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casa (@casa)

Breast Density with multiple cyst. Recent Birads 4

Breast Cancer | Last Active: Dec 5, 2021 | Replies (13)

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@casa

I have the highest level of density. Also, numerous simple and complex cysts. The ultrasound was order as a stepping stone to an MRI. The US showed heterogenous focal region/lesion with posterior acoustic shadowing. A biopsy was ordered. Just this morning I got my results back via mychart, have not talked to my doctor. The finding Ultrasound-guided core needle biopsy of a 0.7 cm heterogeneous lesion with shadowing at 9:00, 10 cm from the nipple in the right breast,
marked with a bowtie clip. Pathology demonstrates intraductal papilloma,
which is high risk and concordant with the imaging assessment. Surgical
management is recommended.

Final Diagnosis
1. Breast, Right, 9 o'clock, 10 cm from Nipple: Benign breast tissue
with
A. Florid ductal hyperplasia of the usual type.
B. Mild chronic inflammation.
C. Microcalcifications in non-neoplastic tissue.
D. Apocrine metaplasia.
E. Focal pseudoangiomatous stromal hyperplasia in the mammary stroma.
F. Area consistent with intraductal papilloma with the usual
hyperplasia.
G. Simple cyst

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Replies to "I have the highest level of density. Also, numerous simple and complex cysts. The ultrasound was..."

@casa
If you are that concerned, may I suggest you insist on an MRI? My original biopsy was positive for cancer and after that I was so nervous about the other breast that I insisted on an MRI……guess what…there was another very small tumor in the same breast that did not show up on mammogram that was a neuroendocrine lesion which is highly aggressive and rarely shows up in the breast. So a second surgery was performed to remove that as well. My oncologist poo-pooed me, the first surgeon did not think an MRI was necessary, but the second surgeon I saw felt it reasonable. Sending you best wishes in your journey.

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