 samples from the mass in my breast and 8 (2 from each suspicous lymphnode) from my armpit. I am hoping to have the results by Thursday. Thank you for you kind words and I will keep you posted.

  • JeriM
    JeriM Member Posts: 1
    edited February 2019

    I am new to this forum and have no idea where to post this. I have an MRI-guided breast biopsy tomorrow and am terrified that it will hurt. I do NOT do well with any type of pain or needles (I have a terminal genetic disease, as well, so I've had a zillion tests). I seriously have the lowest pain threshold and it is a real problem for me. I have a chest port for blood draws and transfusions and use EMLA cream each time. I'm wondering if it is okay to use EMLA on my breast before the MRI (with contrast) or if that will screw it up somehow and before the numbing shots (which never work well on me). I'm thinking I could have it on for a couple of hours and then wipe it off before I go in. Anybody know??

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    I had mammogram, got call back , had 3 d images then ultrasound,  now core biopsy on march 7 2019. Waiting is awful and the unknown.

  • Sep745
    Sep745 Member Posts: 8
    edited February 2019

    I know exactly how you feel.

  • Sep745
    Sep745 Member Posts: 8
    edited February 2019

    I was scared of the pain as well. Besides having children I have never been to the hospital for anything. It is much like the sting of having a blood draw but I felt like I was numb so quickly afterward. That the pain literally lasted seconds, and felt nothing during the biopsy. I also had an amazing radiologist who made me feel so at ease and walked me through everything he was doing with humor. I have never used EMLA cream but If I had to guess I would say no as I was told no deodorants, lotions, powders, or perfume on my armpit or breast area(s). But you can always call the facility where you are having it done and see if that would be an exception. I hope everything goes well for you today.

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    my report from call back says BI-RADS 4C-suspicious for malignancy how many of you have turn out to be positive with this bi-rad count? I am scared

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    did you get a Bi-rads count in your report? I went and picked mine up today. Now I am really worried.

  • blah333
    blah333 Member Posts: 270
    edited February 2019

    I had 4C. Then after they took samples/wrote the biopsy report they bumped it to BIRADS 5, and the samples confirmed DCIS, BIRADS 6.

    I believe 4C means there is about an 80% chance of being malignant. Sorry....

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    Thanks for your reply, My nerves are so crazy right now. Being as old as I am you would think I'd handle this better. But this what if is killing me. 

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    So are you doing good since your surgery?

  • blah333
    blah333 Member Posts: 270
    edited February 2019

    I am, aside from some swelling and a swollen/reactive node that has caused me stress. But I had one of the most "easy" routes here compared to what most women on these boards endure. The worst thing about the whole ordeal is just the mental aspect and knowing things can come back, even if you just had DCIS. My recent biopsy/waiting has me feeling sympathy and concern for everyone else currently waiting for results or in that limbo state of not knowing. It's seems easier to know bad news than have the uncertainty.

  • buffalowings
    buffalowings Member Posts: 24
    edited February 2019

    beepbop I recently had a Birads4 with high suspicion come back as a 2cm + non-malignant complex sclerosing lesion. It looked like carcinoma on the imaging because these things do, but it was not found to be cancerous. I will still need to see a breast surgeon about removing it and whether it impacts future odds of developing cancer so I am still hanging around here for now. But just so you know, sometimes even very suspicious things can come back benign.

  • Natasha007
    Natasha007 Member Posts: 44
    edited February 2019

    Beep7bop,

    I had routine mammogram and was called back. Had Ultrasound and color Doppler. They found an irregular hypoechoic mass as well as a subtle irregular hypoechoic mass. Bi-Rad 4C high suspicion for malignancy.

    They did a spring loaded core needle biopsy on both places, taking about 8 samples. I had not mentally prepared myself for how many times in and out would occur with the biopsy. However, I'm the biopsy was super easy, I could go in for another today and not give it a second thought. I worked myself up that it would be awful and hurt and it was so easy and didn't hurt. I didn't want to be there but it was fine. I'm a classic over thinker and I worried way too much about the pain of the biopsy.

    Everything was benign, both masses. My nurse navigator said 4Cs come back benign often. She said Fibroadenomas mimic cancer and it is difficult to tell. Please don't assume the worst although I know that is hard.

    While waiting, I made myself sick with worry. Physically throwing up and sick. Not sleeping and weeping. I imagine that's normal but after I saw the 4C I just lost all hope. Try not to if you can. Call the breast center and speak with the nurse navigator. It really helped me.

    I also downloaded the calm app (blue cursive) and that helped. I prayed every 30 seconds in my head. Keeping my mind on God helped. I didn't have the strength or mental/emotional capacity to say meaning prayers so I just prayed for the Holy Spirit to pray for me. That's all I could muster. I'm so sorry you are going through this. I want to give you hope that even 4C can be benign. My nurse navigator said doctors have different reasons for labeling 4C and she told me to stay off google about it. Please see if you can speak to nurse navigator.





  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    thank you for your reply. Bi-rad 4C Your right the mind goes crazy when you read about it.  I have a week until biopsy and then 5 days to get results. I'll make it, but I might be crazy by then. Glad yours came back so good!!

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

     Thanks, for being here. 

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    That is true, the unknown is the worst. I can handle what I find out.

  • beep7bop
    beep7bop Member Posts: 130
    edited February 2019

    Have you gotten your report? Read your post and Hoping and praying it all comes out good for you.

  • Shelbybelbyboo
    Shelbybelbyboo Member Posts: 20
    edited March 2019

    I am keeping my fingers crossed for you that your histology came back benign 🤞

  • beep7bop
    beep7bop Member Posts: 130
    edited March 2019

    thanks, I will let you know.

  • beep7bop
    beep7bop Member Posts: 130
    edited March 2019

    sep745  how did your biopsy come out?

  • Sep745
    Sep745 Member Posts: 8
    edited March 2019

    I'm sorry it has taken so long to respond to everyone. Unfortunately I was diagnosed with stage 3a invasive ductal carcinoma, with to positive lymphnodes. It has been a whirlwind since my diagnosis. And I'm still trying to process it all while being focused and committed to nothing less then a full recovery. I have already met with the physicians on my cancer team and I had an MRI yesterday to see if it is present anywhere else. Right now I seem to not have even a minute to myself as the appts are fast and furious. Since my dx on 2/27 Ive had 8 appts with another 5 already booked by 3/19. When things have settled down a bit. Which I have been assured the will. I will be able to post a bit more on how things are going.

  • Sep745
    Sep745 Member Posts: 8
    edited March 2019

    I'm sorry it has taken so long to respond to everyone. Unfortunately I was diagnosed with stage 3a invasive ductal carcinoma, with to positive lymphnodes. It has been a whirlwind since my diagnosis. And I'm still trying to process it all while being focused and committed to nothing less then a full recovery. I have already met with the physicians on my cancer team and I had an MRI yesterday to see if it is present anywhere else. Right now I seem to not have even a minute to myself as the appts are fast and furious. Since my dx on 2/27 Ive had 8 appts with another 5 already booked by 3/19. When things have settled down a bit. Which I have been assured the will. I will be able to post a bit more on how things are going.

  • beep7bop
    beep7bop Member Posts: 130
    edited March 2019

    so sorry for your dx. I am sure you are dealing with a lot. Was so hoping it would be B9 for you. I haven't gotten my biopsy report yet but see the doctor on Tuesday. Biopsy was march 7.

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