Topic: Interpreting Mammograms: Calcifications

Forum: Not Diagnosed But Worried — For those who are experiencing symptoms or received concerning test results, but haven't been diagnosed with breast cancer.

Posted on: Aug 6, 2017 06:53AM

Posted on: Aug 6, 2017 06:53AM

djmammo wrote:

from the American College of Radiology Breast Imaging Boot Camp


Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Nov 12, 2017 11:51AM pamelakp wrote:

The radiologist showed me the microcalcifications on the diagnostic mammogram. 1 spot was focused on. She told me that I had Stage 0 breast cancer and emphasized it was the earliest Stage to be caught. I am scheduled for a biopsy at a breast center. How accurate is the radiologist diagnosis, and can they see microinvasions? I'm very nervous.


Dx 10/26/2017, DCIS, Right, 2cm, Stage 0, Grade 3, ER-/PR-
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Nov 12, 2017 03:29PM djmammo wrote:

pamelakp

Once again this was answered elsewhere today

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Dec 14, 2017 06:51PM iris986 wrote:

Being sent for steriotactic biopsy, birad 4 b, 4 mm ductal carcinoma in situ. Radiologist said because of the way it's grouped and shaped he cannot even say it's any where near benign. Treatment would be surgery and radiation.. biopsy is to see if it's for certain cancer and if it's stayed in the duct or if it's invasive.

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Dec 15, 2017 11:43AM MTwoman wrote:

iris, I am confused by the combination of "BIRADS 4b" and the statement that the radiologist " cannot even say it's any where near benign", as the suspicion level associated with 4b is only "moderately low". The positive predictive value of BIRADS 4b is approximately 36%, meaning that about 36% of the findings with that classification will actually be bc. Can you post your imaging report here?

Dx 12/10/2002, DCIS, Right, 1cm, Stage 0, Grade 2, 0/3 nodes, ER-/PR-, HER2- Surgery 12/20/2002 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 12/23/2003 Reconstruction (right): Nipple reconstruction Surgery Reconstruction (right): Saline implant Surgery Reconstruction (right): Tissue expander placement Surgery Mastectomy: Right
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Dec 23, 2017 08:46PM - edited Dec 23, 2017 08:48PM by iris986

MTwoman,

Biopsy was done on the 21st results should be in on the 29th. Praying for benign

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Dec 24, 2017 01:32PM MTwoman wrote:

Hoping for b9 for you as well!

Dx 12/10/2002, DCIS, Right, 1cm, Stage 0, Grade 2, 0/3 nodes, ER-/PR-, HER2- Surgery 12/20/2002 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 12/23/2003 Reconstruction (right): Nipple reconstruction Surgery Reconstruction (right): Saline implant Surgery Reconstruction (right): Tissue expander placement Surgery Mastectomy: Right
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Feb 19, 2018 07:42PM TaraLeeOm wrote:

I am 63, was told by the mammographer I have calcifications. The radiologist never spoke to me, my doctor never spoke to me, the mammographer was the one telling me I had to do a magnification, then a test to see if I had enough tissue behind the nipple (where the calcifications are), then finally I need to come back for a biopsy. That was 3 weeks ago, My doctor never spoke with me, and when I called the office, I was told they don't do things that way. The doctor will only speak with me after the biopsy results are in. The radiologist making these decisions never showed her face to me. I felt like I was dealing with some Wizard of Oz, behind a curtain that no one could see.

Is this normal behavior from those that make these decisions? I feel that if I'm being told I need a biopsy, at least one doctor should explain to me exactly what they are seeing. Not that I don't have respect for mammographers, but they are not the ones making the decisions.

Frustrated.

Dx 3/15/2018, DCIS, Left, <1cm, Stage 0, Grade 2, ER+ Surgery 5/23/2018 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Tissue expander placement Dx 5/29/2018, DCIS, Left, <1cm, Stage 0, 0/3 nodes, ER+/PR+
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Feb 19, 2018 08:52PM moderators wrote:

TaraLeeOm-

That does sound incredibly frustrating! We're so sorry you're not getting the answers you need. Have you had the biopsy yet? Please keep us posted on what happens!

The Mods

To send a PM to the Mods: community.breastcancer.org/my/...
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Feb 20, 2018 03:49AM - edited Feb 20, 2018 03:49AM by TaraLeeOm

I am getting the biopsy on the 26th. I almost feel like not getting it at this time, and finding anotherdoctor first.

Dx 3/15/2018, DCIS, Left, <1cm, Stage 0, Grade 2, ER+ Surgery 5/23/2018 Lymph node removal: Sentinel; Mastectomy: Left; Reconstruction (left): Tissue expander placement Dx 5/29/2018, DCIS, Left, <1cm, Stage 0, 0/3 nodes, ER+/PR+
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Feb 20, 2018 07:02AM Paco wrote:

Hi TaraLee,

I think you're doing the right thing by getting the biopsy. Once you do that, you can always find another doctor for a second opinion. A BiRads 4B is moderately high risk for malignancy. Better to know what you're dealing with. Best wishes to you and let us know how it goes!

Dx @ 48 Dx 12/28/2017, DCIS, Right, 1cm, Stage 0, Grade 2, ER+/PR+ Surgery 2/13/2018 Lumpectomy: Right Radiation Therapy 3/27/2018 Whole breast: Breast Hormonal Therapy 4/26/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)

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