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Topic: Stereotactic Biopsy

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Joined: Feb 2008
Posts: 54
  • Posted on: Feb 7, 2008 09:08 am
chiefsmom wrote:

I've just been referred to a surgeon for a biopsy because of New pleomorphic calcifications. On my left breast it says there are fewer calcifications than last mammogram with no evidence of lesion? Then it says the most concerning density variance is inferiorly in each breast on the MJO view. Recommend spot compression views and lateral view for further assessment. I am extremely neurotic, 49 with no children or family. I can't sleep or eat and I don't even have the appointment yet. What are the odds this is cancer and that I will lose my breast? I don't want to have radiation either. I have to work and support myself and I don't have any benefits. Does anyone have any experience with something similar.....

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Nan72
Joined: Apr 2006
Posts: 1495
Feb 7, 2008 09:28 am Nan72 wrote:

Good Morning Chiefs mom,

I had calcifacations and had to have stereotatic biopsy. Not all calcifacations are cancer.

Take one step at a time, one breath, one day at a time.

I know the waiting is the worst thing of all.

You will be in my thoughts and prayer.

If you would like to pm me I would be glad to answer questions on a personal level.

Have a peaceful day.

Hugs

Nan

Remember it's not how many breaths you take but how many moments take your breath away
FitChik
Joined: Sep 2005
Posts: 4227
Feb 7, 2008 09:42 am FitChik wrote:

Of course there is some chance that the calcifications may reveal a malignancy, but the odds are absolutely in your favor for them to be completely benign. Even if you had a palpable lump...about 80% of those are benign. I understand your freaking out though since it's always scary, for everyone, to even consider the possibility that they could be harboring a cancer. As Nan says, take it a step at a time. Chances are very high that you'll soon be breathing a sigh of relief.

~Marin

"A tapestry well woven will mean for all eternity that you mattered." ~Elizabeth Edwards
leaf
Joined: Dec 2005
Posts: 2368
Feb 7, 2008 01:28 pm leaf wrote:

Of course you are scared. Anyone in your shoes would be scared. As Fitchik said, its always scary for anyone to consider the possibility they have cancer.

I had calcifications and a stereotactic biopsy, and I had an unusual finding that puts me at higher risk for breast cancer, but is still considered benign. As Fitchik said, 80% of biopsies in the US turn out to be benign.

Its so easy to be scared. I was terrified and cried at work and at home. If you feel comfortable doing this, it may help to explain to the tech that does your next procedure that it is very hard for you. They can try to give you extra emotional support.

Breathing abdominally (so your stomach sticks out instead of your shoulders moving) can help calm.
As both posters above said, try to take one step at a time.

If you're going through hell, keep going-Winston Churchill
iodine
Joined: Oct 2002
Posts: 7154
Feb 7, 2008 11:17 pm iodine wrote:

I understand you are scared, and who wouldn't be.  but please know I had cals that we followed for many, many years and they never showed anything! 

Dotti---BE NOT AFRAID, Pope John Paul
Little-G
Joined: Oct 2007
Posts: 314
Feb 8, 2008 12:22 am Little-G wrote:

I had a sterotactic bx last year in my "good" breast, also for calcifications, it turned out fine.  I'm hoping yours does too!!

g


Dx 2005, ILC, 1cm, Stage Ib, Grade 3, 0/3 nodes, ER+/PR+, HER2-
nowwhat
Joined: Jan 2008
Posts: 45
Feb 8, 2008 12:23 pm nowwhat wrote:

Don't discount the calcifications either. I HAD 3 Biopsied in JAN,  and all 3 were cancer. I just had a mastectomy Jan 29th. Just be prepared in case. I was sure mine would be "nothing".

lvtwoqlt
Joined: May 2007
Posts: 2390
Feb 8, 2008 02:16 pm lvtwoqlt wrote:

I had a stero biopsy Feb 2005 for calcifications in the left breast - b9

I had a stero biopsy Aug 2006 for calcifications in the right breast - b9

I had a stero biopsy April 2007 for calcifications in the right breast - DCIS

Can anyone say 'ground hog day'

The odds on calcifications are that 80% of the time they are b9.

