We are 144,826 members in 73 forums discussing 114,666 topics.

Help with Abbreviations

All TopicsForum: Not Diagnosed but Worried → Topic: Birads 4, concern or no concern

Topic: Birads 4, concern or no concern

Forum: Not Diagnosed but Worried — Meet others worried about developing breast cancer for the first time.

Posted on: Jul 8, 2011 09:38PM

apaige wrote:

As I posted earlier, I am brand new to this site
and new to the world of breast cancer or a scare
of breast cancer, I don't know which just yet. I am
38 yoa and I have had a lump in my left
breast since mid May, had a mammo, and
ultrasound, only to tell me that it's a suspicious
abnormality. I noticed another topic about birads 3
and learned that mine is birad 4. Can anyone
share their experience with a birad 4 mammo finding?

Log in to post a reply

Posts 1 - 28 (28 total)

Log in to post a reply

Jul 8, 2011 10:20PM, edited Jul 8, 2011 10:21PM by sheila888

Hi apaige....Did they recommend a biopsy?

Usually that's what they do with Birad 4.

If not are they gonna do a  follow up in 6 months?

Sheila

Sheila♥

Dx 4/8/2005, IDC, 1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+, HER2+
Log in to post a reply

Jul 8, 2011 10:21PM ICanDoThis wrote:

I was rated Birads 4  - biopsy proved to be positive, but I am fine.

Sue - Proud to be Krista's Mom

Dx 12/28/2007, IDC, 1cm, Stage I, Grade 1, 0/3 nodes, ER+/PR+, HER2-
Log in to post a reply

Jul 8, 2011 10:24PM apaige wrote:

Sheila,

Thank you for your response.  Yes, they have requested a biopsy.  I have a consultation visit on Tuesday...but I don't know what I should expect?  Not sure if I am just going there to consult about my mammo and ultrasound pictures, and then schedule for a biopsy...very scary to say the least...I look up all of my symptoms, and with each new one, it's another symptom of BC.  I was given a 98 % for B9, but in the the report it says 11.2% risk of malignancy...so confused...I am very sore, not sleeping, and oh so worried...

Log in to post a reply

Jul 8, 2011 10:32PM apaige wrote:

Sue,

Thank you for your response.  I am sorry to learn that you had a positive read with a Birads 4, I see that you are stage 1, and the other abbreviations, I am afraid that I am ignorant with.  My hope is that you are okay.  I think your mass was 1cm, apparently mine is 3.5 cm, but I wasn't told if it was fluid filled or a solid mass, and at the time I didn't know to ask.  I am learning more and more about it now.  So I feel that I am more prepared for my consultation on Tuesday.  It just seems like the more I read on the internet the more scared I become.  I vowed to stop  googel'ing my symptoms.  I am very thankful to have found this site though through a google search.  I wish all of you continued good health and healing!

Log in to post a reply

Jul 8, 2011 10:36PM lrr4993 wrote:

I read somewhere that 90 or 95 percent of birads 4 are benign. I beat the odds on that one.

Lisa

Dx 8/6/2010, IDC, Stage Ib, Grade 3, 0/5 nodes, ER-/PR-, HER2-
Log in to post a reply

Jul 8, 2011 10:36PM jo1955 wrote:

Hi apaige - I was also rated BIRADS 4 and it was posittive.  As you can see by my stats that it was caught very early.  After mammo and ultrasound, I was set up with a surgeon who did an ultrasound guided biopsy in his office - got the results 3 days later.  

This is a very confusing time for you but try to relax and breathe.  The waiting does suck but you will get through this. 

Jo - Lump, no chemo, 25 rads + 5 boosts, Tamox X5 years . Three years cancer free - Aug 30th, 2013. July 13, 2013 - Hysterectomy due to multiple uterine issues while on Tamoxifen.

Dx 8/30/2010, IDC, <1cm, Stage Ia, Grade 2, 0/3 nodes, ER+/PR+, HER2-Surgery 08/30/2010 Lumpectomy (Left)Surgery 08/30/2010 Lymph Node Removal: Sentinel Lymph Node Dissection (Left)Radiation Therapy 09/21/2010 ExternalHormonal Therapy 01/03/2011 TamoxifenSurgery 04/18/2012 Reconstruction: Latissimus Dorsi flap (Left)
Log in to post a reply

Jul 8, 2011 10:37PM pejkug3 wrote:

I'm 35...had a mammo with a suspicious mass January 5 - BIRADS 4.  I was given the option to biopsy or wait 6 months and check again. 

