Topic: BIRADS-4, have to wait a month for biopsy, losing my mind.

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

Posted on: Mar 7, 2022 09:54AM

Posted on: Mar 7, 2022 09:54AM

gymratkat wrote:

Hi... this is my first post here.

On Feb. 9 I had my routine mammogram. Showed possible developing asymmetry. Had to wait 3 weeks just to get a diagnostic mammogram and ultrasound, which was torture. But at least for those 3 weeks I was able to convince myself it's nothing, it's folded over tissue, it's your implant, it's a scar, etc. etc.

Diagnostic mammogram and ultrasound occur - and I could see on their faces it wasn't nothing. I have a BIRADS-4 (it wasn't graded a, b, or c) superficial hypoechoic mass, 5x3x7mm (so at least it's a tiny little thing) with angular/irregular margins. I need a biopsy obviously. And now I have to wait until MARCH 29 (I'm on a wait list - but the breast center said the demand right now is just unprecedented).

I am losing my mind. I am completely losing my mind. I had what felt like a mental breakdown last night. There is so much medical literature available on the Googles and, needless to say, angular margins is...not good. Also it's a tiny bit taller than it is wide. I'm trying to comfort myself with "at least it's not lobulated, at least it's not spiculated, at least it doesn't show major vascularity, maybe there's a chance..." which seems utterly surreal to even know about. Mostly now I'm just wondering if it's in my armpit, which I won't even know after the biopsy, that will just be another long wait.

My obgyn is trying to get me in sooner with a different hospital system. Fingers crossed. Otherwise by the time I have this biopsy it will be 2 months of living like this. Making things worse on my mental state is that I have a very high level, demanding, corporate executive job. I'm in the middle of a business planning cycle and all I can think about is "will I be doing chemo and how will I lead these initiatives" - again, totally surreal.

I am 44, no history of BC in my family (no history of cancer AT ALL actually - we are dementia/Parkinson's people). Feel nothing. No symptoms. So this was a complete shock - although I guess that's why we do these screening things. I barely even have any breast tissue - I am 90% implants (I know, I know, cancer doesn't discriminate - it's just frustrating because these boobs never did anything good for me).

I don't even know what my question is or if I have a question.... this just feels like purgatory and I thought somebody might be able to relate. I am taxing my husband to the absolute limit with my emotions and can't talk to anyone else right now.

Thanks for reading... <3

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Mar 30, 2022 04:53PM gymratkat wrote:

Friends, I had the biopsy yesterday. The final rating was 4b. Could have gone either way. I watched the whole thing and it did not look like cancer or not cancer. It's like a tiny oval with a spike on each side (probably ductal dilation).

The pathology is already back. They found some WEIRD STUFF, but what they did not find is malignancy. I do not have cancer today!


So, I will hear back from the radiologist and they may have some recommendations for future management, and I'll be on the "watch" train and maybe the "high risk" train, and they'll probably want to take the rest of it out (frankly, with a 5mm mass that got 6 punches, not sure what's left) and look at every cell, but I do not have cancer today.

I can't tell you how much it meant to me to have all of your messages through this. It has been 7 weeks to the day of my abnormal mammogram.

Love to all. -Kat

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Mar 31, 2022 05:52AM rah2464 wrote:

Wonderful, wonderful news! Yay!

Dx 5/23/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2- Surgery 6/27/2018 Mastectomy; Mastectomy (Left); Mastectomy (Right); Reconstruction (Left): Silicone implant; Reconstruction (Right): Silicone implant Hormonal Therapy 7/27/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Mar 31, 2022 06:00AM moderators wrote:

That's great news, Kat! We're happy for you. Thank you for posting to let everyone know.


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Apr 1, 2022 01:11PM gladis wrote:

Hi gymratcat,

I'm waiting too, only have the needle results and a possible surgeon date in MAY...I'm feeling the haul.

Good luck to you on all the fronts, but especially with the mental marathon, the rest is (I won't say it) LOL


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Apr 26, 2022 01:37PM cathy67 wrote:


Just read this post today!!! Thanks for the sharing, it really gave me hope, my ultrasound description is almost the same as yours. Suspicion is 5x4x4mm, irregular, but avascular, solid mass, just give birads 4, no 4a, 4b, or 4c. It is impalpable, I got it from diagnosis mammogram, after one whole month, I will get my biopsy result, biopsy is scheduled next week.


Oncotype 6, Dx 08/06/2019, IDC, Right, 2.1 cm, Grade2, 1/1 nodes,ER+/PR+, HER2- Surgery 9/10/2019 Lumpectomy; Lumpectomy (Right); Lymph node removal Hormonal Therapy 11/20/2019 Arimidex (anastrozole) Radiation Therapy 11/27/2019 Whole breast: Breast, Lymph nodes

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