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Sep 15, 2020 09:21AM
Bellamom, with your family history, I can understand why you are scared. And yes, architectural distortion can be a sign of breast cancer. But most often, it's not.
Architectural distortion found on a mammogram
"Breast cancer commonly causes architectural distortion.
Architectural distortion uncommonly indicates cancer. More common is for architectural distortion to be 'imaginary' in the perception of the radiologist."
I am confused as to what doctor you spoke to. Usually with a callback, a Radiologist immediately looks at the images and speaks to the patient. Do you not get your imaging done at a center with a Radiologist?
I would suggest that you get a copy of the imaging reports - both the original report and the report from the callback. The way that things are worded on the report, and the BIRADs rating, will give a good idea of the level of concern. Usually a 6 month follow-up is associated with a BIRADs3 rating, which means that the imaging presents a 2% or less risk of cancer. A biopsy (i.e. tissue diagnosis) is recommended, and a BIRADs4 is assigned, for anything with a greater risk than 2%.
Hopefully this turns out to be a false alarm. Moving forward, you might want to talk to a genetic counselor about further genetic testing. Are there any family members on your mother's side of the family who have had breast cancer or a different type of cancer? While the BRCA genes are the ones most commonly associated with breast cancer, these days many women with a strong family history of breast cancer are given a 'full panel' test, which can include as many as 30 different genes, all with some level of association to an increased breast cancer risk. Based on your complete family history, a genetic counselor could advise whether a full panel test might be appropriate for you.
Let us know what the Radiologist says.
“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke