BI-RADS 5 and biopsy yesterday
It is looking very likely that I have breast cancer. I am 41. I had a routine screening mammogram two weeks ago, which I've done for several years due to having cystic breasts. I received a call asking me to come back in for further imaging. I thought nothing of it as I'd received the same call a few years ago, and it was nothing. Last week I went for the diagnostic mammogram and ultrasound. The technician left after the ultrasound to talk with the radiologist. When she returned, the radiologist was with her, and I knew then something was going on. The radiologist told me I had a suspicious mass and needed a biopsy. I asked how likely it was I could have breast cancer, and he said the area of concern was a BI-RADS category 5, which meant there is a 95% likelihood that this is breast cancer. Also there was a cyst found, which was aspirated yesterday along with the biopsy
I had the biopsy yesterday. I'm glad that's behind me. It wasn't painful, thankfully, but just took a long time due to computer issues and felt like forever due to my own anxiety. About four hours later, I began experiencing some pretty bad pain. I had already taken Tylenol and had ice on that breast. The rest of the evening was spent it a lot of pain. Ouch ouch ouch. I wasn't really able to rest as I had to take my daughter to activities. I could hardly sleep last night the pain was so bad. It kept waking me up, and the Tylenol wasn't even taking an edge off of the pain. The ice was giving me more relief than the Tylenol. Today I'm doing better. There's pain, but it doesn't feel unmanageable like last night. As long as I'm not moving around much and keep the ice on a 20 minute schedule, the pain feels under control. Luckily I don't have to be anywhere other than picking my daughter up at school later.
I am feeling scared and overwhelmed at the possibility of breast cancer. I'm a single mom to an almost-teen. I'm her only parent. I am fortunate to have some family living nearby and have shared with them what's going on. I've also shared with some friends. It's really difficult for me to not feel incredibly anxious. All of the pieces to this that I don't know are so difficult. I keep wondering, with my dense breasts, is it possible I had breast cancer last year that wasn't detected on my mammogram? I suppose there's no way to know.
I'm grateful to have found this site and appreciate the discussions here.Here are my reports (mammogram and ultrasound)
Exam: left diagnostic mammogram with tomosynthesis
Comparison: correlation is made with the patient's most recent screening mammogram dated September 13, 2022 and multiple other prior studies.
Indication: Callback for an asymmetry of possible architechtural distortion, masses and calcifications present in the upper outer left breast.
Breast Density: Heterogeneously dense, which may obscure small masses (category C).
Findings: There is persistent architectural distortion and a mass present in the upper outer left breast posterior depth there are associated punctate micro calcifications with the area of architectural distortion. There appears to be persistence of a reniform mass slightly inferior and medial to the area of architectural distortion appears to represent intramammary lymph node. In addition there is a second rather well-circumscribed mass also corresponding to the findings on screening mammography.
Further workup with ultrasound recommended.
Digital breast tomosynthesis was performed.
Exam: ultrasound left breast, targeted
Findings: area evaluated: 1-3 o'clock in the left axilla
1:30 N5: There is an area of sonographic architectural distortion associated with the mass measuring 8 x 5 x 9 mm. This correlates with the area of architectural distortion seen on mammography. Tissue sampling with ultrasound guidance is recommended.
2:00 N5: Normal-appearing lymph node within a band of dense tissue corresponding to mammographic finding.
2:00 N4: Simple cyst corresponding in size and location to the mammographic abnormality.
2:00 N3: Incidental likely small cyst however internal echoes are observed. Cyst aspiration at the time of biopsy of the lesion at 1:30 N5 is recommended.
Axillary lymph nodes are normal.
1. Area of sonographic architectural distortion associated with the mass and correlating with the mammographic area of architectural distortion calcifications. Tissue sampling with ultrasound guidance recommended.
2. Cyst with internal debris present 2:00 N3 cyst aspiration and time sampling is recommended.
3. Benign lymph node and simple cyst at 2:00 N5 and 2:00 N4 respectively.