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Category:

Breast Biopsy

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Question:  #31 6/1/2009		Q:	I am 47years old and just had a mastecotmy for a tumour that was 3.9 cm in size. The pathology report is a bit confusing. It says that there is an infiltrating duct and intraductal carcinoma. The tumor does how some lobular features but is classified as ductal. The infiltrating duct carcinoma is moderately differentiated (grad2/3, score 7/9). There is a minor componenet of ductal carcinoma in situ present (nuclear grade 2 - nuclear grade 3/3) Tumor is noted witin lympatics within the lesion and in the adjacent breast tisuue." It is progesterone and estrogen positive. I will have 6 chemo sessions and 33 radiation sessions. My oncologist will not explain if this is a serious cancer or not. If it is aggressive or if I have a good chance of fighting it. I am a little concerned about the expected life expectancy or is that too difficult to say? Is this a typical pathologic assessment of breast cancer? Many thanks.
		A:	It is, but what is not typical is having an oncologist who won't talk with you about the reasons for getting the chemo, what the pathology means etc. I think if you are not satisified with your current care, it behooves you to find an oncologist you can work with. From what you have told me, you have no distant metastatic disease which means your disease is potentially curable, which is the reason why so much chemo and radiation is being recommended. These are all things you need to discuss with your doctors and become educated about and if they are not willing to do so with you, then you need to find a doctor who will. Best wishes.
Question:  #32 5/10/2009		Q:	Hello Lillie, I just had my 8th biopsy, 6 of them came back finding papillomas or papillomatosis and two of those had atypical ductal hyperplasia. I know that papillomas alone are benign, but is there a known higher risk of breast cancer when someone has so many and there is ADH diagnosed (mom also had breast cancer)? Is there any way to keep them from coming back? Also could you help me understand the following pathology report from this last biopsy? It reads - Pathological Diagnosis: Fibrocystic changes with biopsy site changes and foreign body granulomatous reaction. Microscopic Deion: Both specimens show fibrocystic changes with areas of ductal hyperplasia and apocrine metaplasia. There are also areas of stromal fibrosis associated with hemosiderin deposition and a florid foreign body giant cell reaction. Polarizable foreign material is focally identified within giant cells. There are areas of ductal hyperplasia and papillomatosis but no areas of atypia or malignancy. What does this mean, it is different from the past reports?? Lastly, thank you for this incredible service you provide to so many women, you are admired and appreciated much more than you will ever know. Happy Mothers Day!
		A:	well, didn't see any mention of atypica this time. that's good news. all the findings are benign, however they describe some possibly post trauma findings from biopsies (graunulomatous reaction) and something else-- foreign body?? might be a clip from a previous biopsy or sutures that they didn't describe in more detail. no way to prevent papillomas that we know of. having a first degree relative with BC and you with a previous biopsy of ADH places you at higher risk as you know. so consider being followed in a high risk program and considering tamoxifen too.
Question:  #33 4/20/2009		Q:	I am a woman with very small breasts (< A) & was referred for a stereotactic biopsy by the radiologist. On the day of the biopsy, the technician (and eventually a 2nd one came to help) positioned & X-rayed me over a period of an hour & still could not get clear enough shots because I just didn''t have enough breast to fit through the table. The actual biopsy, of course, could not be performed. The radiologist came in twice within the hour briefly but did not examine me, nor did she when she consulted with me about the biopsy. My questions: Should I have been referred for this procedure in the first place, or should I have been referred directly for another type of biopsy more appropriate for my anatomy? And, should I have been billed for this procedure (stereotactic localization) if it was an inappropriate referral for me?
		A:	I hear your frustration. A stereocore biopsy is often recommended over open surgical excision for an abnormality with calcifications. Small breasted women have been able to biopsied in this method. Difficulty may have to do with location of the abnormality in the breast. Another concern for small breasted women is the thickness of the breast and how well it will compress. The tech has to position and image to see if this test can be done. As in your case, they tried but were unsuccessful. The radiologist is working with images in locating the abnormality more than an exam because the abnormality can only be seen on imaging. So that may be reason she did not examine you. ds
Question:  #34 4/20/2009		Q:	I am 2 weeks post excisional biopsy for a mammographic density in the upper breast –result: localized fibrocystic tissue (around 1.5 cm). Some foci of low grade LCIS appeared on 2 slides through this fibrous tissue. The surgeon removed a lot of surrounding tissue – 7 x6 cm! the other 16 slides were all normal, but unfortunately he grazed the edge of the nodule and the LCIS was seen at the margin. My surgeon said clear margins for LCIS are not necessary. My concern is that LCIS was in a highly localized fibrous nodule and not seen elsewhere. The people that I’ve spoken to here consider it a general risk factor, but say this condition is not well understood. Some papers (David Page, Chuba) suggest it may be a local risk factor, and a few suggest it may a precursor. Should I consider further surgery to clear the margin since the LCIS was so localized only in the nodule? Thank you.
