Topic: Waiting for biopsy. Bi-rads (4)

Forum: Waiting for Test Results — We know, waiting is VERY difficult but we're here for you.

Posted on: Jan 8, 2021 05:34AM

Posted on: Jan 8, 2021 05:34AM

Jenuwine wrote:

Hi Everyone. I'm new and like so many here, waiting on tests. I had my annual screening mammogram on 12/21/20 and got called back for more views and ultrasound, which was done on 1/4/21. After those were complete the radiologist referred me for a biopsy stating the asymmetry was consistent throughout the new views. I am scheduled for a stereotactic guided biopsy on 1/20/21. I really do wish they would move these appointments a little closer. The waiting is horribly anxiety inducing. I've copied in my mammogram report for reference. There is no palpable mass and no ultrasound correlate. Trying to remain optimistic, but it seems like each day I get just a little more dread in my gut. I started out thinking, it's nothing, but now the creep of "well, what if it isn't nothing?" is starting to set in. Any suggestions on how to stay more positive? I am typically a VERY positive and optimistic person, so this is different for me. I am 46 and overall have very good health. Any additional thoughts on my report would also be welcomed.

Radiology report:

Spot compression CC and MLO and true lateral views of the right breast were obtained. There is no evidence of architectural distortion or cluster of suspicious microcalcifications. There is persistent asymmetry involving the upper outer right breast. Targeted right breast ultrasound is recommended for further evaluation. The examination was interpreted with the aid of the R2 image checker system. IMPRESSION: Persistent right upper outer breast asymmetry as above. No sonographic correlate is identified. Stereotactic guided right breast biopsy is recommended. Any clinically suspicious abnormality must be acted upon independently of mammographic findings. FINAL ASSESSMENT: BI-RADS (4) Suspicious

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Jan 8, 2021 06:30AM - edited Jan 8, 2021 06:35AM by ctmbsikia

Hi there. Sorry you're here. Two things that I hope helps you get through this. Birads 4 biopsies are usually done to rule OUT cancer, so I am hopeful from your report that you will get back some sort of benign condition. Second, is to try and stay busy although, believe me, we all know what's it like. Hang in there, let us know how it goes. I'm also going to try an attach the Birads table in case you need it:


Surgery 1/30/2018 Lumpectomy; Lumpectomy (Left); Lymph node removal Radiation Therapy 4/10/2018 Whole breast: Breast Hormonal Therapy 6/25/2018 Arimidex (anastrozole)
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Jan 8, 2021 06:31AM - edited Jan 8, 2021 06:31AM by ctmbsikia

This Post was deleted by ctmbsikia.
Surgery 1/30/2018 Lumpectomy; Lumpectomy (Left); Lymph node removal Radiation Therapy 4/10/2018 Whole breast: Breast Hormonal Therapy 6/25/2018 Arimidex (anastrozole)
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Jan 8, 2021 06:33AM ctmbsikia wrote:

Surgery 1/30/2018 Lumpectomy; Lumpectomy (Left); Lymph node removal Radiation Therapy 4/10/2018 Whole breast: Breast Hormonal Therapy 6/25/2018 Arimidex (anastrozole)
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Jan 8, 2021 09:47AM Jenuwine wrote:

Thanks so much for your response, it actually does help to hear that. When no subcategory is noted, does that mean it is an (a)?

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Jan 8, 2021 10:00AM beesie.is.out-of-office wrote:

Hi Jenuwine,

When no category is mentioned, it's best to assume an average, which is about 25% risk of malignancy, 75% chance of benign. So still very favorable odds.

Good luck with the biopsy! Let us know how it goes.

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Jan 9, 2021 04:29AM Jenuwine wrote:

Hi Beesie.

Thank you. I still find those odds on the very positive side! I will keep everything updated as I move through the process.

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Jan 9, 2021 06:25AM livinlife wrote:

Welcome Jenuwine! The vast majority of call backs and biopsies turn out benign and now you have feedback from a few of us hoping that is true in your case as well. I agree with the staying busy feedback. Hopefully your biopsy is not too far out to help minimize that waiting. Then there is the waiting for results which hopefully will follow a few days, or close to it, later. I waited over a week for my biopsy results the last time - I realize now my doc was on vacation - he apparently rec'd some feedback to call me anyways, which he did - from home.... I've heard the breast radiologists in my area are quite persistent with other docs about their timely follow-up on concerning biopsies and esp. when they aren't timely. It was a little more anxiety-provoking to hear from him while he was out of the office (and I was out of town).... Found out later they all expected IDC and it remained DCIS throughout... I hope you end up with good results!

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 2cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/30/2020 Mastectomy; Mastectomy (Left); Prophylactic mastectomy; Prophylactic mastectomy (Right)
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Jan 10, 2021 04:59AM Jenuwine wrote:

Thanks, LivinLife. It definitely helps to hear others tell me that. I think I was a little unprepared when I heard the news that I needed a biopsy. My only responses to the radiologist were "ok, oh, uh huh, umm ok, thanks" LOL My biopsy is still 10 days out, but I guess that's better than the 16 it was when I found out I needed it. I appreciate everyone's warm welcome and will do my best to keep busy and positive for the next 10 days.

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Jan 10, 2021 11:39AM scrmom74 wrote:

I found out Thursday that MRI report said Bi-rads 4 with no letter after it. I go on the 15th for a mri guided biopsy because a focal non-mass enhancement was found. Good luck with your biopsy. I’m wondering how long it takes to get results?

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Jan 10, 2021 12:03PM beesie.is.out-of-office wrote:

scrmom, every facility is different, you have to ask them how and when you will receive your results. Usually 2-7 business days. The size of the facility can be a factor, especially at smaller facilities if one of the pathologists happens to be out sick or on vacation. And different facilities have different processes. At some places I've had tests, I receive results on-line in a patient portal as soon as the results are available, and I often see the results before my doctor does. At other places, the results go to my doctor and I have to wait for a phone call. Some doctors prefer to discuss results in person, although that's probably less common these days with Covid restricting office visits.

Good luck with the biopsy. Hoping your result is benign. Non-mass enhancement coud just be a fibrocystic or high risk condition, or if malignant, DCIS.

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