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#1
11/15/2009
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I have had a core biopsy of a complex breast cyst and it was not clearly identified. I do not have a copy of the report - the doctor said it was not cancer but it contained necrotic white gel substance and old scar tissue. Are necrotic contents a normal thing to find in a cyst? |
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not really. so request a copy of the report and ask the doctor to review with you again. |
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#2
11/15/2009
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Hi Lillie, Help. Mom had b/c and I’ve had 9 surgical biopsies on left breast, most papilloma - 2 ADH & papilloma. 8/08 had 2 failed MRI’s for mass seen on digital mammo. Had PEM (pet mammo) 3 areas of uptake, birads 4, had surgical biopsy w/diagnosis of ADH. f/u PEM was done 4/09 new areas of uptake, birads 4 seen. Because digital mammo & u/s didn’t detect was sent 3 hours away to have PEM assisted biopsy (not avail where I live), diagnosis papilloma. 11/09 had f/u PEM, again new areas of uptake, birads 4 recommendations have PEM assisted biopsy or wait 6 months and repeat PEM. The radiologist has been sensitive since insurance has denied payment and I’ve paid $1000 for each PEM, but to wait 6 months on a birads 4? Your thoughts would be greatly appreciated. |
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gracious-- each time a new area of uptake and another biopsy. you are being widdled away my dear. strange to wait 6 months on a bi-rad 4. never seen that recommended before. you might want to send your films to another breast radiologist for another opinion. we review bi-rad 4s. if you want to send them to us call sharon bean at 410-955-7288 and she will instruct you how to do this. |
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#3
11/15/2009
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Hi,i had right breast mastectomy on oct 14 2009.
My pathology report is lymph nodes,sentinel,excision,FS1A-FS1C metastatic carcinoma in three of five lymph nodes.
infiltrating ductal carcinoma teo FOCI 1.6 and 1.4 CM GRADE II with focal lobular and mucinous features,infiltrating carcinoma is 1MM from the deep surgical margin.
extensive ductal carcinoma in situ,intermediate and high grades with focal comedonecrosis and calcification DCIS is less than 0.1 from superficial margin |
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so sounds like you have chemo and radiation ahead of you. |
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#4
11/15/2009
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I went for a mammogram & ultrasound the Friday b4 last...Its sunday and I just checked my mail to find a letter from the radiologist recommending that I get a MRI ASAP. I have Dense tissue I know........ Is this semi Normal procedure or should I be worried? What are they looking for they they couldnt see in the other test. Breast Cancer doesnt run in my family. |
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since you had a mammogram AND an ultrasound already done they must have found something abnormal already. ultrasound is done for diagnostic evaluation of an abnormal finding and is not done for screening purposes. so sounds like they found something. not sure what without reading the actual reports. only 12% of women diagnosed with breast cancer have a family history too. so pursue this. |
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#5
11/15/2009
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Just wanted to say what an important role you play in our lives when we have questions....one more source is always appreciated and we can then take your thoughts to our doctors. Thank you again. |
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thanks for telling me! L |
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#6
11/15/2009
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I am 17 yrs old female with a little knot under armpit I wonder what it is. It does not hurt or anything, it just there. Its not red swollen, neither sore can you help me. I have no knots or lumps anywhere else. It just under my right arm pit, |
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sounds like a swollen lymph nodes. could be due to an infection-- like shaving too close. see your family doctor about it. |
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#7
11/15/2009
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Hi Lillie,
My sister has a thyroid condition for which she is on medication. It has created a bit of chaos in her reproductive system (hysterectomy for heavy bleeding) - she has just had ultrasound of her breasts thay have found 51 cysts. 31 in one breast and 20 in the other - she is only a B cup!!! The tech commented on the swiss cheese look of the U/S. Her concern is, how can she tell by BSE what is normal with so much going on in her breasts? She is 47 years old and would like to know what would the sensible approach to this please.Her doctor has not ordered any follow up and said that she does not need a mammogram.
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she needs to learn the geography of her breasts--- know all of those lumps and bumps. what she will be checking her breasts for is a change from last month to this month. |
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#8
11/15/2009
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At age 61 with a new group of microcalcifactions with a magnified mamo. What are the chanches of a stereoactactic biopsy being nothing?
