Topic: BIRADS 4 and Ultrasound guided core biopsy

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

Posted on: Nov 19, 2021 05:32AM

Posted on: Nov 19, 2021 05:32AM

laura7770 wrote:

Hello and thank you all for this forum. I am 43 y/o and had my first mammogram on 11/8. Then they sent me for an ultrasound. I had absolutely no symptoms. Ultrasound came back as solid irregular mass with lobular margins 7 o’clock position 11cm from the nipple. It appears to extend from skin almost to chest wall. Color Doppler shows increased flow. Impression: lobular mass with increased flow. Again, 1.5 x 1.3 x 1.6cm. BIRADS 4

There was no letter attached to the BIRADS. I am terrified. I have no breast changes, no palpable mass. The radiologist showed me the area said it was suspicious and that there was one single vessel to the area. My brain shut down and I asked nothing My biopsy is Monday. Any insight that anyone can give would be so appreciated. Blessings to everyone of you!

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Nov 19, 2021 07:26AM ctmbsikia wrote:

Hi Laura, not sure if this will help but just the 4 with no letter and of course not being a 5 is saying that the reason for biopsy is it is suspicious and percentage wise is good that it will be ruled something benign. Best wishes to you on the biopsy, let us know how it goes.

Dx 12/14/2017, DCIS/IDC, Left, 4cm, Stage IIB, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 1/16/2018, LCIS, Right Surgery 1/31/2018 Lumpectomy; Lumpectomy (Left); Lymph node removal Radiation Therapy 4/11/2018 Whole breast: Breast Hormonal Therapy 6/25/2018 Arimidex (anastrozole)
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Nov 19, 2021 09:07AM laura7770 wrote:

Thank you so much for your reply! This forum has been so helpful even while I was just lurking around building the confidence to post. I hope all works out. I will definitely post once I know.

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Nov 19, 2021 03:25PM bcincolorado wrote:

I remember when I had mine they gave me a tiny little ice pack to put in my bra to help keep swelling down from the site afterwards. Had a tiny butterfly bandage over the site and had to leave it for a few days I know. Keep us posted and will keep good thoughts your way.

Dx 8/2009, IDC, Left, 5cm, Stage IIA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 1/1/2010 Mastectomy (Left): Nipple Sparing; Reconstruction (Left): Tissue Expander Surgery 1/6/2010 Lumpectomy; Lumpectomy (Left); Lymph node removal; Lymph node removal (Left) Hormonal Therapy 1/14/2010 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Hormonal Therapy 1/29/2016 Femara (letrozole) Hormonal Therapy 1/1/2020
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Nov 19, 2021 03:40PM laura7770 wrote:

Thank you for replying and sharing your experience. I’m really not scared of the biopsy, I’m scared of the results. I haven’t gotten many answers regarding what this might be and when I asked about no letter with my BIRADS 4 the tech told me “we don’t use letters just 1-5.” Which didn’t help me at all….all of you are your experiences have been my only go to. Thank you for your good vibes

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Nov 19, 2021 03:57PM sunshine99 wrote:

Laura. I've also heard that sometimes they will call it a BIRADS 4 to help get it approved by the insurance. I know that won't really help your worrying. The first time I had cancer, they called it a BIRADS 5 and the radiologist wanted me back that same afternoon for the core needle biopsy.

I hope you can have a relatively peaceful weekend. It's so hard having to wait. We all get that and understand.

I will follow this thread and look for your updates.


Carol Cancer has progressed to my bones. I pray that it never enters my soul. Dx 11/2/2007, IDC, 3cm, Stage IIA, 0/3 nodes, ER+/PR+, HER2- Dx 3/26/2020, ILC/IDC, Stage IV, metastasized to bone, ER+/PR-, HER2- Hormonal Therapy 4/22/2020 Arimidex (anastrozole) Radiation Therapy 5/5/2020 External Local Metastases 5/5/2020 Radiation therapy: Bone Radiation Therapy 5/12/2020 External Local Metastases 5/12/2020 Radiation therapy: Bone Targeted Therapy 6/10/2020 Ibrance (palbociclib)
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Nov 19, 2021 03:58PM salamandra wrote:

4 is the required rating for a biopsy.

Biopsies after first mammograms are somewhat common because they need to figure out what is normal for your breast. There's a good chance you'll end with a marker and a useful baseline.

If it it does turn out to be cancer, finding it on a regular screening mammogram also bodes well for it being early stage and very treatable.

But in the end, odds mean nothing when it comes to the individual, and waiting for a result is never ever fun. Hang in there!

Dx at 39. 1.8cm. Oncotype 9. Dx 9/19/2018, IDC, Right, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2- Surgery 10/17/2018 Lumpectomy; Lymph node removal Hormonal Therapy 11/1/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy 12/2/2018 Whole breast: Breast Hormonal Therapy 12/18/2019 Fareston (toremifene)
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Nov 19, 2021 05:16PM laura7770 wrote:

Hi Sunshine99 and thank you for your reply. Hearing from some of you really helps. I’m having ups and downs. Positive thoughts and tears. I will definitely keep everyone posted on how this goes. You made my heart a little lighter that maybe if was for insurance coverage. You all are a true blessing!

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Nov 19, 2021 05:19PM laura7770 wrote:

Hi Salamandra! Yes hopefully you’re right. This was in fact my first mammogram so they had no other comparisons. Thank you for your reply, all of your words really give a sense of comfort. Hugs and blessings to you!

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Dec 4, 2021 04:38PM Mhutton0204 wrote:

How did you make out? I am curious as my situation is very similar

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