Suspicious area Bi-rad 2 or 3: Do I advocate for a biopsy or wait?

Posted by whitney2326 @whitney2326, Nov 2, 2022

hello
i a new to this group so pardon me if i am not in the proper forum ! i am so confused by the random assortment of tests i have had an ZERO real answers. i have decided im going to have to be my own advocate. 6 months ago i went to the doctor complaining of a strange feeling in my left breast ..she ordered a diagnostic mammogram which came back with Bi-Rad 2 (which i only found out reading my own report)..no worries in her part no follow up despite my nagging feeling .. Last week I went for my annual mammogram ,got a call back for a suspicious area on the same left side of my breast ..another mammogram ,ultra sound and then mri ...still pretty inconclusive but now graded a Bi-Rd 3 ...do i have the right to push for a biopsy /have it taken out ? i have a gut feeling ..and waiting 6 more months to "watch " seems like bs to me . should i bother going to a bigger breast center rather than all these random doctors in my home town ?Bi-Rad 3 can be cancer correct ? i am of course grateful my lymph nodes are clear but does this mean that im all good ? i am meeting with a surgeon monday ...womdering hat i can say to advocate for myself .the wait and see game doesnt sound great consdering the change in 6 months . thank you or your insight

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@mandi77

Bi-Rads 3 with BRACA2 & ATM Mutation & family breast/ovarian cancer history. Second opinion advocate for a biopsy?

Hi I'm new here. I recently entered the high breast cancer risk program due to history & a small lump left breast. Background: 7 years ago in 2016 my mom diagnosed stage 4 Ovarian cancer she encouraged genetic testing. Discovered we have BRCA2 & ATM genetic mutations. I'd always had several female pain/issues so I opted for a radical hysterectomy & several ovarian & fallopian tube cysts were discovered but fully cleared with surgery. My Mom passed that same year. Since we've discovered family breast cancer hx.
Now: Mammogram & Contrast MRI ordered Dec2022. Mammo showed dense breast with irregular left breast shape. MRI showed 2-4mm mass left breast. Follow up was: Diagnostic Mammo & Ultrasound left breast- specialist said "if mass shows on either diagnostic mammo or ultrasound follow up with ultrasound guided biopsy". Those follow up diagnostic mammogram and ultrasound were this week. Mammo showed left breast irregular shape and swollen listed as unremarkable. Ultrasound: (6) different spots notated: 1 benign cyst, 2 mixed cysts, 1 probably benign mass, 2 solid hypoechoic masses 2x5x8mm possibly benign with 2 swollen lymph nodes left armpit area one was 29 mm diameter "possibly benign". BI-RADS 3. The radiologist said no biopsy needed come back in 6 months and he sent his technician to tell me this though she was pushing for a consult with him. I was completely frustrated 😞 I felt that since the tests took so long and completed at 430 on a Friday holiday weekend- the bedside manner and patient centered care was lacking. Also of course I also felt that my specialists recommendations were Not followed which stated: "If any mass shows up on mammo or ultrasound a ultrasound guided biopsy needs to be done". The radiologist recommendations instead were: "Follow up with another ultrasound and mammogram in 6 months". I feel like a second opinion and a biopsy should be warranted in this case. Obviously I am concerned and stressed and seeking peace of mind. What are anyone's thoughts out there? I would whole heartedly greatly appreciate any and all feedback! ❤ Thank you and bless you all!

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Hello,
If it were me, I would be getting a second opinion. With your family history, with the many “probably benign” statements, and with 2 swollen lymph nodes, I would be seeking another opinion. This is your health and if your gut is telling you to get a second opinion, then do it. I wish you well!

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@mandi77

Bi-Rads 3 with BRACA2 & ATM Mutation & family breast/ovarian cancer history. Second opinion advocate for a biopsy?

