Help with interpreting biopsy report :(

adamm

Comment : Specimen: A AND B

Excision time: 1427

Time placed in Formalin: 1433

A

DIAGNOSIS

CALCIFICATIONS RIGHT BREAST:

• SMALL GROUPS OF DETACHED FLOATING ATYPICAL CELLS AND NECROSIS, CANNOT RULE OUT MALIGNANCY IN THIS LIMITED SPECIMEN.
• DETACHED CALCIFICATIONS IDENTIFIED.
• FAT NECROSIS, FOCAL
• SCLEROTIC TISSUE WITH MILD CHRONIC INFLAMMATION
• NO BREAST TISSUE IDENTIFIED

B

NO CALCIFICATIONS RIGHT BREAST:

• SMALL GROUPS OF DETACHED FLOATING ATYPICAL CELLS AND NECROSIS, CANNOT RULE OUT MALIGNANCY IN THIS LIMITED SPECIMEN.
• NO BREAST TISSUE IDENTIFIED

Comment:

Both the specimens show small groups of detached/floating epithelial cells and necrosis. There is absence of breast acinar and ductal structures. There is sclerotic tissue with focal chronic inflammation. Detached calcifications are noted in specimen A.

History of prior breast carcinoma in right breast is noted.

In this limited material malignacy can not be ruled out. Clinical/imaging correlation is required.

SMALL GROUPS OF DETACHED FLOATING ATYPICAL CELLS AND NECROSIS, CANNOT RULE OUT MALIGNANCY IN THIS LIMITED SPECIMEN. DETACHED CALCS IDENTIFIED. NO BREAST TISSUE IDENTIFIED.

adamm

the initial reason we’re linear microcalcifications for biopsy. No idea what this means? Family doc said they need more sample but one surgeon said it’s likely cancer? Another surgeon said it could just be pre cancer. No idea what to do

maggie15

adamm, The needle biopsy was inconclusive because there was not enough tissue to examine. Your mom's family doctor is right. She should probably be scheduled for an excisional biopsy which takes a larger sample. Nobody knows what is going on until the pathologist is able to analyze the tissue. Good luck going forward!