		A:	Margins are cleared for cancer. Margins for LCIS are not cleared as standard treatment. It is a risk factor but does not need treatment. ds
Question:  #35 4/12/2009		Q:	I had a duct excision almost a year ago (may 2008)due to persistent nipple discharge, with the path report coming back as epithelial hyperplasia, ductal papillomatosis and stromal sclerosis. I understand that all these are benign findings, but the discharge has continued for almost a year after surgery now with the same frequency as before. From left breast only, spontaneous and clear to rust colored, coming from at least 4 different openings that I can see. In addition I can feel some small lumps, about the size of a pencil eraser, very hard, on the opposite side of the surgical scar, under my nipple. Should I be concerned with the continued discharge or seek any additional screening? I am 34 years old. Thank you in advance for your advice.
		A:	time to revisit this then. may need further duct excision. might be a papilloma irritating lining of duct too. need new diagnostic evaluation and probably surgery.
Question:  #36 4/11/2009		Q:	Radiology report: Spot magnification views of left breast to evaluate focal asymetry in the upper aspect of the left breast. The mass like area with some internal calcifications persists on the magnification. The margins are fairly indistinct. On concurrent sonography there is a hypoechoic mass with some increased through transmission and internal calcifications in the area of interest. The margins are poorly defined. Category 4. Large needle biopsy showed fibrocystic changes and calcifications. I am 56 years old with no family history of breast cancer. Doctor says results of large needle biopsy don''t make sense. However, because he thinks he sampled the right area, and because the samples did contain calcifications, he gave the me the option of surgical biopsy or waiting 6 months to see if mammogram changes. Should I have the surgical biopsy? Is waiting dangerous?
		A:	first consider sending the pathology slides to another breast pathologist to confirm what was seen under the microscope. the doctor doing the biopsy should have taken an xray of what was removed as well as place a clip to ensure he was in the right area and mark the spot where the tissue was removed. check to ensure that was done. if it can be confirmed by another set of eyes looking at the xrays and pathology slides that the correct area was biopsied and the findings were benign then sounds like you are oky to wait. if there is a question or doubt then pursue open excisional biopsy.
Question:  #37 4/5/2009		Q:	I am 48 in 2007 I had an abnormal mammogram. I sent sent for an ultrasound assisted biopsy. My mammogram had been rated Rad 4. The report came back saying to suggestion of malignancy but intraductal papilloma present with micro-calcifcations. In August 2008 returned for another mammogram. Radiologists looked at area where bb was placed from prior biopsy and determined abnormality was propably benign. Just last week I found that I have breast cancer in the same place where prior biopsies and concerns were. I am very upset. If it were not for by dermatologists sending me to a pathology friend of hers - I would not have had another mammogram for another 5 or 6 months. The pathology test showed that I have lobular carcinoma and will now have to have my right breast removed. I have a new set of doctors. I just wonder, what went wrong here? I am a women with many cysts and lumps and therefore, it has always been difficult to find new lumps. I feel that there should have been further follow up. If I had not taken this into my own hands at the suggestion of a friend - the cancer could have even gone further. What is the normal procedure related to abnormalties? How are neg biopsy results - looked at in further detail when the rad grade is 4. Also have intraductal papilloma which was identified. and dense breast
		A:	the radiologist who did the original biopsy needs to answer this one for you. there needs to be a correlation of the biopsy site with the new findings of cancer to ensure that they truly are one and the same area. then the original pathology needs to be re-reviewed to see if the area was in sampling or in reading the path.
Question:  #38 4/5/2009		Q:	I had ultrasound guided biopsy on both breasts and the results came out as two fibroadenomas and one dense stromal fibrois. The very next day of the biopsy, I had fever with very sharp pain around my chest and abdomen area. I met a surgeon and he said I have hematoma. He wants me to wait about 6 weeks for the hematoma to heal and will remove two fibroadenomas. I always have had nipple discharge (creamy) when I sqeeze, but now the color of the discharge is dark red (plum color). Is this discharge from the hematoma? Should I call my surgeon about this bloody discharge?
