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Topic: Possible excisional breast biopsy size!

Forum: Waiting for Test Results —

For members not diagnosed with breast cancer, but waiting for test results:  Biopsy, mammogram, ultrasound, or other screening tests. Waiting is VERY difficult but remember...

"Worry does not empty tomorrow of its sorrow. It empties today of its strength." -- Corrie Ten Boom

Posted on: Oct 10, 2018 04:36PM - edited Oct 10, 2018 04:41PM by Abumponthebod

Abumponthebod wrote:

So the first hospital performed mammogram, ultrasound and biopsy (4c) and had conflicting pathology results,so it was recommended to do a full excisional breast biopsy. I am currently waiting for a second opinion at another hospital where another ultrasound was performed and another small mass (0.7 cm) was found 1 cm away from the original 1.5 x 0.8 x 1.3 cm mass. The radiologist didn't recommend putting in a marker since it was so close to the original mass (I'm beginning to think they also will tell me to take it out).

Here's the thing. I believe (and correct me if I'm wrong) when a full excisional biopsy is made they have a cm margin (not sure if it is the right word) around the mass. Here comes my calculations that scare me: 1 cm extra margin + 1.5 cm x 0.8 x 1.3 cm + 1 cm space between larger lump + 0.7cm new lump + 1cm margin seem like a lot of breast for my c cup boobs. I guess I should also mention that the masses are at the 6 and 5:30 mark.

This REALLY is making me nervous. Will a quarter of my boob be gone for a biospy?!?! Please help me understand this.

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Oct 10, 2018 05:05PM Fran68 wrote:

hi Abumponthebod,

I’m so sorry you are going through this nerve wrecking ordeal. I had a lumpectomy 25 years ago and another one 20 years ago same boob. 2 p’clock & 9 o’clock. Neither one really changed the shape of my boob. A little divit at the 2 o’clock - not noticeable to look at. I just had a core biopsy yesterday and I asked the bs the same type question - how many lumpectomies can you possible do before I have no boob left!! He assured me I have a long way to go.

Hope you can get some reassurance soon!

Best wishes

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Oct 10, 2018 05:33PM Abumponthebod wrote:

Fran68 Thank you so much for this. I honestly thought my boob was going to drastically change from a biopsy that hasn't diagnosed me with anything yet. I was looking around for information and Dr. Google scared me with thoughts of concaved breasts. I did read however that having it on the bottom of the breast does make a difference. Is there anyone out there that has had an excisional biopsy at the 6 o'clock position? I have to wait until next Wednesday to see my surgeon and hear my new results— a week away! I saw my gp yesterday but nothing has come in yet. (Also, I think she wants the surgeon to discuss results with me since the surgeon is the breast specialist
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Oct 10, 2018 05:59PM MelissaDallas wrote:

Mine was done on the bottom at about 5:00 position and they took about a golfball sized chunk out of my B cup breast. The only way you can see it at all is if my arm is raised straight over my head and then it is very subtle. I CAN feel the void if I press on it, but no big deal

LCIS, extensive sclerosing adenosis, TAH/BSO & partial omentectomy for mucinous borderline ovarian tumor.
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Oct 10, 2018 07:28PM Abumponthebod wrote:

MelissaDallas

Thank you for letting me know. Everyone on this board is so helpful and reassuring.

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Oct 11, 2018 04:05AM Ingerp wrote:

Also, margins are in terms of mm, not cm. I believe 2mm negative margins are enough to not need a re-excision for lumpectomies.

Dx 3/11/2016, DCIS, Left, 6cm+, Stage 0, Grade 3, ER-/PR- Surgery 3/22/2016 Lumpectomy Surgery 4/19/2016 Lumpectomy: Left Radiation Therapy 5/17/2016 Whole-breast: Breast Dx 3/2/2018, IDC, Right, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2+ (FISH) Surgery 3/12/2018 Lumpectomy: Right; Lymph node removal: Sentinel Targeted Therapy 5/17/2018 Herceptin (trastuzumab) Chemotherapy 5/17/2018 Taxol (paclitaxel) Radiation Therapy 8/19/2018 Whole-breast: Breast
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Oct 11, 2018 04:42PM Abumponthebod wrote:

Ingerp- Oh thank you, that makes me feel so much better. I had total nightmares of the surgeon taking a large chunk out when it was only for diagnostic purposes. I must admit, my new surgeon is amazing. She immediately wanted a second core biopsy rather than jumping into a surgical biopsy since my first biopsy results didn’t match the mammogram and ultrasound, but the pathology results stated that they didn’t have enough tissue of the area in question. I feel totally confident that unnecessary surgery won’t happen unless it warrants it. Wednesday is when I find out.

Everyone on this forum is so helpful and reassuring unlike some of the things out there is Googleland. I am so relieved I found this site. (And even more when people clear things up for me

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