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|Concerns about Breast Cancer Family History
Questions on genetics, family history & breast cancer.
|Asked||Publicly Submitted Question|
|1/25/2012||Ok well to just get a little background info.. I am a 28 year old female that has an extensive family history of Breast/ovarian/uterine cancer in both sides of my family.I had a biopsy on my left breast, (at the 7 o'clock) on 12-22-11. It came back as a fatty tumor that was benign. ( my surgeon called it a lipoma?) I then found another lump on the right breast, right behind the nipple. Unlike on the left this one is not painful at all.Had a mammogram, was sent back for magnified pictures with the mammogram, then immediately sent to get an US as well. Recieved a letter that more imaging is needed. So i schedualed and appt. with my surgeon. I seen him today (1-25-12) and he said i have two options, I can opt to remove it and have it sent in or come back in 3 months to do another mammogram/US. He said he and the radiologist couldn't figure out if it was for sure a Complex cyst or a dilated duct. Nothing was mentioned about aspiration or any other options. I have never had any doubt about this surgeon, though i did end up getting a second and third opinion on the original lump in my left breast no one wanted to check it in anyway they just wanted to leave it for 6 mo then do another US, wouldn't even aspirate it, the surgeon i have now just opted to remove it right away. Both were/are not very big about 1cm and this new one 1.2 cm. I guess my questions would be what would be the best option, the wait and see or the just get it removed. To remove it will render the breast useless in terms of any more children, but that is not an issue at this point. Also how is it that they can not differentiate between these two items when from the research I have done shows differences that are rather substantial. Does anyone know what the malignancy rate is on both of these diagnosis's?|
|Replied||JHU's Breast Center Reply|
|1/26/2012||Lipomas and fibraodenomas are benign masses and they don't and can't turn into cancer. complext cysts are usually (the majority) benign and the radiologist can usually tell if they look at all concerning. the real question though is of course the accuracy of the radiologist reading these images. you want to ensure it is a breast imaging radiologist. you also want to make sure they have knowledge of your family history.|
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