		A:	the discharge is more than likely from the hematoma. the timing of it developing makes sense that this is the cause. give your breast time to absorb the hematoma and yes it does take several weeks to do this. glad you got good news that the findings were benign.
Question:  #39 4/4/2009		Q:	I had a probably benign finding from a u/s guided needle core biopsy in 10/2006. Also noted was fibrosis. I had follow-up ultrasound 4/2007 with a diagnostic mammogram later in 10/2007. I believe it was recommended for a final repeat diagnostic mammogram in 10/2008, however in 1/2008 I moved out of the U.S., so I have had nothing further since the 10/2007 test. I will be in the U.S. in 5/2009 for a short visit. Do you think I should be scheduling just a routine mammogram at that time, or should I request the diagnostic exam? Due to travel constraints, I will be unable to go to where I had the previous care, but would have my records sent to the breast center in the town I will be visiting.
		A:	get yourself scheduled for a diagnostic mammogram while you are back here in the states and yes, get your previous imaging films and reports sent to them in advance if possible.
Question:  #40 4/4/2009		Q:	I am going to a surgeon on Monday. I had a mammogram in October and a follow-up ultrasound, and I recently had my 6 month mammogram. I have a non palpable mass but it has no borders and it hasn''t changed in size, it it doesn''t grow does that mean it''s "not" cancer? I have had this for 2 years. Liz
		A:	all masses have borders of some kind so i'm assuming you mean that the edges were not irregular in shape. if it is a small edged oval mass with no signs of increasing in size then they will probably assume it is a fibroadenoma. they only way to definitively know is with a core biopsy however.
Question:  #41 3/29/2009		Q:	Hi, one more question following question number 1.. if i do not remove the lumps and just request for a core biopsy. Are there any threats if the lumps continue to grow? Thanks a lot for the prompt reply.
		A:	lumps that are benign and continue to grow can eventually cause pain, may block the view of objects behind it on imaging studies, and if eventually removed would result in a breast volume loss bigger than if they remained small or were removed when small. hope that helps.
Question:  #42 3/29/2009		Q:	Hi, I''m 22 this year and have 3 lumps in my left breast. According to the doctor, she says that the ultrasound scan shows that they are probably benign. However, she suggested that I have an excision biopsy for 2 of the tumors as one of them is growing "rather rapidly", increasing by 0.9cm over 2 years. The 2 tumors to be removed are about 2.7cm and 3.5cm. I am not feeling any pain, change of skin texture etc. in my breasts. All looks normal. Is it necessary to perform an ex biopsy in this case as she did not recommend any other biopsy choices to me. Also, is an ex biopsy the same as a lumpectomy? Will an ex biopsy affect the appearance of my breast? Thank you.
		A:	request a core biopsy be done first in breast imaging using ultrasound guidance. these have some size to them and removing them might alter the breast contour.
Question:  #43 3/28/2009		Q:	I had an excisional breast biopsy on 3/20/09.the results came back as benign breast w/non-proliferative fibrocystic change-microcalcification present,as well as minimal focal proliferative fibrocystic change(duct hyperplasia).comment: focal sclerosing adenosis ,duct estasia & periductal mastitis are identified(elements of non-proliferative fibrocystic change).one minute focus exhibits proliferative fibrocystic change(duct hyperplasia.it also says about the specimen that it consists of :ovid fragment of rubbery tan fribro fatty tissue measuring 7.5x6.5x2.7 cm.rubbery fibrous area w/slightly nodular contour present along one flat edge of the tissue in center of specimen.margins are inked.serial sectioning through specimen reveals a marbled white tan to yellow tan fribro fatty cut.surface through most of the tissue.firm area present along one edge corresponding to the nodular focus of fibrosis described earlier.after overnight formalin fixation,mulitple representive sections are submitte from one end to the other in blocks A1-A12.sections from the firm area along one side are in blocks A5-A7.as I only got this report after having to see my surgeon due to having a large hematome,but he didn''t have the time to explain any of this to me until I go back could you please tell me if this means there is nothing to worry about at all and how can they tell all this if a duct wasn''t removed
		A:	there are many ducts and lobules within the breast. when an incision is made the surgeon is at a minimum cutting through a duct to excise tissue. these findings, with calcifications that were found were just calcium. no evidence of anything that would be considered precancerous either. so time to celebrate.
