Will my MRI breast biospy be done with contrast?

Posted by jeaniem @jeaniem, Apr 22 9:59am

I am 64 and post menopause. I started with a unilateral clear spontaneous nipple discharge several months ago, mri noted a 2.6 cm linear enhancement. I will have mri biospy in a few days and am wondering if contrast will be used again. I checked my patient portal and called the coordinator but am finding no answers.

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Profile picture for babs28 @babs28

@jeaniem I've had two MRI breast biopsies. I believe I was in the machine for about 20 minutes. You are in the same semi-prone position that you were in for the regular breast MRI. I didn't see exactly what the equipment was but the breast that is not being scanned has something compressing it up. The breast that is getting biopsied feels like it is in a mammo squish. They put something on your back so you are more squished than with the regulat breast MRI. You will feel the pinch of the anesthetic of course. I took a sedative for each of them. I did deep breathing, as best I could, and counted my breaths as a distraction. I also focused on the fact that I needed to do the MRI biopsy for my journey back to health. And, whenever I get any type of scan, I keep my eyes closed as long as I'min the machine. Yes, I'm claustrophobic. Of course they give you an alarm thingy to squeeze if you need to stop the test and the techs talk you through everything. So, if you can take one, I recommend a sedative. Make sure you let them know at radiology that you are going to take one. They may want you to be sedative free when you sign consent paperwork. I did better when I waited to take the sedative because, at least in my case, I was there for about 1/2 hour before they started the scanning. My best wishes to you on your journey.

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@babs28
Thank you! Hope you are doing well.

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Profile picture for marshgirl24 @marshgirl24

@jeaniem I think that "vaccuum assisted" is the suction that's used to draw out the cells. That's what I was watching spin out over the tubing. You don't feel it. I'm surprised that they used that term with you. However, in the old days, biopsies were done with a scalpel. Imagine. Women ended up with a scar (and smaller boobs) even if the mass/area was benign.

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@marshgirl24
I just read online about the vacuum assisted, no one told me that. Thank you

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Profile picture for ruffianfan55 @ruffianfan55

Yes, they will do an MRI with and without contrast. I wouldn’t worry about the contrast dye, they need it to visualize your lesion. I am going to have to have one every year for the foreseeable future. I am 71 and had the exact same thing in Jan 2025. No calcifications or abnormalities on mammogram, but a slight nipple discharge. MRI showed non mass enhancement. From the biopsy, I was diagnosed with DCIS, but also had a 4mm foci of IDC. I had a lumpectomy and opted for radiation via brachytherapy. I was taking anastrozole since my cancer was ER+Pr+, but have discontinued for now. I may resume it shortly, since I tolerated it well.
Warm wishes to you, it’s quite a lot when you’re going through it all, but there will be better days before you know it. This forum is the best! I’ve answered and asked many questions throughout my diagnosis and treatment. The contrast dye is mostly a problem if you have kidney disease, which they screen you for before they use it. 💚

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@ruffianfan55
My non mass enhancement is a linear 2.6 cm with type 2 kinetics. I am 64 and my mom and her mom had breast cancer. With the one side clear nipple discharge it could be a papilloma or dcis, but I keep reading papillomas are usually smaller, Any thoughts?

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It is done, about a week for the results. My last biopsy the radlogistist told me before I left it was most likely benign and she was right. I asked this time and she would only say that the area she biopsied was causing the discharge, so hopefully a papilloma. I was given three mumbing shots, 2 of the three really hurt! Overall it went well, but I am a bleeder and had to stay a good 30 minutes to slow it down. They ended up compression wrappping my breast, skipping the sports bra. I have to say my mammogram guided biopsy a few years ago was easy, only thing I felt was the pinch of the numbing needle. Tech told me with the lesion being behind the nipple the nerves in that area are what made it feel worse.

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Sorry, you have probably had your MRI and it will or would have been with contrast.
Because my DCIS was only detected with an MRI, I have a mammogram and six months later MRI.

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Profile picture for beyourownadvocate @beyourownadvocate

Sorry, you have probably had your MRI and it will or would have been with contrast.
Because my DCIS was only detected with an MRI, I have a mammogram and six months later MRI.

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@beyourownadvocate Thank you. Yes I had the mri biopsy with contrast, my area of concern due to the one sided nipple discharge was not found on diagnostic mammogram or ultrasound which led to mri and mri biopsy. Still waiting for results. I am 64 with family history, so who knows? Are you having any treatment?

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I did have a lumpectomy, radiation and five years or aromatase inhibitors (Anastrozole).
I ended my treatment in December.
I still see my doctor every six months with a mammogram and six months later an MRI.
I’d like to think I am done with cancer but you always need to be vigilant.

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Profile picture for beyourownadvocate @beyourownadvocate

I did have a lumpectomy, radiation and five years or aromatase inhibitors (Anastrozole).
I ended my treatment in December.
I still see my doctor every six months with a mammogram and six months later an MRI.
I’d like to think I am done with cancer but you always need to be vigilant.

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@beyourownadvocate
Best wishes to you! I hope mine is low grade if its not benign. My mom and grandmother had agressive cancers that required chemo and radiation. Mom did well but has some nerve damage. Grandmother had recurrence the same year and passed away soon after.

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Profile picture for jeaniem @jeaniem

@beyourownadvocate
Best wishes to you! I hope mine is low grade if its not benign. My mom and grandmother had agressive cancers that required chemo and radiation. Mom did well but has some nerve damage. Grandmother had recurrence the same year and passed away soon after.

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@jeaniem
I’m sorry to hear that.
Maternal and paternal aunts in my family died from breast cancer.
My older sister had breast cancer in 2003. I was diagnosed with the same type - in the same location- in 2020.
We both had surgery, radiation and Anastrozole.
So far we’re both cancer free!
That’s my hope for you!

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