I had a biopsy on January 10th and a diagnosis of invasive ductal carcinoma on January 13.

Sending B9 vibes your ways and prayers for calm nerves and a level head. 

Dx 1/13/2011, IDC, <1cm, Stage IIa, Grade 3, 1/8 nodes, ER+/PR+, HER2+Surgery 01/27/2011 Lumpectomy (Left); Lymph Node Removal: Sentinel Lymph Node Dissection, Axillary Lymph Node Dissection (Left)Chemotherapy 02/24/2011 carboplatin, TaxotereTargeted Therapy 02/24/2011 HerceptinRadiation Therapy 06/28/2011 ExternalHormonal Therapy 09/01/2011 Tamoxifen
Log in to post a reply

Jul 8, 2011 10:38PM sheila888 wrote:

You have all the right to be scared and confused.. ((HUGS))

Who do you have the appointment with? Breast surgeon?

Who requested the biopsy. You should call them on Monday and ask if you are going for a biopsy or not?

Sheila♥

Dx 4/8/2005, IDC, 1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+, HER2+
Log in to post a reply

Jul 8, 2011 10:42PM, edited Jul 8, 2011 10:43PM by sheila888

This Post was deleted by sheila888.

Sheila♥

Dx 4/8/2005, IDC, 1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+, HER2+
Log in to post a reply

Jul 8, 2011 10:42PM 37antiques wrote:

My last mammo was a birads 4, for calcifications.  We followed up with a breast MRI and it was downgraded to a birads 3, so it can go either way with follow up.  It is most important to remember that birads 4 is reserved for findings that do Not have the classic appearance of malignancy but have a wide range of probability of malignancy (2 - 95%).  So you could have a 2% chance of malignancy, 95% or anywhere in the middle.  If this was your first ever mammo, they could be overly cautious because they have no past record to compare it to.
 

It is best to stay away from Mr. Google, that can be hard, but the most reliable information is here.  They should do a biopsy on it and then be able to tell you more about it.  3.5 cm is a pretty decent size, was this just a routine mammo or did you find the lump first?

Keep us posted!

((Hugs))

Sue

IDC DCIS & Mets

Dx 2/27/2007, IDC, 1cm, Stage IV, Grade 3, 0/0 nodes, mets, ER+/PR+, HER2-
Log in to post a reply

Jul 8, 2011 10:45PM apaige wrote:

I am over joyed at the responses that I am receiving.  My only wish is that I found this site earlier.  Sheila, I have an appointment with a breast care specialist, I am assuming with a surgeon.  The radiologist recommended the biopsy.  I will call on Monday and ask if I should prepare myself for the biopsy.  I thought I would just go and meet the doctor/surgeon, but perhaps they will do the biopsy that same day.  I don't even know.  I just feel that everyone has been very low key about this whole ordeal.  And of course being ignorant with this, I am not sure which questions to even ask.  There isn't any family hx of BC, so I am kind of flying by the seat of my pants.  Although, I am receiving lots of support from my family, but I don't want to scare them with all of my "latest sypmtoms".

Thanks for all of the responses!

Log in to post a reply

Jul 8, 2011 10:48PM pejkug3 wrote:

Sue makes a good point.  My cancer was little - officially sized at 0.5cm after surgical pathology.  But the invasive component of my cancer was removed during the biopsy!  So it was a teeny, tiny cancer.

But I had my first mammo at 30.  So they had a baseline to compare to and saw that little cancer in my left breast.

Without that baseline, they may be being extra cautious with you - especially at your age. 

Please keep us updated.  <<apaige>>

Dx 1/13/2011, IDC, <1cm, Stage IIa, Grade 3, 1/8 nodes, ER+/PR+, HER2+Surgery 01/27/2011 Lumpectomy (Left); Lymph Node Removal: Sentinel Lymph Node Dissection, Axillary Lymph Node Dissection (Left)Chemotherapy 02/24/2011 carboplatin, TaxotereTargeted Therapy 02/24/2011 HerceptinRadiation Therapy 06/28/2011 ExternalHormonal Therapy 09/01/2011 Tamoxifen
Log in to post a reply

Jul 8, 2011 10:50PM pejkug3 wrote:

My biopsy was a quick, nearly painless procedure done the same day at the mammo clinic.  Core needle guided by ultrasound.