Sheila

We are like tea bags, we don't know how strong we are until we were thrown into hot water. Eleanore Roosevelt
crazydaisy
Joined: Jan 2008
Posts: 1158
Feb 17, 2008 09:14 pm crazydaisy wrote:

Hi Chiefsmom.......so you are from Ontario?? So am I. If you want to meet more canadians or ontarions, there are a couple threads were you can post and find other canadian women.....down at very bottom of the homepage. I had calcifications too......digital mammos and for me they gave me no choice, I had an excisional biopsy. I really think it depends on the radiologist and the level of urgency they feel, also if they feel they could remove the calcs through needle aspiration or feel excisional removal is the way to go. My mammo was a BIRADS 4 so maybe that and the apperance of the calcs is why they referred me to an excisional biopsy. I had the digitals done at a larger hospital but had the surgery at my small local hospital. If you aren't comfortable maybe you can ask for a referral to your closest regional cancer centre?

Viv
Dx 1/7/2008, DCIS, 4cm, Stage 0, Grade 3, / nodes, ER-/PR-
marianna01
Joined: Feb 2008
Posts: 4
Feb 20, 2008 04:42 pm marianna01 wrote:

I really know how you are feeling right now.I just had a stereotactic biopsy last week for calcifactions and I am scared everytime the phone rings.They were located just beneath the skin but prior to this (my first mamo was 12-07)I had never even heared of calcifications before.I am trying to take one breath at a time and it is the most difficult thing I've ever been through.I'm praying for you Chiefs Mom.And I thank everyone for your words of support.

chiefsmom
Joined: Feb 2008
Posts: 54
Feb 21, 2008 08:57 am chiefsmom wrote:

Well my biopsy is scheduled for March 4th and I get my results March 12th. I'm now more worried about the results appointment than the procedure itself. Sitting in a waiting room waiting for a life altering diagnosis is making me sick. I don't know how I will get through the next month.

chiefsmom
Joined: Feb 2008
Posts: 54
Feb 21, 2008 08:59 am chiefsmom wrote:

Marianna, do you have an appointment to get your results? How painful was it to do the biopsy? Do they send the sample to x-ray to be sure they have the right spot? I'm freaking because none of the x-ray mammography departments want to answer my endless questions. I guess it sounds like I am telling them how to do their job but it is MY breast they are poking around with and I want to be sure they are getting the right spot. I read they are supposed to put a marker there at the biopsy site but in Canada no one seems to have heard of this??

lvtwoqlt
Joined: May 2007
Posts: 2390
Feb 21, 2008 09:10 am lvtwoqlt wrote:

Chiefsmom, Have you let the doctor know how nervious you are now? They can give you something to help calm you. The doctors office called with the results as soon as they had them as well as scheduled a follow-up appointment with the surgeon to go over the results in detail.

They did take an x-ray of the sample to make sure that it was found during each of my 3 stero biopsies. And they did put a marker in the area during the biopsy so if a surgical excision has to be done, the site can be seen easily on the mammo.

Have they given you anything to relax you the day of your biopsy? I was given a script for 2 valium for each of my last 2 biopsies to be taken after signing the consent form to help me relax and trust me it is much easier doing the biopsy with the valium than without it.

Sheila

We are like tea bags, we don't know how strong we are until we were thrown into hot water. Eleanore Roosevelt
chiefsmom
Joined: Feb 2008
Posts: 54
Feb 21, 2008 11:08 am chiefsmom wrote:

Hi Sheila

Well the fact that I was sobbing so badly that I couldn't speak likely didn't help matters but yes, I think they know how scared I am. Is the prone table easier than the sitting up one? I asked for relaxing meds but my doctor keeps telling me there is nothing to worry about...I felt like asking if they stuck needles in his private part and yanked stuff out, how would he feel?!! For the spot compression tests which I still don't have results for 2 weeks later I cried and yelled so much and the technician kept telling me she was a woman too and that it didn't hurt that bad.....for what it is worth, I am actually a very physically strong person and I'm only a wimp "emotionally" and not physically. My breast actually did hurt already from the previous mammo and I got a bruise on each breast from the spot compression. I guess I will go back to my doc and insist upon some relaxing meds or I will be a wreck. Incidently, they don't do x-ray of samples here or put a marker from what I can gather which has me so worried....what happens after a diagnosis....do they just schedule surgery or do you see an oncologist....I know something is wrong because my right breast is so tender in the spot where the calcifications are....I'm extremely intuitive....and neurotic....thanks for your response