Hi I'm new here. I recently entered the high breast cancer risk program due to history & a small lump left breast. Background: 7 years ago in 2016 my mom diagnosed stage 4 Ovarian cancer she encouraged genetic testing. Discovered we have BRCA2 & ATM genetic mutations. I'd always had several female pain/issues so I opted for a radical hysterectomy & several ovarian & fallopian tube cysts were discovered but fully cleared with surgery. My Mom passed that same year. Since we've discovered family breast cancer hx.
Now: Mammogram & Contrast MRI ordered Dec2022. Mammo showed dense breast with irregular left breast shape. MRI showed 2-4mm mass left breast. Follow up was: Diagnostic Mammo & Ultrasound left breast- specialist said "if mass shows on either diagnostic mammo or ultrasound follow up with ultrasound guided biopsy". Those follow up diagnostic mammogram and ultrasound were this week. Mammo showed left breast irregular shape and swollen listed as unremarkable. Ultrasound: (6) different spots notated: 1 benign cyst, 2 mixed cysts, 1 probably benign mass, 2 solid hypoechoic masses 2x5x8mm possibly benign with 2 swollen lymph nodes left armpit area one was 29 mm diameter "possibly benign". BI-RADS 3. The radiologist said no biopsy needed come back in 6 months and he sent his technician to tell me this though she was pushing for a consult with him. I was completely frustrated 😞 I felt that since the tests took so long and completed at 430 on a Friday holiday weekend- the bedside manner and patient centered care was lacking. Also of course I also felt that my specialists recommendations were Not followed which stated: "If any mass shows up on mammo or ultrasound a ultrasound guided biopsy needs to be done". The radiologist recommendations instead were: "Follow up with another ultrasound and mammogram in 6 months". I feel like a second opinion and a biopsy should be warranted in this case. Obviously I am concerned and stressed and seeking peace of mind. What are anyone's thoughts out there? I would whole heartedly greatly appreciate any and all feedback! ❤ Thank you and bless you all!

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I would not wait.

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Did the radiologist say why they suggested waiting?

I would go with what a surgeon or oncologist suggests, as well as, more importantly, what leaves you certain and reassured.

REPLY

Bi-Rads 3 with BRACA2 & ATM Mutation & family breast/ovarian cancer history. Second opinion advocate for a biopsy?

Hi I'm new here. I recently entered the high breast cancer risk program due to history & a small lump left breast. Background: 7 years ago in 2016 my mom diagnosed stage 4 Ovarian cancer she encouraged genetic testing. Discovered we have BRCA2 & ATM genetic mutations. I'd always had several female pain/issues so I opted for a radical hysterectomy & several ovarian & fallopian tube cysts were discovered but fully cleared with surgery. My Mom passed that same year. Since we've discovered family breast cancer hx.
Now: Mammogram & Contrast MRI ordered Dec2022. Mammo showed dense breast with irregular left breast shape. MRI showed 2-4mm mass left breast. Follow up was: Diagnostic Mammo & Ultrasound left breast- specialist said "if mass shows on either diagnostic mammo or ultrasound follow up with ultrasound guided biopsy". Those follow up diagnostic mammogram and ultrasound were this week. Mammo showed left breast irregular shape and swollen listed as unremarkable. Ultrasound: (6) different spots notated: 1 benign cyst, 2 mixed cysts, 1 probably benign mass, 2 solid hypoechoic masses 2x5x8mm possibly benign with 2 swollen lymph nodes left armpit area one was 29 mm diameter "possibly benign". BI-RADS 3. The radiologist said no biopsy needed come back in 6 months and he sent his technician to tell me this though she was pushing for a consult with him. I was completely frustrated 😞 I felt that since the tests took so long and completed at 430 on a Friday holiday weekend- the bedside manner and patient centered care was lacking. Also of course I also felt that my specialists recommendations were Not followed which stated: "If any mass shows up on mammo or ultrasound a ultrasound guided biopsy needs to be done". The radiologist recommendations instead were: "Follow up with another ultrasound and mammogram in 6 months". I feel like a second opinion and a biopsy should be warranted in this case. Obviously I am concerned and stressed and seeking peace of mind. What are anyone's thoughts out there? I would whole heartedly greatly appreciate any and all feedback! ❤ Thank you and bless you all!

REPLY
@whitney2326

I met with another surgeon today who immediately once felt the lump said it should
Come out
I'll have a surgical biopsy she will take the mass out and send it for pathology .she said the fact that it moves around a little when she manipulates it is a good thing but gosh as she examined me that ball of whatever hurt as she moved it . I read someplace
This means it probably isn't cancer ?

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@whitney2326, did you have the biopsy? Any update?

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Have a pet scan first and it will tell you, it will light up where they think it is cancer.
then you will know.

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I met with another surgeon today who immediately once felt the lump said it should
Come out
I'll have a surgical biopsy she will take the mass out and send it for pathology .she said the fact that it moves around a little when she manipulates it is a good thing but gosh as she examined me that ball of whatever hurt as she moved it . I read someplace
This means it probably isn't cancer ?

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Ok so after meeting with surgeon where mass is located needs a surgical biopsy they were quick to say it feels squishy not hard like cancer so we could wait and see

Is all cancer squishy ? They said the spot is in very tricky to see in mammogram becisse of where it is . But they have one great picture from the follow up mammogram

Is all cancer hard ? It's almost like they wanted me to wait but said I could have the surgical biopsy

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@whitney2326

did they biopsy the same birad "2" area and found the cancer ?

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They wouldn't biopsy it

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So I meet with one surgeon today
Do I push for a core biopsy or needle ? Or surgical . Which one would be the most effective in finding cancer cells

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