Thank you in advance for your answer. I am scheduled for this biopsy next week and am extreamly upset. No history of ca. in family. |
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assuming this is a bi-rad 4 mammogram where the calcs were found. on average, 20% of the time it will be very early stage breast cancer. |
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#9
11/15/2009
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44 yr old female,with very small breasts, please tell what the following means (large mas biopsied 3.5cm.
diagnosis: ductal carcinoma in situ,high grade, comedo pattern with microcalcifications.)
Thank You |
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noninvasive breast cancer found on biopsy but a very large area of it so good possibility that there are some invasive ductal carcinoma cells within it. comedo is more aggressive than other types. time to be in the hands of a breast surgical oncologist and probably a breast plastic surgeon who specializes in reconstruction. consider coming to us. 443-287-2778. |
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#10
11/15/2009
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This is a follow up to a question I posted last month. I have a little more info now and a different question.
I am 45 years-old with a family hx of breast cancer. Mother was diagnosed at age 54 with Stage IV in 13 lymph nodes. Sister was diagnosed at age 40. My paternal aunt and grandmother also had breast cancer. Neither my sister nor mother bave "the gene". At age 19, I had benign ectopic breast tissue removed from my left armpit. I have very dense breast tissue. About 1 1/2 years ago I had 3 lesions in my left breast which where biopsied and found to be benign. At that time, I also had a small lump in my right armpit - a little smaller than a quarter and it did feel a little hard in the center and sometimes a little tender. The breast surgeon said it was "nothing". This lump has grown much bigger now. In October, I was called back for additonal views for my mammo also an ultrasound..though not for my breasts..but for this lump in the left axilla. The Dr. came in and told me I have may have a lipoma. He said there was something on the mammo that he can''t see it on the ultrasound...that I need and MRI of the left axilla area and probably a needle biopsy. He said it hadn''t occured to him that it could be breast tissue as that is usually found in younger women. His report measured the mass at 3.6cm and gave a BiRads 4. My breast surgeon says it''s breast tissue and did a FNA. The result was benign but with atypical cells. I will be having a surgical biopsy. Prior to that, I be meeting with surgeon to discuss these results further. Are most atypical cells pre-cancerous? I am concerned about the axilla location and proximity to lymph nodes. Should those be looked at too? What questions should I be asking the surgeon at this point? I hear this area is prone to malignancy but that is also rare too. Consufed by that. Thanks for any insight. |
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the first question is, is this surgeon a breast surgical oncologist. (not a general surgeon who does some breast surgery). time for specialization. this situation sounds concerning by your deion. family history is significant as you know. and mass is bigger. if you want to come our way call 443-287-2778. when atypical cells are present there is a 20-30% risk that cancer cells will be found. in your case, that % may be higher. |
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#11
11/15/2009
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If birads 4 is stated does that always indicate the need for biopsy? Also, what does it mean? Thank you. |
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YES |
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#12
11/15/2009
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My mammogram two weeks ago showed a new cluster of microcalcifications. I was immediately called back for magnification. The radiologist told me films like mine look like cancer and then sent me on my way. Two weeks later I saw a surgeon/oncologist who told me that he thought that he would most likely find benign tissue, if not the next thing he expected to find was DCIS. He said the risk of chemo was only about 2% so I should not worry about that. He told me he would perform a wire biopsy and showed me with his thumb and finger that he would remove tissue slightly bigger than a golf ball. I asked why this was so big because the area looked very small on the mammogram. (I carried a disk of my films with me but this doctor does not use disks, only original films. In radiology I had been shown four microcalcs in the shape of a one eyed smiley face with the eye being slightly larger than the rest, all of them looked round to me. The report said small cluster of microcalcification varying in size and density, birad 4 and a note that tissue should not be excluded from biopsy because it looks normal and a small percentage of cancers are only visible on mammogram.) The surgeon told me that I would not want to have any of this left. I would not want anything left that could spread or grow. I am confused because he said that he thought there was a 25-30% chance it was DCIS. This sounds like a lumpectomy to me, not a biopsy. Is this correct procedure? This surgeon is affiliated with the Cancer treatment