Question:  #44 3/9/2009		Q:	The diagnosis of my breast biopsy states: Fibrocystic changes (intraductal hyperplasia, columnar cell change, duct ectasia with colloid/musinous changes of the stroma, fibrosis and microcalcifications. The recommendation is that I have surgery for complete removal of the lesion. Please explain the diagnosis in terms that I can understand. Thank you.
		A:	You have benign findings, no cancer on the biopsy. The intraductal hyperplasia is extra cells or larger cells inside a duct that look different. Once this diagnosis is made, the surgeon will remove the entire area of abnormality. There is a small chance there could be malignant cells not seen on biopsy. Hopefully, it is all benign and only the removal of the lesion is needed. ds
Question:  #45 3/9/2009		Q:	I am 52 years postmenopausal. At an annual mammogram, calcifications against the chest wall were noted. The radiologist gave it a Birads 4C and recommended an excisional biopsy. I had the biopsy 3 weeks ago at which the results were benign. However, because the wire came loose before the surgery, the surgeon is not sure he got the right calcifications. So, in 6 months when they do a follow up mammogram, we will know for sure. The week after the biopsy, I was in very little pain. However, over the past 2 weeks the pain is increasing. Now, when anything touches the breast it is extremely painful. The doctor thinks it is because of the amount of tissue that was removed. Does this sound normal?
		A:	There are different reasons for increased pain in some women. other possiblities besides your doctor's explanation is location, how tight the tissue was pulled together. ds
Question:  #46 3/8/2009		Q:	I had a stereotactic biopsy 4 years ago. It was benign. I had a mammogram 5 mos ago that was normal. I can feel a very large hard mass on my breast near the original biopsy site. I''m not sure if it is new or has been there since the biopsy since I do not do regular BSEs. Could this large mass be scar tissue from the biopsy?
		A:	Since it is a new finding, you should ask for it to be evaluated. This will start with a clincal breast exam by your physician. ds
Question:  #47 3/9/2009		Q:	i am 39 yrs old, 2 children both breast fed. Family history of cancer exists. for the first time this month, found out a lump in my left breast. Mamo and Ultrasound were normal. Biopsy report says " core biopsy, benign breast tissue with stromal fibrosis. sections show cores of benign breast tissue. no significant epithelial prolifireation or atypia is seen. there is no evidence of carcinoma." What does this mean? what are the risk factors going forward? what next steps do i take?
		A:	It means that there was no cancer found and only normal breast tissues. I would continue with routine screening as recommended, but this is all good news!
Question:  #48 3/1/2009		Q:	Please explain micromets? When these are found in lymphnodes,how is this different from actual cancer cells or tumors? Thank you for your help.
		A:	it is the presence of only a few cells. when it is occupying the node and defined as a positive nodes it is billions and billions of cancer cells in that node.
Question:  #49 3/1/2009		Q:	to my question #2.the mammogram was done after my 1st biospy, showing that i had alot more calcifications after 8 were removed.but after my surgeon done a partial mastectomy,test came back that they were all fat necrosis not cancer.he did remove the correct area.as i dont have any calcifications now. q-lab stated that i had high grade dcis. hospital lab showed only fat calcifications after surgery.one of those labs has to be in correct doent it.im still trying to get lab to send my reports to you. but they are still delaying it.
		A:	there are times when there is just a tiny amount of dcis and the cells around it are dead cells. all will appear as calcifications on imaging however. don't know if that helps or not.
Question:  #50 2/28/2009		Q:	Hi, I had open breast biopsy on the left side breast, the place had been but is just left side under arm pit. Half year past , but my concern is under the cut place breast is still swallon and feel sore ,I can''t take bra on, it hurts . You can see obviously the breast under cut place is lumpy, touch it , I feel it ''s not normal skin. I don''t understand what cause the problem. My doctor just said it''s old blood. Is anyone has same problem as me? What is the possible reason for that? Thanks
		A:	it all depends on when this open breast biopsy was done. if in the last 6 months then listen to your surgeon. scar tissue, even hematoma or a residual seroma could be the problem. if longer ago than that request an ultrasound of the area.
