Interpreting Your Report

Such beautiful kitties!!

As my username indicates, I love your cats, they are adorable!!

I've been able to find my lump, it's super hard and totally immovable. Please tell me that it's still probably benign and statistically I'm still good.

As others have said, thank you for sharing your time and expertise with this community. It's very appreciated!

Thank you so much for letting me know. Maybe I will type it up instead. Thanks again!

Awww they are so cute djmammo!!

For all of you have been waiting with me and I with them, I got my report today I am IDC my breast cancer doctor called me today I have an appt with her tomorrow. she said to bring family support my husband is going with me.

djmammo

I was wondering if you could interpret my report. And let me know what you think. It should be noted when they did the biopsy they collected a fluid around my mass. Which seemed to be good news because they thought it might just be an infection but it ended up not being one. He said I have heterogeneously dense breasts...what does that mean. Pi assumed when he said that during the ultrasound it was a good thing but of course I didn’t ask because I wasn’t processing it or something.

Right breast: unusual, multi lobular hypoechoic, irregular mass measuring 3.8 x 2.0 x 1.4 cm immediately medial to the right nipple. Nearby there is an additional mass 2.5 x 1.7 x 1.0 cm. Other smaller areas are hypoechoic.

I realize that some of the terms are less favorable but the fact there was fluid seems good. What are your thoughts or suggestions. As they aren't suggesting an antibiotic. But they haven't said they wanted to do anything else.

Thanks for your help and opinions

Djmammo

This was a diagnostic because I felt a lump. In the ultrasound they said there was no swelling of the lymph nodes...seemed like he was pleased with that when the tech showed him.

I of course have a list of questions now that I’ve been keeping track of since apparently I didn’t think of any questions until I left. Yeah I was hoping to see something about the fluid but there was nothing.

djmammo, I hope you can explain something found in my pathology report after double mastectomy. I think my signature will give you the info you need about my diagnosis, but I'm happy to provide further information.

A related (I think) quote from earlier testing may help: From Bilateral breast MRI with and without contrast: "MRI findings in the left breast is indicative of residual carcinoma in the left breast upper outer quadrant." Then, my question, from my post-mastectomy pathology: "Review of representative quadrant sections reveals inadvertent sampling of the lesion in the upper outer quadrant section."

They did find that my DCIS extended to "within less than 1 mm from the inked anterior margin," and my BS gave me the option of re-excision or radiation. Having come this far, I chose re-excision. The pathology from the re-excision surgery found "no evidence of residual ductal carcinoma in situ," and "no evidence of breast parenchymal elements."

Now, a few months later, I am concerned about the "inadvertent sampling of the lesion in the upper outer quadrant section," particularly the "inadvertent sampling of the lesion" part, and what that means. My BS says the finding of no more DCIS in the re-excision sample means they got all of the DCIS and I do not need further treatment. I want to believe that, but I also want to understand this as well as I can. Being double negative, I want to do anything I can to avoid recurrence.

Thank you for all you do!

what is the likelihood of this being invasive? My pathology report states:

stained with an immunoperoxidase stain to smooth muscle myosin. The area of concern for an invasive component is in the 9:00 periareolar biopsy material. The area of concern on the H&E stained sections are not present on deeper sections of tissue stained with smooth muscle myosin and is non contributory. The area of high grade and comedo type DCIS in both sections all demonstrate a layer of myoepothelial cells consistent with DCIS. The estrogen andprogesterone receptors are: ER positive 100% and PR positive 50%.

Motheroftwo36

You got a mastectomy correct? And your lymph nodes were clear? If so you should be fine.... unless the DCIS was along your chest wall etc. and they did not get good margins..

I was diagnosed with and treated for (excision, the pathology report stated I had clean margins) Stage 1A melanoma in 12/18. My father passed away from Adenocarcinoma (it started in the salivary gland and spread to his lungs over a 18 year period) in 12/15.

On 3/7, I had my first mammogram (I opted for 3D) at age 41. The results were inconclusive due to dense breast tissue, so I was referred for a UNILATERAL LEFT DIGITAL DIAGNOSTIC MAMMOGRAM 3D/2D AND TARGETED LEFT ULTRASOUND WITH ADDITIONAL VIEWS. Right after the ultrasound, the radiologist said the tumor was suspicious and on my paperwork, it listed a BIRADS of 4, 5 (dense).

Here are the study results:

The tissue of the left breast is heterogeneously dense. This may lower the sensitivity of mammography. Digital mammography views were performed including tomosynthesis.

Additional views of the medial left breast confirm UIQ nodularity. Targeted US shows a lobulated heterogeneous 1.5 cm mass at 10 o'clock 6 cm FN.

The axilla is normal.

No significant calcifications are seen in the breast on the mammogram.

IMPRESSION: SUSPICIOUS FOR MALIGNANCY, TARGETED ULTRASOUND SUSPICIOUS FOR MALIGNANCY

Left 1 o'clock 1.5 cm lobulated mass is suspicious; recommend biopsy. This was discussed with the patient and called to the referring physician's office.

Left US guided core biopsy has been scheduled for 3/15.

I've searched on Google to get more information from reputable sources, but I'm still confused by what all this means. Is it possible that my melanoma has spread to the breast, or is this more than likely something totally unrelated?

I'm trying very hard to remain positive and optimistic, but between this and the melanoma diagnosis and surgery, I am feeling completely overwhelmed right now. Any information is appreciated!