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Oct 8, 2019 08:57PM
hello. I had an ultrasound and mammogram yesterday. After years of being told I had a Fibroadenoma I insisted on having it removed because it is bothering me. The doctor changed his tune and sent me for testing.
The radiologist said she thinks it’s a Fibroadenoma. She said she was going to send me for a biopsy though due to my thinking it may have grown (I’m not sure since my boobs have gotten smaller since I found it due to nursing/weight loss) and because it is painful with periods/pressure.
Then I saw the nurse to schedule the biopsy who said not to worry, they send everyone over 20 with a Fibroadenoma for a biopsy because it’s their policy. (Which she lamented about for a bit and said it’s needless worry)
I was emailed a copy of the report today and am unclear about it all. The vascularity and BIRADs score did not match what I was told yesterday.
Thanks for any insight
EXAMINATION: Bilateral Diagnostic Digital Mammography and Limited Right Breast Ultrasound
EXAM DATE: 10/7/2019 2:47 PM
TECHNIQUE: Bilateral diagnostic mammography, producing direct digital images and bilateral diagnostic digital tomosynthesis, all views, with computer-aided detection (CAD). Limited right breast ultrasound.
INDICATION: 35-year-old female presenting with right breast lump with perceived increased size and tenderness
Breast Density: The breasts are extremely dense, which lowers the sensitivity of mammography.
There is an obscured probable oval mass underlying the triangular palpable marker in the upper outer quadrant of the right breast posteriorly, measuring at least 15 mm in length. No additional suspicious findings in either breast.
Tomosynthesis images confirm.
RIGHT ULTRASOUND FINDINGS:
Sonographic evaluation of the right breast at 11 o'clock and 6 cm from the nipple, in the area of palpable concern, shows an oval circumscribed hypoechoic mass, measuring 18 mm x 8 19 mm x 7 mm. Internal vascularity is present.
1. Right breast palpable mass which likely represents a benign fibroadenoma. However, given the patient's perceived increased size and associated tenderness, ultrasound dated biopsy is recommended for histopathological diagnosis.
2. No mammographic evidence of malignancy in the left breast.
Recommendation: Biopsy Right with Post-Procedure Mammogram
Follow-Up Interval: NOW.
BI-RADS Category: 4 Suspicious Abnormality - Biopsy Is Recommended.