Dx 1/13/2011, IDC, <1cm, Stage IIa, Grade 3, 1/8 nodes, ER+/PR+, HER2+Surgery 01/27/2011 Lumpectomy (Left); Lymph Node Removal: Sentinel Lymph Node Dissection, Axillary Lymph Node Dissection (Left)Chemotherapy 02/24/2011 carboplatin, TaxotereTargeted Therapy 02/24/2011 HerceptinRadiation Therapy 06/28/2011 ExternalHormonal Therapy 09/01/2011 Tamoxifen
Log in to post a reply

Jul 8, 2011 10:50PM apaige wrote:

Sue,

Thank you for your response.  I found the lump first due to pain.  I was recently told that pain is a good thing, and that It could potentially mean B9, but other things that I have read says that pain can be present with a malignant finding. 

Log in to post a reply

Jul 8, 2011 10:56PM sheila888 wrote:

apaige.....Wishing you a peaceful night

I had 3 biopsies since 1995 and the first 2 were benign.

Come here as often as you need and please keep us posted.

We care

Sheila♥

Dx 4/8/2005, IDC, 1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+, HER2+
Log in to post a reply

Jul 8, 2011 11:01PM apaige wrote:

Thank you to all of you!  I am sooooo happy to have found this site...

Log in to post a reply

Jul 8, 2011 11:12PM rn4babies wrote:

My last Birads 4 was benign. Still waiting for the results of this Birads 4. Missed the results call today. Will have to wait til Monday.

First DX of DCIS on 7/7/11 of left breast. Lumpectomy with rads completed on 12/14/11. First f/u mammo Feb '12 revealed new primary of 2 areas in right breast IDC and ILC. Lumpectomy on 3/23/12. T/C x4 5/15-7/16. Rads 9/5/12. Oncotype score 27.

Dx 7/11/2011, DCIS, <1cm, Stage 0, Grade 3, ER+/PR+, HER2-Dx 3/6/2012, IDC, 1cm, Stage Ib, Grade 3, 0/2 nodes, ER+/PR-, HER2-Surgery 09/09/2011 Lumpectomy (Left)Radiation Therapy 10/27/2011 ExternalSurgery 03/23/2012 Lumpectomy (Right)Chemotherapy 05/15/2012 Cytoxan, TaxotereRadiation Therapy 09/05/2012 ExternalHormonal Therapy 11/12/2012 TamoxifenHormonal Therapy 09/18/2013 Arimidex
Log in to post a reply

Jul 8, 2011 11:39PM BeingHopeful1 wrote:

Hi apaige!

I just went thru this a couple weeks ago.  However, the diagnosis you see in my signature belongs to my Mom, not me.

Just wanted to add myself to the list of people that had a BIRAD 4a, but a benign result.  My mass had smooth edges, no calcifications, and was more oval (indicative of fibroadenoma) but they still felt it prudent to do the biopsy.  Perhaps if the same radiologist had not performed my Mom's biopsy just 2 months before that, I would've just been checked in 6 months.  Not sure.

Good Luck and wishes for b9 results!! 

Mom's diagnosis

Dx 4/5/2011, IDC, 1cm, Stage Ia, Grade 2, 0/4 nodes, ER+/PR+, HER2-
Log in to post a reply

Jul 11, 2011 07:18PM 37antiques wrote:

Good luck tomorrow apaige!  We'll be thinking of you

IDC DCIS & Mets

Dx 2/27/2007, IDC, 1cm, Stage IV, Grade 3, 0/0 nodes, mets, ER+/PR+, HER2-
Log in to post a reply

Jul 11, 2011 07:35PM kimmy43 wrote:

Hoping u have benign results.Take care.