center in Idaho and its highly regarded Breast Center, but appears to do digestive cancer surgery as well. I need a wire biopsy because it is high on the chest wall and next to muscle. He also told me that if this is DCIS I will have to have 6 weeks of radiation and possibly tamoxifen, but he would not consider me a cancer patient(?). Will I have to have radiation right away with DCIS or could it wait a couple of months? I would have to drive over an hour on icy winter roads to reach the closest treatment center. I called his nurse and told her I needed to know the size of this area of tissue because I was having a hard time justifying this in my mind. She said that they don''t usually measure microcalcs, the doctor had not looked at my films because I brought a disk. She said they would have a measurement after the wire was inserted and I would have a chance to ask the Dr. questions before I was taken to surgery. The center I am going to has the best reputation in the area, but I am concerned that right before surgery is not a good time for me to think of questions or disagree with his recommendations. |
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sounds like he is suspicous that the findings would be DCIS and yes, it does sound like he is trying to do a lumpectomy, without knowing if it is or isn't noninvasive breast cancer. that said, yes you would need radiation afterwards if it is cancer, dcis or otherwise. radiation can wait a few weeks-- in some cases 8 weeks. take this one step at a time though. consider checking to see if a breast surgical oncologist is in your area. that's what you need. |
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#13
11/15/2009
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I have had a lump in my breast for about 3 months now. When I first noticed it , it was the size of a pencil eraser. Now it is little bit bigger than a quarter. It is odd shaped. I had a lumpectomy last year in the same breast and the lumps (3) were benign. This feels alot different. I had a mamogram and ultrasound of this breast back in June and nothing was decteded. However, I just found this lump at the end of September. I just went to the doctor for it and she said that I should wait 3 months and then if it is still there have an MRI . I want to know is it safe to wait or should I insist on having one done now. Thank you for your help.
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not sure the purpose of waiting. time for a diagnostic evaluation now. if you want to come our way call 443-287-2778. |
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#14
11/15/2009
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i am 18 years old and last winter i had a mammogram bcoz i had doubt on my breasts but the result said it was nothing serious. the doc said there were lumps which would go away in the future. there also was a black spot near my nipple but it also went away after using a medicine a skin doctor had recommended. but nowdays the part where the black spot was is sometimes very itchy. and iv been feelin kinda odd in my right breast as well. well, it doesnt pain but it feels veryy uncomfortable inside. what could have happened to me?? could i have a breast cancer at the age of 18?? plz helpp me |
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though there are rare cases of breast cancer happening in teenage girls, it is truly a rarity and what you are describing doesn't sound like cancer. so see your gyn doctor for a clinical breast exam. that is the next thing to do. |
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#15
11/15/2009
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Hello! Well, here''s the skinny. Back in September, I noticed a lump in my left breast up close to the armpit. I sort of "forgot" about it, because at the same time I found out that I had a stage 1B2 cervical cancer and needed surgery (margins all good, no lymph involvement). Anyway, I finally scheduled the mammogram after which they whipped me into the ultrasound room. When we were done with that, the radiologist stated that first, she saw a small area of microcalcifications that should be biopsied. And the lump I found is actually a necrotic lymph node and she also wants to biopsy THAT.
Understanding that NORMALLY, I''d be thinking that the node is no big deal and it "got killed" as a result of some type of infection. But knowing that a)I just had the cervical cancer diagnosis, b)there are some calcifications lurking around in a small cluster (not sure if they are anywhere near the node or not, and c) my mother had breast cancer twice...well, I''m a little paranoid.
So statistically, what generally do these types of necrotic nodes turn out to be? Would the instance of microcalcifications in the breast affect those statistics? And, having had cervical cancer, even though the pelvic nodes were clean, would this again affect those statistics? FYI, my biopsy isn''t until Nov 24th! GAAAH!
Thanks for your time - much appreciated. |
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no good data to explain the odds for this combo of symptoms and diagnosis. the bottom line though is that you are at considerable increased risk that this may be breast cancer. not sure why you have to wait so long for a biopsy either. nodes don't become necrotic from having been fighting infection either. so see if you can get the biopsy moved up so you have answers sooner.
