Ask an Expert: View a Question
 
 
 
 

Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.

If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-997-8282. It is possible to get an appointment for a second opinion within a few days of contacting us.

We hope you find the information helpful!

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

AskedPublicly Submitted Question
9/10/2017What does this mean?


Medical SummaryTest Results

MAMMOGRAM DIGITAL DIAGNOSTIC LEFT POST PROCEDURE WWO CAD

If you have questions or concerns about your test results, you can send a message to the doctor who ordered the test. Send a message to the doctor who ordered the test

NarrativeClinical History: 47-year-old female with an area of architectural distortion in her left breast. Technique: Upright stereotactic biopsy of the left breast with vacuum-assistance, clip placement, and post procedure left mammogram. Findings: Prior to beginning the procedure today, a left full 90 degree tomosynthesis view was obtained, which demonstrates an area of architectural distortion in the upper outer quadrant. Informed consent was obtained. Timeout performed. Laterality confirmed. Utilizing sterile technique, local anesthesia, and a lateral approach, stereotactic biopsy was performed of architectural distortion in the upper outer quadrant at 2:00. Multiple passes were made with a 9 gauge Suros Eviva vacuum-assisted device. A specimen radiograph demonstrates small areas of increased density, likely pieces of the distortion. A top hat clip was placed. Post procedure CC and 90 degree views of the left breast demonstrate that the clip migrated 1 cm superolateral to the area of distortion. The patient tolerated the procedure well without immediate complications. Estimated blood loss less than 5 cc.

Impression

Impression: Upright stereotactic biopsy of an area of architectural distortion in the left breast at 2:00, with top hat clip placement. Pathology and recommendations are pending. The differential diagnosis includes a radial scar versus malignancy. If the pathology results are benign and do not include a radial scar or elastosis, I would consider the result discordant and recommend surgical consultation.




RepliedJHU's Breast Center Reply
9/11/2017When the term architectural distortion is used it implies that the lesion seen has very irregular borders which is a sign in many cases for it being breast cancer. it also could be a radial scar which is a benign growth but also warrants surgical removal.

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.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.