Non-mass enhancement 16 months post-lumpectomy?

Posted by 2024chs @2024chs, Sep 18 8:30am

In May 2024, I was diagnosed with bilateral breast cancer - DCIS in the left breast and IDC in the right. I had a bilateral lumpectomy followed by radiation. I had a mammogram in March that showed nothing concerning. Six months later, I had an MRI. The results showed heterogeneous fibroglandular tissue and a 3.2 x 2.8 x 3.1 cm non-mass enhancement next to the surgical bed in the left breast. It was assigned a BI-RADS -4. I have a second look mammogram and US scheduled. I am wondering if anyone else experienced something similar and what the result was.

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In my last ultrasound, there was a finding that was classified as BI-RADS 3, but a biopsy was still requested, maybe that’s the next step for you? . Fortunately, everything came back clear. What I’ve learned from this experience is that biopsies, as a way to make sure everything is okay, have become part of my new normal. I try to see them as a form of vigilance, not necessarily something bad.
I’m sharing this because mental health has been essential on my healing journey. It’s important to me be prepared for these situations, but also to recognize that every emotion I feel is valid. We need to give ourselves permission to experience and work through them.
My next ultrasound is scheduled for October, and honestly, I’m scared as hell—and that’s okay.

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Profile picture for angiemal @angiemal

In my last ultrasound, there was a finding that was classified as BI-RADS 3, but a biopsy was still requested, maybe that’s the next step for you? . Fortunately, everything came back clear. What I’ve learned from this experience is that biopsies, as a way to make sure everything is okay, have become part of my new normal. I try to see them as a form of vigilance, not necessarily something bad.
I’m sharing this because mental health has been essential on my healing journey. It’s important to me be prepared for these situations, but also to recognize that every emotion I feel is valid. We need to give ourselves permission to experience and work through them.
My next ultrasound is scheduled for October, and honestly, I’m scared as hell—and that’s okay.

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I'm scared as hell myself! It is my new norm. I had DCIS in right breast removed 1 1/2 yrs ago along with 2 abnormal lumpectomies in left breast. Now I've had a stereotactic biopsy on left breast results being LCIS. Lumpectomy to be planned after 4 MRI guided biopsies on October 3rd to see what's up with these snarky looking areas. I was warned this would be a life long process. May I add I am not Braca 2 positive. Although my maternal grandmother ,mother, sister ( and her son and granddaughter are and were)) I lived with the fear most of my life. Was relieved when I was not positive but realized in my 70's my age was now working against me. My grandmother died of cancer as did my sister at 36. Tragic. I've also lost a first cousin and have a male cousin who had a double mastectomy. I hate that I have all this scar tissue that can look snarky because of surgeries. Anyone put off MRI guided biopsies for that reason? I know I'll continue to have them done but have been told to consider flap surgery. Comments?

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I did one MRI guided biopsy (and had two previous lumpectomies) and then I chose to have a prophylactic DMX because I didn't want to do the protocol for high risk BC patients. This was presented to me as biannual exams with alternating Mammo and MRI - and essentially waiting for a path report/diagnosis every six months. Plus I did not want to undergo further biopsies, lumpectomies, or a single mastectomy - perhaps followed by second mastectomy. It was explained to me that having LCIS increased risk in both breasts. I am a one and done kind of gal so I go for practicality when making decisions. Having a DMX was my ideal solution. Like you, I have a history of maternal side BC ; lost several Aunts, Great Aunts, a cousin when she was in her 30s. My mom is still here at 89 but she hasn't had a mammo since ??? She is not concerned with having BC because she feels she has lived a long life and would not undergo treatment if diagnosed. I do not carry any BRACA mutation but do carry a BRIP1 that is located near to BRACA genes. BRIP1 is known to cause ovarian and uterine cancer and is suspect for BC - they need more data on BRIP1. I felt a DMX allowed me to live my best life. While our diagnosis are similar we all have different preferences, or realities, surrounding quality of life - and we are presented with different treatment options based on our individual cases. Were you presented other options over than the four MRI guided biopsies? I was told by my surgeon, and later genetic counselor, that we entitled to a prophylactic mastectomy, or double with LCIS, if our lifetime risk is above 20%. BTW I am happy with my choice because I know longer waiting for the other shoe to drop; having the DMX has brought my risk down for 40 to 3%. Wishing you clarity for any decisions, smooth sailing on the diagnostics or surgeries, and a good prognosis.

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Profile picture for anatomary @anatomary

I did one MRI guided biopsy (and had two previous lumpectomies) and then I chose to have a prophylactic DMX because I didn't want to do the protocol for high risk BC patients. This was presented to me as biannual exams with alternating Mammo and MRI - and essentially waiting for a path report/diagnosis every six months. Plus I did not want to undergo further biopsies, lumpectomies, or a single mastectomy - perhaps followed by second mastectomy. It was explained to me that having LCIS increased risk in both breasts. I am a one and done kind of gal so I go for practicality when making decisions. Having a DMX was my ideal solution. Like you, I have a history of maternal side BC ; lost several Aunts, Great Aunts, a cousin when she was in her 30s. My mom is still here at 89 but she hasn't had a mammo since ??? She is not concerned with having BC because she feels she has lived a long life and would not undergo treatment if diagnosed. I do not carry any BRACA mutation but do carry a BRIP1 that is located near to BRACA genes. BRIP1 is known to cause ovarian and uterine cancer and is suspect for BC - they need more data on BRIP1. I felt a DMX allowed me to live my best life. While our diagnosis are similar we all have different preferences, or realities, surrounding quality of life - and we are presented with different treatment options based on our individual cases. Were you presented other options over than the four MRI guided biopsies? I was told by my surgeon, and later genetic counselor, that we entitled to a prophylactic mastectomy, or double with LCIS, if our lifetime risk is above 20%. BTW I am happy with my choice because I know longer waiting for the other shoe to drop; having the DMX has brought my risk down for 40 to 3%. Wishing you clarity for any decisions, smooth sailing on the diagnostics or surgeries, and a good prognosis.

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I did the same. After been diagnosed with ALH with microcalcifications in 2022. And 6 biopsies in the same breast(one every 6 months approx.) for other benign findings (PASH, stromal fibrosis, fibrocystic changes, cysts, among others). My sister with DCIS at age 36, I didn’t carry any mutation, my age 53 and very dense breast tissue my risk was 40%. After all that I made the decision to do the risk reduction mastectomy on 07/25/25. The biopsy came back negative to cancer but I had in the other breast ALH that didn’t show in my last mri and mammogram 6 months ago. I’m still recovering but dealing with cording in my right arm and my chest still tight. I was referred to OT/PT. I did reconstruction at the same time.

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