Log in to post a reply

Jul 11, 2011 08:17PM Jadner wrote:

Hi apaige,

You and I are the same age and I too am a BIRADS 4.  This Friday I am having and excisional biopsy done on my right breast, the waiting is excrutiating, as anyone here will attest too.  I just wanted to stop by and say good luck to you and sending B9 wishes you way.  Let us know how you do.  :)

Log in to post a reply

Jul 11, 2011 08:50PM TifJ wrote:

apaige- I was a Birads 4 too. I had both a lump and calcifications. the radiologist explained to me that the lump had grey spots in it and the calcifications were linear (in a straight line). He said both were highly suspicious of malignancy- he was right. A biopsy is the only way to know for sure. The core needle biopsy is pretty easy. I hope for B9 results for you!!

Dx 8/30/2010, IDC, 1cm, Stage Ib, Grade 3, 0/1 nodes, ER-/PR-, HER2-Surgery 09/15/2010 Mastectomy (Right); Reconstruction: Tissue expander placement (Right)Chemotherapy 10/28/2010 Cytoxan, Taxotere
Log in to post a reply

Jul 11, 2011 09:43PM JanetM wrote:

I was BIRADS 4 in one breast, had stereotactic core biopsy which showed ALH and LCIS and then had lumpectomy to make sure that nothing else was lurking beneath. On lumpectomy confirmed ALH and LCIS and also found ADH.  LCIS puts you at higher risk so  I am continuing on the every 6 month follow up with my breast surgeon that I have been doing since my first mammo almost 3 years ago.

Lumpectomy 5/24/11 - LCIS, ALH and ADH and SAH/BSO - 8/10/11

Dx 5/10/2011, LCIS, Stage 0, 0/0 nodes
Log in to post a reply

Jul 11, 2011 11:35PM apaige wrote:

Thank you goes out to all of you wonderful ladies!!!
I will keep you all posted. My appt. Is scheduled
for tomorrow at 2:30!! Fingers crossed for all of you!!

Log in to post a reply

Jul 12, 2011 12:05AM Janeybw wrote:

Try to sleep tonight.  I had an HMO so had to wait a few days for the biopsy after the consult.  I was a birads 4, but my lesion had interior vascularity (its own blood supply), so I knew it was probably malignant--wasn't a big surprise.  Most birads 4 are not malignant.  I have had two core needle biopsies (one b9, one not) and they were both painless and non-events.  I hope yours goes the same.  I am doing well--was caught very early and all the invasiveness was taken out with the biopsy.  I did a bilateral mastectomy with tissue expander placement and am recovering well.  Because they caught it early, no chemo!!  Just tamoxifen.  Even if it is malignant, you can do this.  This is a good place to come for support.  Be thinking of you.

Jane. BMX with TEs on 5/24/11. Tamoxifen started 6/27/11. No chemo. Exchange 12/16/11.

Dx 4/23/2011, IDC, 2cm, Stage I, Grade 1, 0/4 nodes, ER+/PR+, HER2-
Log in to post a reply

Jul 12, 2011 10:59AM mdg wrote:

Good luck today...hugs!

Maria Visit my BC Blog at http://breastcancerwontdefineme.blogspot.com/

Dx 12/13/2010, IDC, 1cm, Stage I, Grade 2, 0/2 nodes, ER+/PR+, HER2-Surgery 12/23/2010 Lumpectomy (Right)Surgery 01/27/2011 Mastectomy (Right); Prophylactic Mastectomy (Left); Reconstruction: Tissue expander placement (Both)Chemotherapy 03/03/2011 Cytoxan, TaxotereHormonal Therapy 05/19/2011 TamoxifenSurgery 06/22/2011 Reconstruction: Breast implants (permanent) (Both)Surgery 12/10/2011 Reconstruction: Nipple reconstruction (Both)
Log in to post a reply

Jul 12, 2011 01:22PM lisa645 wrote:

Thinking of you (huggs) b9b9b9b9b9b9b9b9b9

Prophylactic Bilateral Mast. at NOLA October 13th Recon will be Dr. Dellacroce. Bs will be Dr Lagarde.

Log in to post a reply

Jul 13, 2011 12:38AM Wabi-sabi wrote:

Hello just wanted to chime in and say I had Birads 5, core needle biopsy, results benign and also a lumpectomy which confirmed the diagnosis. Don't be afraid of the numbers, everyone's different. Best of luck & love to ya :)

Wabi-sabi