New here. Going for biopsy.
Hello. Just looking to hear similar stories or anyone who can share insight. I'm 43, I went for routine mamo. Was called back due to dense tissue, went for recheck and ultrasound yesterday. They said I have a small nodule in my left breast, about 1cm and want me to get a biopsy. My obgyn referred me to a breast surgeon. Their office said I would go to them after the biopsy. She also said BiRads 4/suspicious.
Does anyone know why I would have been referred to a breast surgeon before the biopsy is done? Also what can I expect from the biopsy and moving forward. I'm trying not to freak out, but kind of am.
Comments
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There's a thread here called "Interpreting your report" under the "Not Diagnosed but Worried" topic where you can post the results of your mammo and u/s reports and djmammo, a certified radiologist, can give you his assessment of what to expect from the biopsy. In general 80% of BIRADS 4 lesions come back benign after biopsy. Wishes for benign biopsy results, Jo
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Hi Kat20NJ, and welcome to Breastcancer.org,
We're so sorry you find yourself here worrying, but we're really glad you've found us. We're all here to support you in this time of concern.
You may find it helpful to prepare for your biopsy by checking out the main Breastcancer.org site's page on Biopsy, which gives you lots of information on what to expect.
We hope this helps and are sending good thoughts for benign results!
--The Mods
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I've had quite a few biopsies, and only in more recent years did they do core biopsies. Before 2016, I was always referred right to my surgeon for excisional biopsy. Only in 2016 did they start doing core biopsies first, then sending me to a surgeon (seems like I always seem to require follow up excisional biopsies). Like Jo mentioned, 80% of BIRADS 4 biopsies come back benign. Hoping for benign results for you.
**Edited to add, I'm not sure when my imaging center started doing core biopsies, I went on a "doctor strike" for several years (not the best decision, but I have bad anxiety). When I started going back for regular imaging they had moved to core biopsies.
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Hi Kat:
I hope all goes well for your biopsy. It could be they referred you toBS in case you would need one? Not sure. That is good they did the ultrasound diagnostic check!
I have extremely dense breast tissue. I was a birad 4 too. Had 4mm tumor. I felt it otherwise not sure when it would have been found. Diagnostic 3D mammo missed the tumor completely. I even got a copy of the exam on cd to see for myself. The sticker they placed on the tumor was in mammo pix but tumor wasn’t there it surprised me then I was sent for ultrasound and it showed everything, tumor, even the tumor blood source!
I guess I’m one of the 20% birad 4’s who were positive for cancer it was caught very early tho! So I was thankful for that
I share my experience not to freak you out because more than likely this is benign Please let us know how all goes we are here for support hope all is benign
💐jons girl
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I'm 44, similar situation (though not referred to bs yet). 1st Mammo for rputine screening was on June 10. Called back for diagnostic June 11 ( partially due to very dense tissue). Ultrasound confirmed a hypoechoic 7mm nodule in my right breast that they said needs biopsied, as well 4mm and 2mm in my left that they did not recomend biopsy for but do recommend watching closely (a follow up mammo/us in 6 months). Not sure why the one requires biopsy and the others don't. Biopsy set for July 16, but now that they have all the required insurance approvals said I'm next on the list if there is a cancellation. I am also placed a BiRad4 (many mention a, b or c to follow the 4, but mine just says 4).
All we can do is take a deep breath and think positive. From what I was told when the growths are so small if it is cancer it's usually very early stage and easy to treat - so that is reassuring. Focus on keeping yourself busy so your mind can't wander. My doctor also prescribed Xanax for night time when my anxiety tends to be worse (wasn't sleeping so well at first). Don't be afraid to ask for something to help the anxiety, again from what I've heard many people on here are prescribed anti anxiety meds. My primary care doctor actually called me as soon as she saw the results come up and offered it. (((Hugs to you)))...wishing positive outcomes for all of us!