Question:  #51 2/28/2009		Q:	i was dx with high grade comedo dcis. from a sterotatic biospy.out of 30+ calcifications. biospy removed aprox 8.so after partial mastectomy and sn biospy. post surgical biospy revealed that no cancer was found. only fat necrosis calcifications.now heres where this gets more intersting. they are telling me that it was all probaly removed during 1st. biospy.i told onocologists that i wanted 2nd.opinion because after my 1st. biospy dr. done another mammo. and he pointed out that i had more calcifications.but my onocologist doenst feel that i need a 2nd. opinion. and wants to start rads.so i asked him what the er/pr report was. but report only had down that it was sent out.so after calling lab a few times to get this. they finally amitted that it got overlooked. and was never tested for er/pr but they would do it. and call with results.after a week we had to call them again, was told dna was being done on it.and they would call us back. but another week goes by. we call again. now they said not enough tissue was sent.tissue size was 2.8 to 3.3cm. 7in4.totally admitted.when they were told that. it was enough. than they said that it was to old to test.so now report states. "test nor perform". i just had biospy in jan,09. now for the past 2 weeks trying to get lab to send it to john hopkins for another opinion. and everyday they tell me its been sent. hopefully buy the time the you read this maybe it will be.please tell me your opinion on all of this.could i have been misdiagnosed. i dont want to sue anyone. i just want my life back. now im worried because all what they are doing. if they do get around to sending my slides.how will john hopkins know that they are mine. its just that Q- lab has given me so hassle. i dont have any trust in them anymore. .
		A:	oh my. what a nightmare. and it sounds like you aren't in the hands of a breast surgical oncologist or a comprehensive breast center that is part of an NCI designated cancer center. if you can, come our way. 443-287-2778. no radiation oncologist would proceed on with radiation if calcs can still be seen on a post op mammogram. also inquire if the specimen was xrayed before being sent to pathology too. that is a standard of care and helps to ensure that what the surgeon was supposed to remove was in fact taken out. based on your deion sounds like more surgery is needed and the ER/PR must be done.
Question:  #52 2/22/2009		Q:	45-year old Asian here. Thanks so much for your prompt response. You stated that "4) the presence of atypical cells carries a 30% risk that breast cancer is infact there." My pathology report says "Multifocal ductal hyperplasia WITHOUT atypia." I was assured that that was a good thing. Which part of the report indicates presence of atypical cells? And can a fibroadenoma NOT show up on any mammogram, have "finger-like projections", low echo, and blood flow signal, which are all alarming characteristics? I am due to fly back to China tomorrow and returning in March. Should I follow-up in six months or do another biopsy right away? Thanks.
		A:	then if no atypia you are in a better situation. spiculated masses though are either cancer or sometimes a benign radial scar. inquire about this. (that's the finger like projections). having blood flow is also a bit worrisome.
Question:  #53 2/22/2009		Q:	HELLO! I WAS HERE EARLIER, I HAVE MORE INFORMATION.THE SPECIMEN WAS 5.5CM, IN GREATEST DIMENSION, AGGREGATE OF YELLOW TAN FIBROFATTY TISSUE CORES. T3. I WAS TOLD NO MEDS. AFTER RADATION. THIS IS DCIS. MY QUESTION POSTED IS # 1. WHAT IS MY OUT COME WITH ALL THIS INFO. THANK YOU
		A:	you must have large breasts then to have successfully had a lumpectomy with clear margins (make sure all 6 are clear). so DCIS i stage 0 breast cancer. excellent survival rate of > 99%. hormonal therapy in the form of tamoxifen will further reduce risk if it was estrogen receptor positive. congrats.
Question:  #54 2/21/2009		Q:	Please help me to understand my biopsy. i had biopsy on 12/08/2008.I had lumpectomy1/07/2009. i''m in 4th week of radiation. i''m feeling great(thank God) i have DCIS.. biopsy reads 5.5cm,DCIS,Grade3 with necrosis...possible microinvasion. After surgery nodes neg. no chemo, no chemo meds. Thank You
		A:	First, double check the diameter of the DCIS. was the specimen removed that diameter or the actual cancer? that's a large size and rarely is lumpectomy done in such cases due to great difficulty in getting clear margins as well as a large amount of breast tissue is removed leaving mosts breasts looking odd. grade 3 means fast growing. if microinvasion was found then sentinel node is usually done. sunds like it was negative. the other thing to now check is the hormone receptors to determine if tamoxifen will be possibly recommended post radiation. LS
Question:  #55 2/16/2009		Q:	can you tell what would cause dcis to be neither er negative or er positive. it came back undetermined. thank you
		A:	hmmm. i never seen it come back undetermined unless the amount of dcis was so tiny they didn't have enough cells to test it. this test measures whether or not the cancer cells are stimulated to grow by estrogen or not.
