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|Forum||Questions||Ask a Question|
|Understanding Pathology Results
Questions explaining and understanding pathology results.
|Asked||Publicly Submitted Question|
|10/21/2011||Pathology report after stereotactic biopsy for micro calcifications rt breast as follows: fibrocystic changes w stromal fibrosis & focal columnar cell metaplasia w mild atypia. Micro calcifications are detected- no evidence of malignancy. Could you please interpret this for me. I'm confused w wording. Appears no mallignancy but indicates cancer too? Have been advised that excisional biopsy should be done - is this best course or are there others options-is 2nd opinion needed? I would be very appreciative of any input you could provide. Iam extremely thankful for the help that you provide and for the compassion & caring! Thank you - I know it means so very much to all that are using this website.|
|Replied||JHU's Breast Center Reply|
|10/23/2011||Thank you for turning to the Johns Hopkins Breast Center. From what you have shared, there is no evidence or mention of breast cancer. Microcalcifications need to be biopsied, but not because any confirmation of cancer. Breast imaging is an excellent screening tool, and it did it's job! So next step is biopsy of microcalcs. But we would biopsy by a minimally invasive procedure (standard of care) using core needle, not by excisional biopsy where you must go to the OR and be put to sleep. A second opinion at a Comprehensive Breast Center might be helpful in terms of ability to perform minimally invasive bx. Hope this helps and best wishes.|
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