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Aug 30, 2019 02:29PM
Aug 30, 2019 02:51PM
Hi all. I am awaiting biopsy results but was wondering if anyone could comment on the questions below. Sorry for the long windedness in advanced.
Currently age 53. At Age 44 had History in 2010 of IDC 0.6cm and DCIS 1.5cm ER-/PR+ (weak) HER2+ But 0 nodes.
Treated with 4xTC plus Herceptin (11 doses due to LVEF going from 60% to 46% but no symptoms. I have mild cardiomyopathy but won't get into that here)
Fast forward 8.5 years to Feb 2019, Birads 3 mammo and ultrasound. Radiologist thinks fatty cyst. Same Breast but not near original. Original upper right and this once close to nipple. Both he and Breast surgeon recommended 6 month follow up.
Got follow up mammo and US two weeks ago and results much changed and (a different ) radiologist recommended biopsy. Breast surgeon still does not think it is cancer but did order for biopsy which I had Wednesday, 2 days ago and waiting on results.
I stupidly got the radiology reports thinking would reassure me because from reading this site, I know benign is supposed to look a certain way and know about Birads 3 vs 4 but these reports did the opposite and I am freaking out.
- Has anyone had a second US that changed so much and it NOT be cancer. I could use some reassurance if possible.
- how does it go from hyperechoic to hypoechoic?
February Mammo was Birads 0 so not copying. Here was February US:
"There is a subcutaneous hyperechoic nodule appears to contain calcifications measuring 0.5x0.4x0.5cm When comparing to Mammogram, there may be some curvilinear calcifications in this area. This could represent an early lipid cyst. I would recommend a six month mammogram and ultrasound follow up for further evaluation.
Birads 3 Hyperechoic nodule in the right Breast which has a likely benign appearance as described above. "
Here is August mammo and US. It seems so different and ominous to me!
“Impression: focal asymmetry with microcalcifications and slight architectural distortion in the upper outer right breast for which biopsy is recommended.
The previously described tiny focal asymmetry in the upper outer right breast is again noted and now appears to be associated with slight architectural distortion. There are also associated microcalcofocations. Targeted Ultrasound in this location reveals a small spicilated lesion just deep to a well-circumscribed vascular lesion, for which biopsy is recommended. "
Ultrasound Aug 19:
"Targeted ultrasound examination of the right breast was performed with attention to the Mammographic area of concern in the upper periareolar and retroareolar breast.
Within the 9:00 retroareolar breast, there is a lobulated 7x5xx5 mm lesion which has a hypoechoic periphery and Echogenic center, as well as vascularity. This potentially could represent a lymph node although the findings were non specific and this has enlarged since the prior exam previously 5x4x5mm. Just deep to this there is a very subtle hypoechoic spiculated lesion measuring 4x3x3mm which is new since prior study. This contains punctuate calcification. "
I had core biopsy of both. They are basically like a snowman with 2 balls sitting on each other with the top one black and has vascularity and the bottom one not black and fuzzier.
3. aren't lymph nodes under arm or in middle of chest. What is one doing next to and under the nipple
4.If it is a lymph node and cancer does that mean it could spread to distant places (if not already?)
Thanks for reading this long winded notes.
10/13/2010, DCIS/IDC, Right, <1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR+, HER2+ (FISH)
9/5/2019, DCIS/IDC, Right, 1cm, Stage IA, Grade 2, 0/2 nodes, ER-/PR-, HER2+ (FISH)