Not yet diagnosed/Core needle biopsy BIRADS 4 scheduled

Posted by annac3 @annac3, Dec 4, 2019

“Your exam shows findings that may be due to breast cancer.” This was the box checked on my visit summary from regional breast cancer center last week. I’m now scheduled for US guided core needle biopsy on 12/9/19.

The very kind radiologist, pretty and very pregnant, pulled the mass image up on screen and explained that the dark spot is covered in a bit of a haze, and is not easily outlined. She also explained that this is a mammogram finding and is not the palpable lump I found about 3 months ago. That is likely a benign cyst.

Diagnostic mammogram and ultrasound reports rate this an overall BIRADS 4, indistinct oval hypoechoic mass with posterior shadowing and an echogenic rim, measuring .6 x .4 x .4 cm. I have recently been diagnosed with enlargement of inguinal lymph nodes as well. That was an incidental finding on venous Doppler US done for mild venous reflux in bilateral lower extremities.

Does anyone have experience with distant lymph node issue prior to BC diagnosis? My primary doc doesn’t think it’s related. I suppose it may be due to chronic hemorrhoids and history of colon polyps. I have return appointment with my gastroenterologist in March.

Hi @annac3, my apologies for the delayed response to your message. Did you have the ultrasound today? How are you doing?

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@colleenyoung

Hi @annac3, my apologies for the delayed response to your message. Did you have the ultrasound today? How are you doing?

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​US guided, vacuum-assisted core needle biopsy with 9 passes (# of samples taken). Pathology report in approximately 48 hours. Ice packs and Tylenol tonight but so far no real discomfort.

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@colleenyoung

Hi @annac3, my apologies for the delayed response to your message. Did you have the ultrasound today? How are you doing?

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Biopsy results are Invasive Ductal Carcinoma with tubular features, grade 1. Radiologist says I need to schedule another biopsy on a second smaller mass also in right breast, previously set for 6 month follow up. It was deemed likely benign, but she says now that I have a confirmed malignancy in that breast, it needs a biopsy now. Talking to breast surgeon’s APN about plan today.

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