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#16
11/15/2009
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I was diagonsed with invasive ductal bc in the right breast in 2003 estrogen-pr-her2-. The tumor was 1.5 cm and had not spread to lymph nodes. I had a mastectomy and 4 treatments of AC. Everything seemed fine. On Oct 6, 2009 I was diagnosed with infiltrating ductal bc in the left breast. It was estrogen + and pr +, approximately 1.5 cm, no spread to lymph nodes.I haven''t got the Her2 test back yet. I had a mastectomy. I am the first one in my family to have any kind of breast cancer. I am debating about having chemo or not. my oncologist says if the Her2 comes back -, I could choose not to have it. Since I have had both - and +, could this come back someplace else in my body? Also, what do you think about chemo?
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request for oncotypeDX to be done to help in the decision making about chemo, if your HER2neu is negative. |
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#17
11/15/2009
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Hello Lillie just wanted to get your feedback regarding the following: I''ve written you about this before. I had a mammogram in July (digital). All came back very normal, and no changes compared to the previous year. X-ray stated extremely dense breast tissue bilaterally, scattered benign calcifications bilaterally, no architectural distortion or clusters. Followed-up with the specialist in July and November. Specialist stated that other then the lump (Specialist said it was soft) there were no other changes. Stated symptoms were fibrocystic change and not papilloma. Said if it was a papilloma the changes would be more progressive. I continue to follow-up with the specialist. Do you think this is a reasonable explanation. Sorry for such a long post. I thank-you for your reply. Regards.
Previous post:
I''m going on a year (almost 1.5) with this symptom. I''ve had serous and serosangious breast secretions from a single duct in my right breast. Currently, sometimes clear, but mostly serosanginous. Most of the time it''s nonspontaneous but on several occasions its been spontaneous (stained bra). I originally noticed it 1 day plus after a mammogram. I experienced bloody secretions, and then a few more times after that. I had an ultrasound which showed a small amount of dilation in the duct, and some fluid. A ductogram was attempted but failed. I had an MRI which revealled nothing. At the time there was no lump. More recently I''ve noticed a small lump close to the areola, it''s not very smooth, but a bit fibrous. Extending from it into the areola I can feel what seems to be a dilated duct. Closer to the nipple there is a small lump, but I think it''''s really a dilated duct. I''m having a mammogram in a week. Will these changes show on the mammo?I had a breast biopsy on the same breast in January 2007 (sclerosing adenosis).
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As long as the physician is a breast specialist, then his/her answers and explanations sound reasonable. good there was no changes. that's good news. |
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#18
11/15/2009
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Hi, two years ago I noticed my right breast nipple inverted. Core needle biopsy showed atypical hyperplasia. My breast surgeon removed. Nipple stayed inverted. She decided to do yearly mamo''s. Last month my left beast nipple inverted - mri came back showing something in right breast again. I''m going next Monday for core needle biopsy or mri biopsy. Not sure what to make of this and how concerned i should be? Thanks |
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this sounds a bit concerning.... as you know, the presence of atypia increases your risk of getting breast cnacer. if you want to come our way after your biopsy results are known, call 443-287-2778. |
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#19
11/15/2009
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Hey im 33 years old. There is no history of breast cancer in my family. I found some lumps on both of my breast it does move and burn and really makes my breast really sore. It really hurts if I wear a bra to long. what could this be? |
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hard to guess without seeing you. time for a clinical breast exam. could be an infection, or something else. so see your gyn this week. he might order an ultrasound too. L |
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#20
11/15/2009
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I am a 35 yr black female, that has noticed an oblong knot on my right breast right where my breast tissue starts it started out small and has increased to jelly bean size, it''s painless and soft, should i be worried that it is cancerous? |
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its possible. so time for a clinical breast exam and diagnostic evaluation. if you are near to us, call 443-287-2778 and we will get you in promptly dear. L |
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#21
11/15/2009
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I am 36 years old. My Mom had bilateral mastectomy at age 48 due to cancerous calcifications and a cancerous tumor. She was pre-menopausal. I just had my first mammogram and got a call back. They said suspicious abnormalities in left breast. That is all they told me. Is it possible that they are just being overly cautious because of my mom? I have a 4 year old and a 2 year old. I am a little nervous. |
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if you used the actual word "suspicious" then that obviously is a concerning word. If they simply said that you need more imaging done, then i would not feel alarmed yet. the first baseline mammogram commonly results in call backs. so get more information before hitting the panic button. if you need us, we are just a click away.
