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Topic: Very worried

Forum: Not Diagnosed but Worried —

Meet others worried about developing breast cancer for the first time. PLEASE DO NOT POST PICTURES OF YOUR SYMPTOMS. Comparing notes, symptoms, or characteristics is not helpful here, as only medical professionals can accurately evaluate and assess your individual situation.

Posted on: Oct 27, 2017 06:22AM

Dawncore1031 wrote:

i have my biopsys coming soon , just dont want to go in there Blind, any opinions?

CLINICAL HISTORY: 39-year-old female presents with a palpable lump within the right breast at the 10:00 position. TECHNIQUE: Full field digital diagnostic mammogram of the breast were obtained in the CC and MLO projections. Images were interpreted with the aid of CAD. Magnification views of the right breast were performed. Targeted bilateral breast ultrasounds. COMPARISON: None. This is a baseline study. BREAST DENSITY: There are scattered areas of fibroglandular density. FINDINGS: MAMMOGRAM: A BB marker was placed in the area of palpable concern. Asymmetric breast tissue is seen in the upper-outer quadrant of the right breast in the area of palpable concern. Scattered pleomorphic calcifications are noted within this asymmetry. On 3-D imaging there is a ill-defined mass measuring approximately 4.4 x 3.0 cm is noted. Also noted in the upper inner quadrant of the right breast is is an equal density mass with spiculated margins measuring 1.2 x 0.8 cm, best appreciated on Tomosynthesis images the CC 45/75. In the left breast at the 12:00 position a lobulated 2.5 x 1.8 cm mass is noted. No suspicious calcifications are noted within the left breast. ULTRASOUND: Right breast: Dense fibroglandular breast tissue is noted in the area of palpable concern. In the 10:00 position of the right breast, 9 cm from nipple (annotated as 9 o'clock, 10 cm from nipple on ultrasound), there is a lobulated hypoechoic avascular mass with some angulated margins measuring 1.1 x 0.6 x 0.5 cm. Also noted at the 10:00 position of the right breast is a simple 0.8 x 0.3 x 0.7 cm cyst. At the 12:00 position, 8 cm from the nipple a 2.1 x 0.9 x 0.5 cm area of distortion is noted which possibly corresponds to the mammographic finding in the upper inner quadrant of the breast. Left breast: Diffuse scanning of the upper inner quadrant of the breast demonstrates a normal fibroglandular breast tissue. No discrete mass was appreciated. IMPRESSION: 1. Pleomorphic calcifications in the upper-outer quadrant of the right breast for which stereotactic core biopsy is recommended. 2. Indeterminate hypoechoic mass with angulated margins at the 10:00 position of the right breast, 9 cm from the nipple for which ultrasound-guided core biopsy is recommended. 3. Vague area of architectural distortion at the 12:00 position of the right breast which may correspond to the spiculated density seen on mammogram. 3-D biopsy of the spiculated mass is recommended. The above findings and recommendations were discussed with the patient. A faxed report was sent to Dr. Nahhas' office. BI-RADS Category 4 - Suspicious Abnormality - Biopsy Should Be Considered

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Oct 27, 2017 09:17AM Moderators wrote:

Dear Dawncore1031,

Welcome to the community. We are sorry that you are going through this but glad that you reached out. Here is a link to information on our main site that can help you make sense of your pathology report. Let us know how else we can help you and keep us posted. The Mods

To send a Private Message to the Mods: community.breastcancer.org/mem...
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Oct 27, 2017 09:59AM djmammo wrote:

Dawncore1031

The report describes several suspicious findings for which a recommendation of biopsy seems appropriate.

Let us know how the biopsies go.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Oct 31, 2017 03:43AM Dawncore1031 wrote:

So went for biopsy appointment , Doctor did another ultrasound, says tthat he feels the suspicious finding maybe normal with my age(39), have a date set up for biopsys, (in two more weeks) "Waiting is the worst" he says maybe 1-3 biopsys total, but i'm a little concerned that he wasn't thorough, when he did ultra sound , he didnt press with any firmness and , didn't have me move to my side, or put ,my arm under my head, or even check underarm, where is tender,and it seemed like he could not see what prior doctor seen on imaging, was very quick. Not trying to be negative , just wanna make sure ,this is looked at thoroughly, he is the one the one doing biopsys, so hopefully that will set my mind at ease. any thoughts?

