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Abnormal mammogram: architectural distortion and need a biopsy?

Posted by mkdeyo1585 @mkdeyo1585, Jan 28 12:30pm

I had a screening mammogram that demonstrated architectural distortion on the right breast. I went for a diagnostic mammogram with persistent distortion. The ultrasound afterwards did not demonstrate any correlate, but they have recommended I get a biopsy. I’m confused by the results/recomendations, anybody with similar experience? Abnormal mammogram and normal ultrasound?

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sjctx | @sjctx | Jul 6 7:10am

Thank goodness for my barely visible architectural distortion (AD). Research shows more often than not an AD demonstrates cancer. 2022 my fave radiologist saw it on an annual mammogram; I asked if I could wait 6mo and see how it goes? He was firm even when he couldn’t find it thru ultrasound. Another mammogram to refine location. The 45 min stereotactic biopsy from hell located 4mm of HR+ HER- fairly invasive cancer & inserted the titanium chip as the surgeon’s locator. Surgery 6wks later removed 2mm at the chest wall. 8wks later I started 28days of radiation. October I started 5yrs of estrogen inhibitors. My prognosis is excellent b/c of early detection. I was very upset the mammography center closed shortly after my surgery so I couldn’t return for my follow ups. I’m not very confident with the only other place in town who performs diagnostic mammograms.

There comes a time when we have to trust someone with serious health decisions. As a trauma survivor I have a really hard time with that, but I already had a great working relationship with my oncologist due to a benign lymph node issue. Also trust yourself to know who you need to help you navigate this journey. Good luck!

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roberta75 | @roberta75 | Jul 20 8:47am
In reply to @roberta75 "In 2017 when I was 70, my screening mammogram also showed architectural distortion also. For the..." + (show)
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In 2017 when I was 70, my screening mammogram also showed architectural distortion also. For the 2 years before I had mammograms every 6 months because of calcification. I had further imaging and 2 sites were found. A biopsy determined one ductal and one lobular ER PR + Her2- in my left breast. I had a mastectomy on that one breast. Onco test was 18. So no chemo. I did take Letrozole for 5 years. No problems until my screening mammogram on my right breast this past April (2025). The report said focal asymmetry, but come back in a year. I contacted my oncologist and she ordered further imaging. That imaging indicated a small tumor 9mm. I had a biopsy. It came back triple negative invasive ductal carcinoma(TNBC). This is more aggressive. I had a mastectomy on the right breast June 18, clean margins and no lymph node involvement.The plan is to start chemo so since that is the standard treatment for this cancer. I do have a consult scheduled at Mayo in a couple of weeks. I am 78. I have been active walking 3 miles regularly and weight training 2x a week. I am not looking forward to this journey. But, I have a fantastic, supportive husband who is my rock. We will get through this.

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I did have my appointment at Mayo Friday July, 18. Everyone was so professional and caring. They recommended a chemo treatment plan they confidently felt would be the best for me. So I am waiting to hear back from my oncologist for the next step.

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