Blinx
Joined: Jan 2008
Posts: 141
Feb 21, 2008 11:38 am Blinx wrote:

Chiefsmom- run to your GP and demand a prescription for anxiety -- it will make a world of difference! Last summer I had 3 stereo biopsies -- 1 through mammo and 2 through MRI's. I am normally quite calm, but I was in such a state before one of the biopsies, my GP prescribed a daily dose of Lexapro, and gave me an Rx for Xanax. The Lexapro has helped out tremendously during all of this. I still haven't taken the Xanax, but I filled the Rx, just in case.

I think your doc is saying no biggie, not much pain (and there's not), but he's not addressing your mental status at all. As you may have read, the waiting (before and after) is the worst.

Best of luck to you -- whatever the outcome, you WILL be able to deal with it, and we're all here for you.

Blinx

Dx July 2007 DCIS Grade 3; Lumpectomy Sept 2007. ER+/PR-; Finished 33 rad tx Jan 2008. Started Tamoxifen Feb 2008.
lvtwoqlt
Joined: May 2007
Posts: 2390
Feb 21, 2008 12:21 pm lvtwoqlt wrote:

They have the prone table at the hospital where my sterotactic biopsies were done. As Blinx said demand something for the anxiety. My first stero biopsy done in jan. 2005 was done without the valium and you have to be still for 45 minutes to an hour and by the time I was able to get up, my nerves were shot. Because of a spine problem, it is hard for me to lay on my belly for any lenght of time and I was hurting down my legs and up my neck. The second one fall 2006 was more bearable because of the valium, the last one last April was no big deal (ground hog day). I was glad that he realized that you need the meds to deal with the trama of the procedure.

btw - the first two biopsies I had were b-9 ADH, the last was early DCIS.

Sheila

We are like tea bags, we don't know how strong we are until we were thrown into hot water. Eleanore Roosevelt
Peaches70
Joined: Feb 2007
Posts: 200
Feb 21, 2008 08:40 pm Peaches70 wrote:

I've been through 2 stereotactic biopsies. I didn't think the first one was that bad - certainly easier than the bilateral wire-guided surgical biopsy I had already been through. However, the second one was a doozy. I would take some extra strength Tylenol - not Ibuprofen or any aspirin product due to bleeding. If you normally take one of the above, stop it a couple of days at least. The anti-anxiety drug is a good idea or perhaps a muscle relaxer. I had trouble both times with my neck and jaw going into spasms.

The upshot of it is that it might be really easy, might be tough. You will make it through. My first one did find LCIS. The second was B9.

Definitely ask to be called with results. I didn't realize how quickly they usually come in. My first st.bio. was on a Tuesday afternoon, results came in by Thursday. The second one I didn't get until Monday due to the pathologist being out and getting behind, and a little miscommunication between the office and my BS. You should not have to wait 8 days in most cases.

Anne


Dx 1/25/2007, LCIS, , Stage 0, / nodes
KarenC
Joined: Oct 2007
Posts: 64
Feb 21, 2008 09:17 pm KarenC wrote:

I had a sterotactic biopsy of my right breast last August because of calcifications and yes, 80% are benign but that won't matter until you get your peace of mind and your results are known. I am 42 with no history of breast cancer, but now lung cancer has been diagnosed in my mom Jan. 8th with a good prognosis. Calcifications are common in women my age and yours.

Please know you are in my thoughts. Also, just had my 6 month follow up Tuesday and I am good to go until my yearly time in August.

