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futurejenboston
futurejenboston Member Posts: 6
edited October 2019 in Not Diagnosed But Worried

I had my first mammogram last Friday at age 42(Birthday was two days later). I have been sick, a slew of different things and my body feels off. I knew when I left they were going to be calling from what the tech said but followed it with “try to enjoy your birthday weekend”. My mom was DX with BC at 42 and passed away at 44.

They called first thing Monday morning and said “we need you to come back in for a diagnostic mammogram and ultrasound due to suspicious area in your left breast." They couldn't answer anymore questions and the first opening isn't until next week. I have attached my report below and wondered if anyone could explain better.


They said I do NOT have dense breast tissue.

EXAMINATION:

Digital screening mammogram on 10/4/2019. Low-dose full-field digital

breast tomosynthesis examination was performed with synthetic 2D images

and 3D acquisitions. Computer assisted detection was utilized.

PRIOR: No prior mammograms, this is a baseline.

BREAST PARENCHYMAL DENSITY: There are scattered areas of fibroglandular

density.

FINDINGS:

Questioned masses in the upper outer anterior left breast.

No suspicious masses, areas of architectural distortion or

microcalcifications are evident on synthetic 2D mammogram or

tomosynthesis images of the right breast.

ASSESSMENT:

BIRADS Category 0: Incomplete - Needs additional imaging evaluation.

RECOMMENDATION:

Left diagnostic mammography and possible targeted ultrasound.

I am worried and a nervous wreck waiting

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  • Yogatyme
    Yogatyme Member Posts: 2,349
    edited October 2019

    Futurejenboston, of course you are scared!! Being called back is always scary and your moms history adds fuel to the fire. It is important to remember that not all masses or mammogram findings are cancer. The waiting is torturous so try to distract yourself as much as possible. Easy to say, not so easy to do, I know. Hang in there!

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  • mac5
    mac5 Member Posts: 135
    edited October 2019

    So...I’m not a Radiologist. But the words aren’t mystical.

    Nothing was seen in the Right Breast.

    There are suspicious areas in your Left Breast that can’t be ruled out. They need mor tests to check.

    BiRADS is a category for suspicion of Breast Cancer. My last one was a 6 which is confirmed malignancy.

    Have you had Genetic Testing because you are high risk

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  • futurejenboston
    futurejenboston Member Posts: 6
    edited October 2019

    I was wondering with a rating of 0 if that was a good thing? Or if they always rate 0 after a screening? I am waiting for my BRCA results to come back.

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  • Beesie
    Beesie Member Posts: 12,240
    edited October 2019

    A BIRADs 0 means that no assessment is being made because more screening is required.

    Having a call-back after a first mammogram is scary but it's not that unusual, since there is no history of screening and the Radiologist has no idea what is normal for your breasts or whether you have some long-standing benign masses, like fibroadenomas or cysts.

    And yes, scattered fibroglandular densities means that your breast tissue is not dense. It's Category 2 density. It's not completely clear, but the percent who have Category 1 density at your age is probably less than 10%. At age 42, most women have Category 3 (Heterogeneously Dense) or Category 4 (Extremely Dense) density. So yours is less than average.

    Good luck with your follow-up. And try not to worry - most call-backs turn out to be nothing.

    image


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