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 Biopsy
Questions about the definition, risks and results of breast biopsy.
5,292 Ask a Question

AskedPublicly Submitted Question
1/28/2018I have an architectural distortion - 3.6 cm found on tomo and burning sensation in my breast. For further testing ~ I can't do a stereotactic biopsy and am allergic to Iodine so if I do an MRI and MRI biopsy, I am told they would need to use gadolinium, a heavy metal. I have severe Lyme disease and am trying to find an alternative contrast agent or another way to check this area due to negative effects on my health. Otherwise I am considering not doing a biopsy and instead monitoring by tomo. Do you have any recommendations of alternatives to the contrast agent or other ways to check this area? Also, do you know the stats on the likelihood this area of concern is cancerous - not including DCIS. Thank you.
RepliedJHU's Breast Center Reply
1/28/2018If biopsy has been recommended, it is the only way to determine exactly what the mass is. If contrast material injection must be performed (because imaging with contrast material is necessary and no alternative imaging study will provide the desired information), corticosteroid premedication must be provided, if at all feasible. It is also suggested that steroid premedication be given to patients who have had previous mild allergic-like contrast reactions, such as hives. The majority of breast masses are benign (not cancer).

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.