Karen

awb
Joined: Aug 2005
Posts: 1791
Feb 21, 2008 10:02 pm awb wrote:

My stereotactic core biopsy wasn't painful, but it was a lot of pressure.  The hardest part was laying so still for so long with my head turned since I have neck problems; but that was an issue sitting up during the wire localization procedure too, so sitting wasn't really any better or worse than laying down. Neither one is very comfortable; I just tried to stay relaxed, did slow deep breathing, and a lot of praying! They do numb you up really well; I've actually had worse experiences at the dentist. In all likelihood, you have a better chance of it being benign. Praying for good results for you.


Dx 9/5/2003, LCIS, Stage 0, 0/0 nodes
chiefsmom
Joined: Feb 2008
Posts: 54
Feb 22, 2008 08:58 am chiefsmom wrote:

Thanks to everyone who has responded. I am surprised how many people's lives this nasty disease touches and how brave everyone seems. I find myself regretting drinking red wine and worrying that I have caused this somehow. I am in Ontario, Canada and wonder who should I ask to call me with the results?? The lab? Karen, I am so very happy for you that your results were good...I sure hope mine are too...although I'm not very hopeful because they are a cluster of fine microcalcifications which are definitely the bad kind to have. Here, the doctors minimize everything. He told me after my last mammo that I needed a follow up in six months but he didn't tell me there was something abnormal. Stupidly, I paid no attention and because I had a year of personal problems with a relationship break-up I didn't go at all for a mammo. This was only my second mammo. I had spot compression stuff done 2 weeks ago and still don't even have those results. Doctors here are very vague and they placate you and tell you not to worry....well I am very very worried sick in fact. Thanks again to those who have responded with kind words and support. I would like to know who I can ask to call for results...the lab or the surgeon?

otter
Joined: Jan 2008
Posts: 1865
Feb 22, 2008 10:11 am otter wrote:

Chiefsmom, the person who called me with my biopsy results (US-guided core biopsy) was the radiologist who did the biopsy.  The procedure was done on a Monday afternoon, and he called before lunchtime on Wednesday (less than 48 hours later).  I had seen a breast surgeon already, but she got the results about the same time I did so it would not have helped to call her.  Right after he told me, "I'm afraid it's cancer," the radiologist said I needed to see a surgeon.  I was glad he was so conscientious about advising me--he wasn't just a guy who took pictures and wrote reports, like the radiologists who did my mammograms at my local medical clinic.

I don't think the lab would give you the results--I think usually you need to talk to a doctor.

BTW, some doctors do not like to give results over the phone, and some women do not like to get them over the phone.  In my case, I was grateful that they did not ask me to drive 2 hours to the clinic so that I could be told I had cancer.  Over the phone (with my dh standing next to me) was just fine.  It allowed me to react in privacy.

otter 


Dx 1/14/2008, IDC, 1cm, Stage I, Grade 2, 0/3 nodes, ER+/PR-, HER2-
chiefsmom
Joined: Feb 2008
Posts: 54
Feb 22, 2008 10:37 am chiefsmom wrote:

Hi Otter

Thanks for that. I will ask the radiologist who does the procedure to call me...hopefully they will do that here. I also want my results in private so that in the event of bad news I can prepare myself emotionally to go to the surgeon again. I don't need to get results sitting in front of someone so that I can break down. I'd rather fall apart privately. I hope they will do this for me....

lvtwoqlt
Joined: May 2007
Posts: 2390
Feb 22, 2008 10:58 am lvtwoqlt wrote:

Chiefsmom, my surgeon was the one who did the stero biopsy with the radiologist assisting. It was the surgeons office that called me with the results. You do need to remember that 80% of the time these thingies are b-9.

 The last biopsy I had done was on Wed and they called on Friday afternoon. Normally they call the next afternoon, but the pathology department was short handed and the results were delayed. When they did call, the nurse asked me if I was at home alone. I actually was at work and after I got the results, I unplugged the switchboard, called my husband on the cell phone and went to a friends office and cried. I left the switchboard unplugged the rest of the afternoon (1 hour). I don't know if I told her I was by myself if that would have made a difference how she told me.