L |
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#22
11/8/2009
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I just found a small pea-sized lump just below the skin surface on the very edge of my breast, within an inch of my midline. I was worried ''till I discovered a matching one on the other side. They shift easily under pressure. I assumed they must be lymph nodes but then read that one typically can''t feel the lymph nodes in the chest. Given their symmetry, is their any need for further evaluation? |
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hhmmm. probably not nodes. might be sebatious cysts. bilateral is a good sign as you mentioned. we worry much less when we see things are symmetrical. if still there in 2 weeks and unchanged, call your primary care doc to see you and check it out. if they get larger though, good sooner. |
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#23
11/8/2009
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A recent mammmogram suggested the possibiity of DCIS in one breast (BIRAD 4). A biopsy has been recommended. I''ve since read about the possible tendency towards overdiagnosis and overtreatment, since the natural history of DCIS is unknown, though what is known is that DCIS puts a person at higher risk of developing IBC. Since the treatment of DCIS is the same as that for early IBC (lumpectomy plus radiation or mastectomy), I''m tempted to monitor the condition and then IF there''s IBC, treat it then. However, it''s unclear to me what signs would indicate a progression of DCIS to IBC. What tests would I need at what frequency and what results/symptoms would suggest onset of IBC? My radiologist says he''d still be concerned even if there was no change in the microcalcifications over six months. |
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there is risk at waiting if it is DCIS. we don't know when, why or hoe it progresses into invasive disease. no sense in playing russiah roulet with your life. smarter to get the biopsy done and see what it shows. a biopsy is just a sampling too and not the definitive pathology. not unusual to have DCIS on a core biopsy and when lumpectomy is done to already have invasive cells present. |
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#24
11/8/2009
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hi, my wife has metastatic breast cancer with mets to bones, lungs and liver. she was on femara for three months and and that treatment failed miserably as there was progression in all areas. she had radiation therapy to the hip as they were concerned about pathological hip fracture.the lesion in the liver went from nothing to 1.5 x 8.0 cm within the three months. her treatment was changed to zometa and abraxane. she has been seeking "answers" from the complemantary care community. acupuncture from two different practitioners, reiki, and nutritional info from a variety of sources including steven block, md (life over cancer). is there any proof that avoiding dairy and refined carbohydrates will really make a difference in length of survival? |
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sorry to say there is no proof related to this question you are asking. It is natural too to want to find solutions right now when she is dealing with a grave situation, as are you. this is a difficult time with no answers that are good ones. one thing i do strongly advise though even if she is doing relatively well right now is to sit and discuss quality of life, as she defines it, and putting her wishes to paper. all too often couples delay doing this and then the husband is the one having to guess what his wife wants. tough and emotionally painful to do.
the liver met is the problem. this is what can hasten her mortality. not the bone mets. she's on good drugs. they may not simply work though as they don't work for everyone... wish i had better answers for you. Glad she has you for support. L |
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#25
11/8/2009
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I''m 64 and have been in menopause since I was around 50. Eight weeks ago I had my ovaries removed due to a very large cyst on one. Yesterday I noticed three white pimples on one breast and two on the other. Much of what I have seen indicates these are due to blocked milk ducts while nursing, etc., which does not apply to me. Of course I''m wondering about cancer (Padget''s Disease), but am also wondering if these pimples were somehow caused by removing the ovaries. I have had two instances of skin cancer and will return to my dermatologist in a month for a whole body scan. Is it safe to wait to have her check these pimples out? Thanks! |
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you need a clinical breast exam to determine the answer to this. pagets disease of the nipple usually looks like a reddish, scaly type appearance of the nipple and areola area. you also might be getting these from the hormone shift that happened in getting the ovaries out. |
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#26
11/8/2009
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I am 27 years old and have had two children (now ages 3 and 4 1/2). My gyn sent me for ultrasound and mamam last month for lumps in breast. They found two very small cyst in right brest on ultrasound and dense tissue on mamam on same breast.