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I was referred to a bs pretty quickly because my GP said no matter what it is, we'll probably be thinking about removing it so that might be the same thing your doctor is thinking.
The biopsy shouldn't hurt. They freeze you like when you're at the dentist. If it's a core biopsy, they insert a spring loaded gizmo and the biggest thing with that is that it makes a loud noise - like a staple gun - when it grabs the sample. That is a bit disconcerting. The radiologist doing mine demonstrated it a couple times beforehand and she always counted down to the noise so it wouldn't startle me and I wouldn't move. You can watch if you want or you can just close your eyes and listen to quiet music on headphones - whatever helps you relax. After it they gave me an icepack to shove in my bra. I drove by myself and went grocery shopping on the way home - it really wasn't a big deal physically. I took some tylenol that evening and kept using an icepack. I had a big bruise but that's normal.
hang in there - the waiting and test anxiety sucks so I hope you have something to keep busy. Now's the perfect time to start a new netflix or hulu series -
Hi Kat20NJ,
I would look at it as 2 heads are better than 1. The Breast Surgeon will be more experienced at answering specific questions that you will have regarding the tests, your specific results, and his recommendations. It's also nice to hear from someone that deals specifically with surgery, as opposed to your General Practitioner that deals with every kind of ailment. The nice thing too is that you will have both Doctors looking out for you from here on in. I was referred to a Breast Surgeon and now I can call her without another referral. She now books follow-up tests and gets the results right away, without my GP having to send them to her. Makes for faster turnaround and means less waiting for me.
6 months after I had surgery to remove of a Ductal Papilloma, which is when small malignant tumors were found, I had an ultrasound, mammogram, and MRI done. The first 2 were inconclusive, so they did the MRI. After all the results came back, my Breast Surgeon told the Radiologist to biopsy the most suspicious finding, which they had labeled Byrads 4. They did the core biopsy. The results read: RIGHT BREAST CORE BIOPSY: FIBROADENOMA That was 8 months ago, so I am now in the process of booking all 3 tests again. Wishing for great results for us both. Let us know how you make out and I will too!
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Thank you everyone! I appreciate the support and you sharing your stories. Got the date for the biopsy...7/8. 2 weeks of waiting before waiting for the results. Is it normal to have to wait this long for an appointment?
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I would say that a 2 week sounds normal. I waited 3 weeks from seeing the BS to getting my biopsy. I think I'd be more worried if they booted me to the front of the line for the biopsy. I get my results tomorrow after a week wait.
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Two weeks is within a normal time range. Hang in there. Dense breasts require more investigation.
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When they found a microcalcification birads 4 and biopsy was recommended by the radiologist, I was immediately referred to the breast surgeon. I'm very happy that I was. She is so great and this is what she does. Having her eyes on my images and guiding me through the process was very comforting. I trust her knowledge and experience over a primary doctor for sure.
I am disabled and was unable to do the core biopsy where you lay face down on the table so my BS did an excisions biopsy. I had ADH so I would have ended up having an excisional biopsy anyway. At my 6 month follow up I asked for a breast MRI. They found a mass. I was sent for secondary views with a mammogram and US. 3d mammo couldn't even find the mass as it was in an area of dense tissue. They could find it on ultrasound with knowing where to look from the MRI report. It's possible they missed this last year because they were focused on the micro calcification.
Anyway, it has been a process. I'm having a needle biopsy on Wednesday and will know the results on July 3rd. I'm so happy that I've had my breast surgeon along with me during all of this. She knows the whole situation and how things have evolved right from the beginning so I feel like she will have a better understanding and can help me make decisions knowing my whole story. If this biopsy shows anything she will be ready to discuss all my options based on everything we have been through so far.
I thought it was strange that a breast surgeon was the first doctor when a biopsy was needed since most biopsies are done by imaging centers, or someone other than the breast surgeon. But it worked out that I went straight to her. Good luck with your journey.
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