Sheila

We are like tea bags, we don't know how strong we are until we were thrown into hot water. Eleanore Roosevelt
chiefsmom
Joined: Feb 2008
Posts: 54
Feb 22, 2008 02:51 pm chiefsmom wrote:

Hi Sheila

I am so sorry....none of this is easy...and honestly...it seems that a b9 result once is just borrowed time...sure seems like eventually these calcifications turn into something bad....I cried reading your comment....I hope your husband was supportive...I have a boyfriend who won't marry me but no husband...guess he'll never marry me now. I would still prefer to have my results at home in private. At least I'm fortunate in that I can work from home and since I sell real estate I don't always see the same people. Apart from this network of wonderful people and my boyfriend I haven't told a soul....oddly, I feel ashamed, as if I have done something wrong to deserve this. To make things worse, I just found out my family doctor is retiring in a month (and I live in a very small town). I've pretty much diagnosed myself with non-invasive breast cancer...I can just tell something is different, I've been tired all of the time for the past few years now and I always just attributed it to getting older (49), and I've never had kids which puts me at higher risk. I have no family so I'm pretty much on my own with this. I'm not even sure I'll tell my boyfriend....thanks again to everyone who has offered advice/comments.....I sure wish that none of us had to go through this at all.

lvtwoqlt
Joined: May 2007
Posts: 2390
Feb 22, 2008 03:09 pm lvtwoqlt wrote:

I would not say that the b-9 results once is just borrowed time. It can however increase your lifetime risk depending on what is found. I also have a strong family history of ovarian/breast cancer that also increased my risk. My husband is a long haul trucker and home every weekend, he has been my biggest supporter. When he got home that evening, we cried together and formulated our plan of attack. He told me even before my dx when I was considering preventive mastectomies that he loved me no matter what I looked like. He married me for me not my boobs. He would rather have me here without my boobs than the alternative. Those are some of his comments about the surgeries I have gone through when I have had bad days. Fortunately, my cancer was caught early enough that I am not taking any additional treatment. I was declared cancer free after my bilat mast last June.

You do need to wait until the final path report is back before saying that you have cancer. If it is b9 we will all rejoice with the great news.

Sheila 

We are like tea bags, we don't know how strong we are until we were thrown into hot water. Eleanore Roosevelt
chiefsmom
Joined: Feb 2008
Posts: 54
Feb 22, 2008 03:30 pm chiefsmom wrote:

Thanks Sheila...I know I am getting way ahead of myself...I'm just preparing for the worst so that if it is good news I can be thankful. If they say it is maligant, what is the next step? Who decides upon surgery and how....at what point do you see an oncologist? I was just sent to a general surgeon. When do they determine how serious it is....and Sheila, are you saying even if caught early mastectomies are the treatment? I think I would only consider this if I did the immediate recon operation.....but the thought is devastating. Sounds like you have a great husband....they are quite hard to come by these days and definitely something to be treasured. I'm happy for you that you have him. Do you have children too?

lvtwoqlt
Joined: May 2007
Posts: 2390
Feb 22, 2008 03:42 pm lvtwoqlt wrote:

No, I am not saying that mastectomies are the answer if caught early. I only went that route because of the 2 previous dx of ADH which is b9 but a precancerious condition.  I had the first dx in 2005 in the left breast and the second in 2006 in the right breast. I was tired of the roller-coaster ride of mammo/biopsies. Because of the previous dx, my dr and I felt that by doing the bilat mast, it would take my risk down to virtually nil. If it is just DCIS with no invasion and you opt for breast conserving surgery (lumpectomy) they may recommend radiation to the area. My surgeon is a general surgeon but he specalizes in breast surgery.

I do have a 22 yr old boy from my first marriage, who is in the Navy, and my hubby has a 20 yr old gir from his first marriage. We just celebrated our 11th anniversary last December.

I did go with the recon with implants and had the final stage completed last week.

Sheila

We are like tea bags, we don't know how strong we are until we were thrown into hot water. Eleanore Roosevelt
Beesie
Joined: Jan 2006
Posts: 3161
Feb 22, 2008 06:34 pm Beesie wrote:

chiefsmom,

It may be different at different facilities here in Ontario, but I've had biopsies done at several facilities and it's always my doctor who calls me with the results.  At least at the facilities that I've been to, the radiologist and the lab itself are not allowed to release results to patients.  I'd suggest that you call the office of the doctor who ordered the biopsy and ask them how you will get the results (from the surgeon?  by phone or do you need to schedule an appointment?) and when you can expect to hear. 

