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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
8/31/2017In January 2017, had a mammogram-guided biopsy due to microcalcifications. The biopsy results were "probably benign" and 6 month follow up was recommended. Referral to an oncologist led to a MRI, which was negative.
Yesterday at my 6 month follow-up mammogram, the microcalcifications were "significantly increased and plemorphic" and the radiologist and counselor met with me and recommended/scheduled another mammogram-guided biopsy for next week.
The area of microcalcs is 5.8 x 5 x 3 cm. The radiologist commented that she was surprised I wasn't feeling any associated pain.
At what point do oncologists/surgeons decided that an excisional biopsy/removal of all calcifications is the best course of treatment (vs. just continuing to biopsy one site of said area? Should I expect a biopsy every 6 months forever? Thank you
RepliedJHU's Breast Center Reply
9/1/2017not sure why you were asked about pain. usually these don't cause pain even when they are cancer. the description is worrisome and implies these might be cancer. so first a biopsy to make a diagnosis then surgery is likely to be also needed if they are deemed to be cancer. After the biopsy, come to us, 443-997-1513. you will need a specialized breast cancer team then.

Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.

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