I went for follow up last week with gyn and he found another lump in breast. He told me to wait 6 months (april) and go back for repeat testing. Also he said if i had any changes to come in and he would send me to breast surgen.
I am concerned. No on has told me it is nothing to worry about. Is waiting 6 months standered?
I am trying not to get too worried but i my right breast it sore several days out of month and there is a lump that i am not sure was there before all of this. I also have clear discharge out of my nipple every once in a while.
My sister had thyroid cancer at 26, is ok now. But no one thought she had cancer either untill they did biopsy and removed whole thyroid.
I have had blood work and everything with nothing concerning, but i have never had any lumps in breast before now. I have a knot on side of same breast under my arm and one on top.
SHould i be worried? Is it ok to wait 6 months? I have read that having dense tissue makes your chances of breast cancer higher, is this true?
Thanks so much. BTW this site is so wonderfull to have! |
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clear discharge ironially enough can be more concerning than milky discharge. so sounds like it may be time to see a breast specialist in a breast center. if you want to come our way, do. 443-287-2778. not unusual to have a recommendation to wait for 6 months and repeat imaging but given you have lump and discharge i'd recommend investigating further now which would also help give you a diagnosis and hopefully peace of mind. |
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#27
11/8/2009
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I am a 28yr old female who a year ago had a hysterectomy with a Right oopherectomy (still have 1 ovary). I just recently started having a tender right breast with major shape change, and i believe a lump on the inner portion of breast. I am not on HRT or anything, no other preion meds. I am overweight and believe i have family history of breast cancer. Am I too young to be worried about this? Are there any other symptoms associated with breast problems? I have been very fatigued and sick feeling for about 6 months. My hormone levels are normal as well as my thyroid. I have had extensive blood work all come back normal. And now my right breast is really hurting. Any idea''s or guidance for me? I am so inexperienced and young..... |
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really hard to guess what this could be without examination. so time to see a breast specialist at a breast center for a clinical breast exam and probably ultrasound of the breast. could an infection, abscess, or something else. not sure without seeing you though. so go. |
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#28
11/7/2009
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Diagnosed in May ''09 with 5 x 7 cm right IDC as well as lymph node involvement. Underwent AC x 4, then Taxol x 12 (finished this week). Will have bilat. mastectomies in a few weeks followed by radiation. Just had a breast MRI at the end of Taxol (had an MRI at the beginning of treatment and one after AC as well both of which showed nothing in the left breast) and it now showed an enhancement of an area 6 x 4 cm indicating possible DCIS in the left "good" breast. How is that possible after being on chemo since June???? Will have it biopsied this week. |
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chemo doesn't effect DCIS, noninvasive cancer. it kills invasive cells. that may be why. sounds like a biopsy though is needed to definitely determine what the enhancement is. nothing should be assumed. it may require checing the sentinel node on that side too during surgery. |
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#29
11/7/2009
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Hello..I was diagnosed with triple negative breast cancer. I had a double mastectomy and during surgery 3 nodes were removed. The sentinal node came back negative so surgeon felt that was a good sign. I now have to go back in for surgery because they want to remove 10 more nodes. 1 node came back positive. How can the sentinal be negative and another be positive. I thought it would have to travel through the sentinal first. |
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no technique is 100% for sentinel node but the methods to identify the sentinel are around 98%. sounds like you fell into the tiny 2%. sometimes also there can be several sentinel nodes. if he removed 3 sounds to me like there were then 3 sentinels. removing more is the next step so that accurate staging can be done in planning your systemic and local treatment now. |
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#30
11/7/2009
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I had a non cancerous lump removed from my breast two years ago,everything was fine after that, I have been told that I have fibristic and dense breasts. I have noticed over the past week that my right breast has a dent,(next to the areola) more noticeable when I raise my arm above my head, I can actually put two fingers into this dent, what could be the cause of this. thank you. |
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if it is in the location of the incision from the open excisional biopsy you had to remove the benign mass, then it might be scar tissue. if it is not that then you need to see your doctor this coming week. when we see a new finding of a "dimpling" of the breast, for example when you raise your arms over your head, that can be a sign of something concerning. check it out. L |
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