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Jun 28, 2015 05:10PM
MIGGY07: No worries about the "B9" thing. As I mentioned, a few people here use it from time to time as shorthand. I'm not much into most common shorthand typing such as B9, U, etc.; I was just clarifying your intentions for Daisey.
I hope you get to the bottom of what's causing your breast pain. Congratulations on the BI-RADS 2 designation, though that doesn't help with getting answers, other than to put you more at ease regarding a malignancy. If you Google more info on it, your results may not match up if you type BIRAIDS as you have above. Just leave out the second I. The acronym is for "Breast Imaging-Reporting and Data System (BI-RADS)". This is a common tool here and in breast health literature. Liver health has LI-RADS, head injuries have HI-RADS, prostate health has PI-RADS, etc.
It sounds like the radiologist felt that there were no abnormalities to note in that area, hence the "no abnormalities seen on location of focal pain" explanation. In regards to your question above:
"Now if it's B9 shouldn't the report indicate what if fact they found. If they found nothing it would be BIRAID 1... Right???"
My take on this would be that it seems that's what the radiologist was doing by stating he noticed no abnormalities in the location of focal pain. I also pulled up the same BI-RADS guide that Melissa posted above, and it outlines: "BI-RADS 1 is used in situations where the breast is completely unremarkable, and BI-RADS 2 is used when the radiologist wants to remark on a benign finding." I interpret this as to why a BI-RADS 2 was indicated rather than a 1.
Where was this imaging done? Was it at a radiology center that has a specialized "Women's Imaging" location? I ask because the BI-RADS designation, while in theory is supposed to follow specific guidelines for each of the 7 major designations (0-6 not including sub-classifications), it is still a subjective rating based on the skill of the radiologist, the experience of the technician, and the quality of the equipment. I really hesitate to mention this because I know that I'm a statistical outlier in all things breast cancer, but I feel I'd be remiss if I didn't pass on my experience to others. If your breast imaging was not done by a facility and read by a radiologist in which the majority of time is spent in reading and performing primarily or only breast imaging, then perhaps you should seek a second opinion at a more specialized location. After finding my lump, I had a mammogram and ultrasound performed and got a BI-RADS 3 designation. This means "probably benign" and indicates a >0% but <2% chance of malignancy with a 6 month follow-up. I pushed back and was then sent to "Women's Imaging" radiology practice where the radiologist only reads breast-related imaging and was given a BI-RADS 4a "low suspicion of malignancy" rating meaning >2% but <10%, but this was only after speaking with the radiologist. At first, he was inclined to concur with the first radiologist who practices in a competing business. Both of these radiologists were wrong. I had a malignancy. Let me be clear: I think that most radiologists get it right, but that was not my experience. So, my experience has taught me to persevere until I'm satisfied I've been given the accurate information and to make sure all of my questions are answered. If you feel the radiologist has not thoroughly explained why you're having a breast issue and is somehow blowing you off, then get an answer from another one until you feel that you've done what you need to do. Again, I don't think the BI-RADS system is inaccurately applied for the majority of women; however, it will cloud the advice I give because that happened to me twice. The main difference between my case and yours is that I was dealing with a rapidly-growing, palpable lump that was very tender--not just breast pain. So, while your situation is SO much more likely to be accurately reflected by the BI-RADS 2 rating because there is no questionable growth, I feel it would be disingenuous of me to suggest to women who are concerned that they should just be happy with the score given to them if they feel like there's still unanswered questions. I do not believe there is much of a chance at all that you're dealing with a malignancy, but you deserve to know why you're having breast pain. I hope my advice was not anxiety-inducing. I hesitate to mention it, but feel you need to advocate for yourself until they've answered any and all questions you have.
Best of luck.
Diagnosed at age 34 on 11 May 2011 • IDC • Right • 1.3 cm • Stage I • Grade 3 • 0/3 nodes • ER-/PR-/HER2- • Triple Negative and Basal-Like • Ki-67: 76% • P53: 64% • BRCA1+ (no family history) • BRCA1 mutation: IVS5-11T>G (known deleterious mutation)
4/27/2011 Lumpectomy: Right
5/30/2011 Lumpectomy: Right; Lymph node removal: Right, Sentinel
6/23/2011 Cytoxan (cyclophosphamide), Taxotere (docetaxel)