Question:  #56 2/14/2009		Q:	Hi, I''m 25 and I recently accidentally found a large lump in my left breast. It''s about 1 inch x 1 inch (I had an ultrasound done) and my doctors think it''s fibroademona. It is sometimes sore when I poke too much at it, but otherwise I don''t even notice it. I''m getting a biopsy done soon, to make sure it''s not cancerous. I''m really nervous and was wondering what I should be expecting while getting it? Also, do fibroademona usually grow that large? My doctor said I could either get it removed or keep it there, what do you suggest? Thanks in advance :)
		A:	fibroadenomas can even be larger than that sometimes. try not to poke at it. you will just make yourself sorer. i would suspect it will be done in ultrasound. they will give you a needle to numb the area, then after that you should just feel pressure when a piece of the center is removed with a special needle. don't fret. if it is oval and has smooth edges then rest assured you are dealing with something benign. the biopsy will confirm it for you. sometimes they are surgically removed if causing pain or if they grow larger. LS
Question:  #57 2/14/2009		Q:	In December I found a pea sized lump in my breast. I had ultrasound and CNB and it came back as fibrosis. Since that time, the lump has now grown considerably. I went back to my PCP and she didn''t like the feel of it, had another u/s and went through another CNB just Thursday (results Tuesday). The doctor said that it would be quite abnormal, but he thinks it was scar tissue. The lump was so hard it bent the needles. I was under the impression that CNB causes minimal scar tissue at best. Is there any explanation for why that happened, if it is scar tissue? Is it something I should follow up with a surgeon about?
		A:	First, let's be sure you are in good hands.. the hands of breast specialists. no scar tissue bends a needle that i've ever seen. and you are correct-- there should be no scar tissue there. so once tuesday comes you will hopefully know more. no harm in getting a second opinion elsewhere too. LS
Question:  #58 2/14/2009		Q:	i''m 48, possibly postmenopausal. Digital mammogram revealed a cluster of 3 calcifications. The pathology of a subsequent stereotactic biospy: non-proliferative fibrocystic changes with focal atypia. Scant calcifications. At edge of one core, the ductal cells show enlarged, rounded nuclei with nucleoli and sharp cell borders, and are associated with a few necrotic cells. Selected slides reviewed at intradepartmental conference. My breast doc thinks this is likely pre-cancer. Question: how consistent is this pathology with trauma? I had a sports accident with blow/punch to breast about a year ago.
		A:	pathology not trauma related. having the presene of atypia on a core is a ticket to proceed one with a wire localization open excisional biopsy. 30% of the time there will be early stage noninvasive breast cancer present. if you want to come to us just call 443-287-2778. this should be performed by a breast surgical oncologist. LS
Question:  #59 2/9/2009		Q:	31 yr old with maternal history of breast cancer has 2 inch lump with granulation not seen on mammogram or ultra sound, but found on mri. open biopsy recommended
		A:	Although I am not seeing a question, I assume you are asking if this is usual procedure. A lump not seen easily on imaging is indication of dense breast, something common in yourng women. You are taking steps to now answer the question of what the tissue is in this lump. Is it benign or is it cancer? A core biopsy, MRI guided, will provide diagnosis. ds
Question:  #60 2/8/2009		Q:	My OB-Gyn found a small palpable breast mass. It didn''t show up on mammogram,but was visualized on ultrasound, appearing to be a fibroadenoma. I am very much wanting to start trying to get pregnant, so wanted a bx to confirm the dx. The bx was attempted, but the surgeon states the mass was very mobile and "rolled," and then he got into significant bleeding and had to stop. The biopsies obtained showed adenosis and the surgeon thinks he didn''t get a sample of the mass. Then I went to have another attempt made by the radiologist, but the hematoma is so large (3 cm) 1 month later that it obscures the mass entirely and can''t be visualized. The radiologist told me I would have to wait many months until the hematoma resolves enough to see this small mass, and that I shouldn''t worry because it''s most likely a fibroadenoma. Now I am faced with the decision to start trying to get pregnant, or to wait for a dx. I would appreciate any medical opinion. I am older and feel I need to start trying to get pregnant soon, but I a fearful of a dx of breast CA while pregnant. Any advice?? Thanks very much.
		A:	rolling, round and movable are all good words to hear. if the radiologist originally felt this was a fibroadenoma then he probably is right, assuming he is a breast imaging radiologist. ultrasound might help in confirming that its edges are smooth and that it is oval like in shape. once imaging studies can confirm that, if they haven't already, then you need to rely on the doctors to assure you that all is well. if you have a significant family history or some other reason to feel that it may be cancer, make the doctors aware of that too. good look with conceiving!