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Breast Abnormalities and Other Symptoms
General questions about breast health and possible symptoms.
14,551 Ask a Question

AskedPublicly Submitted Question
7/20/2017I am 44 y.o. I have had previous screenings with no abnormalities. My screening on 7/06/2017 came normal on the left, but on the right stated "Within the middle one third right breast, just medial to the posterior nipple line and approximately 6 cm from the nipple, there is a questionable 1.2 cm area of architectural distortion." I was seen the next day for more films and ultrasound. The results were "Subtle area of parenchymal distortion within the central to medial right breast seen only on 3-D CC views with no definite ultrasound correlate. BI-RADS 4 Breast Density B. I am scheduled for a wire guided open biopsy next Friday. Not only am I terrified of the surgery, I am terrified of the pathology results. There is conflicting information out there about "architectural distortion" and "parenchymal distortion". How likely is this to turn out malignant? I might note I have had no previous breast surgery or injury. My right breast is noticeably larger, but I don't really know if that is something new. Thank you!
RepliedJHU's Breast Center Reply
7/20/2017Architectural distortion, defined as distortion of the architecture of breast parenchyma without being accompanied by increased density or mass, is considered suspicious but there are a variety of benign causes that can produce this appearance on breast imaging.

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