Radial Scar - Observe or Take Out?
I'm recently diagnosed with a benign radial scar. First seen on a screening mammogram as an area of "focal distortion." Called back for diagnostic mammogram and ultrasound. It persisted on the diagnostic mammogram as architectural distortion and a 0.7cm irregular mass was found on the ultrasound. The radiologist came in and told me I needed to get a biopsy ASAP and told me there was a 40-60% chance it was cancer. He said I was BI-RADS 4b. He said the only other thing it might be was a radial scar. Had a stereotactic core needle biopsy a week later. Results came back as: "fibrocystic changes to include columnar cell change, usual ductal hyperplasia, apocrine metaplasia, microcysts and a microscopic focus showing radial scar like features. There is no obvious evidence of atypia or malignancy. However, because of the presence of a radial scar and some architectural distortion demonstrated on the mammogram, evaluation by a breast surgeon with possible excisional biopsy is suggested." Radiologist who did the biopsy seemed to lean towards excision when he called to give me the results. Gyno referred me to a breast surgeon and said she'd like me to have it out soon. Met with the breast surgeon yesterday. She took her time to explain everything to me and told me that there is a very low chance that the radial scar could be cancer (3-5%). She said they used to take out all radial scars, but newer data says it's not always necessary. She seemed more concerned with my extremely dense tissue and other risk factors. She labeled me as high risk (TC score 23.3%) and recommended mammo and MRI in 6 months. She told me I could wait and see if there are any changes at 6 months or she would schedule the lumpectomy now. Left it completely up to me. She went over the lumpectomy procedure and it seems like it wouldn't be too bad. Scar will be small and hidden. She wouldn't have to take out much tissue, so no changes to breast shape. I'm leaning towards just getting it out. Any thoughts or similar experiences? I'd love to hear your advice.