I’m new, concerned, NERVOUS and worried NO Diagnosis
My doctor had recommended that I have a biopsy on my right breast. At this time, the doctor has identified a suspicious area of concern in the right upper outer posterior of the breast. Specifically, there are white loose clusters calcifications that show concern.
the doctor indicated
Increasing loose cluster of microcalcifications within upper and outer quadrant of the right breast at posterior depth. Further characterization with 90 degree ML projection and spot magnification views is recommended.
A written summary of this mammography report in lay terms was sent to the patient.
The chief value of a mammogram is to detect a non-palpable cancer. A negative mammogram should not deter further workup if it is clinically warranted. Approximately 10% of palpable malignancies cannot be visualized radiographically.
Overall BI-RADS category: 0 - Incomplete: Needs
Additional Imaging Evaluation
I don’t know what all this means really however I do know the doctor and nurse indicated that most of these are benign. The nurse also indicated if this was a major concern that they would have briefed her on my case but they didn’t. The doctor just wants to rule out the possibilities of breast cancer. (Well if that’s the case, why do they want to do a stereotactic biopsy?) what is a sterotactic biopsy?
what are the odds of this being something serious?
Thank you and God bless you all,
Holly
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I understand your anxiety, the not knowing is scary. I am glad your provider has decided to check out so you know for sure.
This article by American Cancer Society has explanations of different types of biopsy including Stereotactic.
https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/breast-biopsy/core-needle-biopsy-of-the-breast.html
I hope they get you biopsy scheduled soon and everything is negative.
Laurie
Since it is now Monday, I would call them up with all these questions and ask when the stereotactic biopsy is scheduled.
If it is already scheduled, you can also call the site and talk to a nurse there too with these questions.
Tell them too that it is concerning not having this information.
Thank you so much
@isaish53n5, welcome. I agree with @roch and she provide links to good websites to learn more about breast biopsies. Getting this information can be scary. You'll notice that I removed the patient portal results that you had attached. It's best not to share personal identifying information like full name, patient number, address, etc on a public platform like this one. What we can do hear is listen, provide support and encouragement.
@timely is right that you can reach out to your medical team to discuss. They are best equipped to interpret these results along with your medical records.
A stereotactic breast biopsy is a procedure that uses mammography to precisely identify and biopsy an abnormality within the breast. This technique helps ensure that the area that is biopsied is the exact area where the abnormality was seen. "Stereo" refers to the fact that they use two images taken from slightly different angles of the same location.
While this is scary, it is really good that your team is being thorough. Do you have an appointment for the biospy scheduled?
Yes, my Appointment is April 15th, 2023 at 9:00 am
Regardless of the final outcome, your timing couldn't be better.
Early detection is key and that is what your Oncologist/Radiologist is doing.
Hi there, I called them on Monday and they returned by call today. I asked my nurse several questions but she indicated that they are looking for a group cluster and it’s indeterminate as so they are testing it to see what it is. The stress is insurmountable. My mom is very supportive and it seems like she’s the only one who can to check on my anxiety. Thank you for recommending that I can the nurse.
I'd suggest making a document where you can write your questions and the answers and who gave you those answers and when. As information may change and if it does you may want to refer back to previous conversations. I did that and it was helpful when I thought I was getting conflicting information from someone else. At one point surgeon said lumpectomy would be sufficient; but oncologist recommended bilateral - before I had surgery I wanted them on the same page and to be in agreement for the same reasons. Having my notes made it easy to get them to get on the same page before surgery.
Roughly 80% of suspicious calcifications turn out benign so the odds are in your favor. If you end up having anything it’s more likely to be atypical lobular hyperplasia (ALH), atypical ductal hyperplasia (ADH), lobular carcinoma in situ (LCIS-not cancer but a precursor or high risk marker for future cancer), or ductal carcinoma in situ (DCIS-which is considered stage 0 cancer). Although those all sound super scary it’s actually very hopeful because they are all early findings. Praying you get the all clear and no cancer. If you have any findings, be sure to ask lots of questions on what your treatment will entail and ask for your tyrer cuzick score (it tells you your lifetime risk of developing BC based on multiple factors). I have LCIS from my micro calcifications and I see an oncologist every 3 months, get a mammogram and breast MRI every year 6 months apart, and take an aromatase inhibitor because my tyrer cuzick score is 60% which is very high (anything over 20% is high risk). The best thing I can suggest is to read up on your diagnosis (when you get one), write down everything your doctor tells you, ask questions when you don’t understand something, and be your own advocate. You got this!!