As for your fear about the calcifications, here are some things to remember:

  • Approx. 60% of women get calcifications.
  • 90%+ of calcifications are benign.
  • Only suspicious looking calcifications (clustered microcalcifications or microcalcs that are in a linear formation) are sent for biopsy, and of these, approx. 80% turn out to be benign.
  • Once a cluster of calcifications has been tested to be benign, it will always stay benign.  Calcifications don't change and become cancerous.  You need to watch for new calcifications, of course, but the ones that were tested don't need to be checked again.

I know that you are nervous, but please don't get ahead of yourself.  As someone else on this board often says, "don't borrow trouble".   You've said that you feel your doctor is placating you by telling you not to worry.  Maybe he's telling you not to worry because he knows that the odds are very much in your favour that these calcifications will be harmless.  Maybe he simply doesn't want you to worry needlessly. 

Lastly, to your comment "sure seems like eventually these calcifications turn into something bad"  please please remember that this is a breast cancer discussion forum.  That means that most of us who hang out here were diagnosed with breast cancer.  So of course it appears that calcifications always end up with a breast cancer diagnosis. For us, they did.  But we are the minority.  A small minority.  All those other women who had biopsies for calcifications that turned out to be benign don't hang out on this board.  Hopefully you'll be in that group. 

chiefsmom
Joined: Feb 2008
Posts: 54
Feb 22, 2008 09:54 pm chiefsmom wrote:

Hi Beesie

That makes sense...I hadn't thought of it that way. Of course because of the forum that would be the case. Duh....I think you are right that in Ontario the Radiologist aren't permitted to give the results. Do you know if the surgeon will give the results on the phone...this would be my strong preference. It looks like I will end up in Guelph for my biopsy....in the sitting up machine. My family doc who is retiring before my results are available is going to prescribe something for anxiety.....thanks so much for your response which certainly puts things into perspective....I sure hope that it all works out.....everyone here is so nice and so supportive....I can't stay away from this site for some reason.

JG

Nanette
Joined: Feb 2008
Posts: 8
Feb 22, 2008 10:10 pm Nanette wrote:

Hi,

I've been reading your posts, and my heart is going out to you.

I had the Stereotactic needle core biopsy on Monday 2/18. In fact it was the night before that I put my post on this site, I was in terror and needed help.

I have panic attacks in medical settings, and I just knew I'd have one either before or during the biopsy. I was so scared!!!!  I can tell you this, it was not really as scary as my mind made it. I had the prone method. Ok, I lay face turned to the side on my stomach. That wasn't so bad. The nurse stood near me positioned so I could see her. The doctor and Pit crew were underneath...which was good because I couldn't see what was going on and  frighten my self more. They talked to me the whole time, and I never felt the injection of anesthetic , and the pressure wasn't really that noticable.

I had a uterine biopsy several years ago, and THAT HURT.

Every step of the way they are using x ray and I was told, some form of GPS to make sure they are on target. Thats why it runs about 40 min. The actual removal of the tissue is pretty fast, just a few minutes.

My doctor called the next morning with the results...I cried when I was told it isn't cancer....

I can really relate to the feelings you are describing, and I know that if I need to do this again, I won't be  afraid of the test.

I believe that you are going to do very well, and have a very happy outcome.  Will be thinking of you!Smile
larousse
Joined: Jan 2008
Posts: 283
Feb 23, 2008 12:09 am larousse wrote:

I had a stereotactic biopsy also and had a very similar experience to Nanette's. It wasn't painful at all, in fact the only discomfort was in my neck. They take xrays during the procedures. I had to tell the doc to stop telling me what he was doing to be more relax because I could relax since there was no feeling in the area.

It is a HARD place to be. Think b9 until told otherwise, the odds are in your favor. One step at a time.

Take the anti anxiety meds I took them at night when I worried.

Thinking of you.


Dx 12/31/2007, DCIS, <1cm, Stage 0, Grade 3, / nodes, ER+/PR+

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