Biopsy Monday and Afraid

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erika8622
erika8622 Member Posts: 3
edited March 2021 in Not Diagnosed But Worried

Hi all - I had a mammogram followed by Ultrasound with below outcome. I now have to get a biopsy monday and I am terrified. Any insights to calm me the heck down much appreciated.


Impression

Left lateral posterior breast mass

LEFT BREAST ULTRASOUND

TECHNIQUE: Real-time sonographic evaluation of the breast was performed by a sonographer, whose images were reviewed by a radiologist.

FINDINGS:
BREAST: Sonographic evaluation in the 3 o'clock position 7 cm from the nipple demonstrates a well-circumscribed 8.4 x 4.6 mm hypoechoic mass wider than tall

AXILLA: Normal sized, normal appearing axillary lymph node(s) identified. No abnormal appearing lymph nodes seen.

Probable fibroadenoma

CATEGORY BI-RADS: 4: Suspicious abnormality, subcategory 4A: Low suspicion for malignanc

Comments

  • Redcanoe
    Redcanoe Member Posts: 131
    edited March 2021

    Honestly, a birads 4a that is described as a "probable fibroadenoma" sounds very, very likely to be benign. It's also really small. There is a lot to feel reassured about.

  • moth
    moth Member Posts: 4,800
    edited March 2021

    4a is only 2-10% chance of malignancy... ie 90-98% chance benign! You're doing all the right things - had the screening & following up. Worrying about it won't change outcomes...whatever happens, you can handle it. Distract yourself with long netflix series and sweaty tiring exercise & soon Monday will be here & it will be over.

    hang in there

  • AliceBastable
    AliceBastable Member Posts: 3,461
    edited March 2021

    PROBABLE FIBROADENOMA. That's not a scary thing to hear. The biopsy is to verify it because imaging can tell them something is there but not 100% what it is.

    Do some fun stuff this weekend.

  • erika8622
    erika8622 Member Posts: 3
    edited March 2021

    really appreciate the encouraging words. I hate being that ass that posts when people are really going through treatment but definitely scaresme. My mother had stage 4 salivary cancer diagnosis at 32 so I always feel like a ticking time bomb.

  • Beesie
    Beesie Member Posts: 12,240
    edited March 2021

    erika,

    It's normal to be scared. Scared of the biopsy. Scared of the unknown and the possibility of what the results might be, even if the odds are in your favor. Don't worry about voicing that here. We've all been in your shoes and we were probably all scared.

    What's important to help you get through the next few days is that you temper this perfectly normal fear with the facts. That's where we can help, by explaining that with a BI-RADS 4a, there's a 90%+ chance that this will turn out fine. And you know what? Even if you land on the wrong side of the odds, you'll be okay. Look at all of us! ;-)

    Worrying is normal. Try to keep yourself busy. Do things that keep your mind on other happier and more interesting subjects. Start your spring cleaning. Or your taxes. And try to stay away from catastrophizing (assuming the worst case results), which I don't think you are doing anyway.

    Good luck on Monday. Let us know how it goes!



  • canadaliz
    canadaliz Member Posts: 37
    edited March 2021

    Same boat here. I had BC surgery March 13, 2018 so 3 years out in a few days. Have been monitored every 6 months but missed one due to Covid restrictions. Went Tuesday, had the 2D. Radiologist wanted 3D. then Radiologist wanted another tech to do the 3D. Then ultrasound. Found a 7mm lump. Now wants biopsy 'due to history of malignancy.' Hmmmm. I pressed. She said it is a BIRADS 4A. It is in the same breast as the original cancer. I am honestly not worried yet. I had a rough go the first round as my treatment brought about acute onset cirrhosis of the liver due to a hepatotoxic response to Tamoxifin which happens to 1.8% of women.....I'm 6ft tall, was born with 2 appendixes and no tonsils, have green eyes, left handed....I am the poster girl for rare. I had a fatty liver and throwing Tam on it pushed me over the edge. (I don't drink btw.) So, should my cancer ever return I can't have chemo. If this new 7mm lump is cancer again my only option is mastectomy. Meh. Due to the damage to the liver I have an annual chance of hepatic cancer of 20% so am much more worried about that. I am screened every 6 months for that. The royal piss off is--if I develop hepatic cancer I can have a transplant...but not a cadaver one (donated by a deceased person) as once you have had cancer you are not eligible as an organ will go to the most viable patient...which is not someone with a history of cancer. SO. I have to have a live liver transplant. Cue my son. BUT. I have to remain cancer free for 5 years before they will harvest liver from my son. AND.....wait for it....my liver is projected to hold out another year....so I'll come up a year short. :) I hate numbers. Don't worry, I won't go down without a fight. But returning to the 4A. Least of my worries and a low probability of malignancy. Thanks for letting me rant. xo

  • Beesie
    Beesie Member Posts: 12,240
    edited March 2021

    canadaliz, good luck with the biopsy. Fingers crossed that you land on the good side of the 4A odds!

  • Jroberts88
    Jroberts88 Member Posts: 1
    edited March 2021

    hi looking for some guidance: have to have a breast biopsy.

    3D mammon report: “Indeterminate nodule in the right breast requires additional evaluation.Additional mammographic views and ultrasound are now recommended for further evaluation.”

    Diagnostic mammo report: The breast parenchyma is heterogeneously dense, which may obscure small masses. There is an oval obscured mass in the upper outer right breast at posterior depth. BI-RADS Category 4 - Suspicious Abnormality Right breast mass at 11:00. Recommend ultrasound-guided biopsy.

    Ultrasound report: There is an oval hypoechoic circumscribed mass at 11:00 8 cm from the nipple measuring 13 x 10 x 7 mm. BI-RADS Category 4 - Suspicious Abnormality. Right breast mass at 11:00. Recommend ultrasound-guided biopsy.

    From reading other places, the u/s report is not very descriptive. Is the mass size small? Also what does “posterior depth” mean? The mass isn’t palpable and was found on routine mammo. Dr didn’t feel and I can’t feel even after us tech told me exactly where it is. Obviously the biopsy will determine what it is. Is it typically to have a pretty vague us report?

    Thank you

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2021

    In a word, yes! Imaging is one of the most important factors in determining whether a biopsy is needed or not but is unable to provide confirmation of malignancy and several other factors that will be important to know if you do have breast cancer. The majority of biopsies turn out to be negative. I know this may be difficult to do but try not to project into the future and worry about things that are not yet known. All the best

  • erika8622
    erika8622 Member Posts: 3
    edited March 2021

    All - thanks for your support. Hopefully this gives some hope to others in the same situation it was benign. They even found another one during the biopsy ultrasound which didnt show up on the mammogram. Fibroadenomas.

  • Beesie
    Beesie Member Posts: 12,240
    edited March 2021

    Great news, Erika! Thanks for letting us know - good news is always welcome. Now go celebrate!


  • LivinLife
    LivinLife Member Posts: 1,332
    edited March 2021

    Super erika! So appreciate you checking back in with the great update!

  • bcincolorado
    bcincolorado Member Posts: 5,758
    edited March 2021

    Glad you were able to put your mind at ease!

  • Mrsammieb
    Mrsammieb Member Posts: 7
    edited March 2021

    life is too short to be worried. Go in with the attitude this is nothing. Then you will literally just feel better. And if it is domed will tackle it then. Think about if it’s nothing, you would have worried for nothing. Hang in there!

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