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|Breast Abnormalities and Other Symptoms
General questions about breast health and possible symptoms.
|Asked||Publicly Submitted Question|
|6/8/2012||In Aug 2011 I had a bilateral mastectomy, MI DCIS in left breast,no axillary or sentinal node involvement and no cancer in the right, as well as DIEP reconstruction on both. I recently had an ultrasound due to fat necrosis in my right breast, at which time they also scanned my left. The radiologist determined that he saw along with other areas of fat necrosis an area in the 11:00 portion of my left breast what he determined as BIRAD 4b due to it's increase in size from my Nov 2011 CT scan. He noted that it was isoechoic and hypoechoic with indistinct margins and recommended a biopsy. Today when I went in to have the biopsy I was told by a different radiologist that she thought it was either scar tissue or fat necrosis and she didn't read anything where he stated it could be a lymph node. She also said that she wouldn't have the biopsy if it were her, but I chose to have it done anyways. I rechecked the path report from the ultrasound and he did note that he thought it was a abnormal lymph node. I am totally confused as to the 2 different opinions. Should I be concerned and was it correct to have the biopsy?|
|Replied||JHU's Breast Center Reply|
|6/8/2012||Sorry that you had to undergo such a confusing and convoluted experience. It was wise to proceed with the biopsy, as it is diagnostic 'fact', while the imaging is a aid or tool. Since the recommendation was made by the first radiologist for biopsy based on the BIRAD 4, the second radiologist opinion was just that...an opinion. Consider seeking care at a Breast Imaging Center, within an accredited Breast Center, where imaging performed and read by breast imagers/specialists.|
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