Not breastfeeding but diagnosed mastitis

I just had my biopsy. It took awhile because the tissue was so think, they couldn’t find the lump on the ultrasound. It was extremely painful though. They gave me 10 shots of Novocain and took 4 samples.

She said pain usually is a sign of inflammation. Is that a good sign that it’s just inflammation

thanks all for giving suggested to post in djmammo thread. this was his response -

"Although non-mass enhancement can go either way, the presence of clustered ring enhancement described as bing associated with it, adds an additional layer of suspicion on that finding. They will look to see if it can be located by US and if not they will do it in the MRI. If the biopsy comes back abnormal they may want to take out all the similar areas of non-mass enhancement at surgery."

i pray i do not need an MRI biopsy. the ultrasound was so incredibly painful

thought everyone would laugh but the original doctor/office i went to when this all started, hasnt even called to check on me!

I got the biopsy results back! No idea what this means but she said its benign! I am meeting with a breast surgeon tomorrow to go over it and see if she just want to remove it in surgery or do the "wait and see"

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The patient underwent an ultrasound-guided right breast biopsy on 10/16/2019 yielding fragments of breast parenchyma with duct ectasia and ductocentric lymphohistiocytic inflammatory infiltrate. A three-month follow-up right breast ultrasound and six-month follow-up breast MRI was recommended. See separate report from that date.

The patient's mammogram is stable since prior studies with no evidence of malignancy.

BREAST COMPOSITION:

Breast Composition Code: C - The breasts are heterogeneously dense, which may obscure small masses.

RECOMMENDATION:

Three-month follow-up right breast ultrasound.

RESULT/FOLLOW-UP CODING:

ACR BI-RADS Category 2: Benign

just wanted to update - saw the breast surgeon today and this is what happened -

she gave me a breast exam, saw the inverted nipple and was perplexed because the biopsy/mri said no inverted nipple
she did not mention that i had any issue with my duct but said "it could" be inflammation. My mom was with me and we all saw the MRI with the 3d imaging. My left breast was normal but on my right, there was a massive white "mass" (I thought it looked like a shredded cotton ball) and just off centered was a solid white tiny piece in the middle of it. She told me when the biopsy was taken, since the area was so big, they took 4 samples of tissue. So I asked - well since they couldnt find the lump on the ultrasound, how do we know she took the right biopsy? She then look perplexed and offered me two options, either wait and see for 6 months or we do a surgical biposy. I opted for the biopsy of course. Scheduled in two weeks. She is gonna check under the nipple and see what was wrong there and take a more core sample.

I did ask her about the rapid washin/washout twice and she would not answer me. She did say that I did good research on this but wouldnt verify anything except - "this looks like inflammation, but not sure what it is, there isnt a characteristic of cancer but lets check anyway".

Has there ever been cases where it was benign tissue around the lump and when you do a surgical biopsy, they actually find the real issue?

i have no idea either but im just venting because they need to do it again. i have read on here that some that have had biopsies were samples from benign tissue but once they had the excision biopsy and got to the core sample, it was different.

I just dont understand how my MRI had rapid washin/washout which is type 3 kinetics and that is obviously a concern and it now goes straight down to inflammation?

djmammo - i understand. thank you for breaking it down. i was just curious thats all. will await the next biopsy and will update then.

I didnt mean to cause an alarm. I think the problem that I am anxious about is missing a diagnosis or the correct results. The original general surgeon I went to misdiagnosed me and I had to redo all the exams which cost me a lot of money. Another surgeon I had in the past (for my endometriosis) told me I was crazy (and told my parents I was crazy) because she couldn't find anything. I waited a year in pain, found an excision surgeon and he found "atypical" endo (which is hard to see by most surgeons) all over my bowels, my pelvis was stuck to my colon and I had a hole in my stomach.

So I am just afraid and nervous that they are missing something or telling me to wait (like i have been told before and misdiagnosed) and in the end, the end result was not favorable. I guess that is why I keep asking questions so I am prepared when I do see the doctor, I know what to ask. When I saw the surgeon, she was amazed I knew what certain things meant and didnt question my choice for surgical biopsy.

thank you djmammo for adding in that last piece for others following along in this post (or that read it in the future) to not worry or be anxious.