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Oct 31, 2017 04:00AM Cleo77 wrote:

Where are you in your cycle? I think it was 11 years ago, I had found a lump, solid on u/s and mammo picked it up as being suspicious so a biopsy was scheduled. The day of they had a hard time feeling it and picking it up on u/s. I was about to start my period and they think that was interfering. Could that be it?

It sounds like your doctor is at least being thorough. Keep us posted! (and yes, waiting is so hard. )

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Oct 31, 2017 05:25AM - edited Nov 10, 2017 05:08AM by Dawncore1031

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Nov 10, 2017 04:41AM Dawncore1031 wrote:

well go in monday for biopsys, trying not to be nervous. but now i have noticed i have this cough that wont go away, i am not sick, i have had it over a month, and burning on the side that is in question. i constantly have pain, sometimes its worse then others but always a constant, and now there is a red type dot, or mole i dont even know on the left side, i will admit i am nervous, but i also will say this cant possibly be normal, i know the normal pain as , i had younger, when cycle was around, but this cant be normal.

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Nov 10, 2017 05:09AM Dawncore1031 wrote:

I no longer have a period, had partial , hysterectomy in 09.


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Nov 14, 2017 01:29AM Dawncore1031 wrote:

Had my biopsys yesterday , they numbed me , but still hurt, doctor stated breast cancer, normally doesn't have pain, doc did see what first doc found , so I had two biopsys, sterotactic, and ultrasonic, I go in for my results today, I'm in a lotta pain, not trying to sound like baby, but I have alot of burning, and pain in underarm ,very sore.

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Nov 14, 2017 04:17AM MTwoman wrote:

sorry you're in pain! have you tried ice, compression and Tylenol? Those usually do the trick. Hoping for b9 results for you!

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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Nov 14, 2017 04:23AM Dawncore1031 wrote:

thank you , yes , have been using ice and tylenol, still alot of burning, i am sure my anxiety, isn't helping .

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Nov 14, 2017 04:30AM MTwoman wrote:

oh, probably not. Keep breathing and try to keep your mind occupied until your appointment. Hoping for good news for you!

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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Nov 15, 2017 06:55AM - edited Nov 15, 2017 07:30AM by Dawncore1031

well went in for my results, doctor says everything looks good but wants me to come back in 3 mths for another 3d mammo, cause i have so much going on all at one time, something about overgrowth of cells he stated, and that he wanted to make sure he addressed all areas of concern , at that point i was there all by myself and to be honest all i heard was benign, here is my path report, has anyone else here ever had anything similar, and does this mean he took out all calcifications , he really didnt explain .

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Nov 15, 2017 01:04PM MTwoman wrote:

Dawncore, on both the right and left side, the most important thing IMO is "negative for atypia or malignancy". There is a lot going on ("busy breasts"), and that's why your doc is going to stay on top of it with short interval follow up. Allow yourself to be relieved and feel good, and just make sure you continue practicing good follow up. CONGRATS!

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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Nov 15, 2017 03:19PM beach2beach wrote:

I had all that on my left breast on several biopsies. Busy boob. Keep up with the follow ups...enjoy the good news! (when I was dx with breast cancer it was on my right where I never had any issues, so don't worry about that)

Dx 7/28/2017, LCIS/DCIS/ILC, Right, <1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2- Surgery 8/8/2017 Mastectomy: Left, Right; Reconstruction (left); Reconstruction (right) Hormonal Therapy 9/12/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Nov 16, 2017 07:34AM MTwoman wrote:

BC sucks!

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 6, 2018 07:27AM Dawncore1031 wrote:

Well .. bleeding from nipple now called doctor , went in for ultrasound ,and he is scheduleing ductgram, mammo and MRI .. not the normal greenish brownish discharge anymore , now dark dark red, pure blood, also there is what he called , I think eurothemia, I could be saying that wrong. Not sure .. so more tests.. my heart and thoughts and prayers go out to all u strong women out there .. that are dealing with , breast cancer.

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Feb 6, 2018 08:17AM djmammo wrote:

Dawncore1031

Is the bleeding from the nipple the same breast that had the biopsies?

I think you should have all the imaging recommended by your doctor but in the meantime, I have seen a case or two where there was a hematoma (collection of blood) deep in the breast following an excisional biopsy that found its way into a duct and presented as spontaneous bloody nipple discharge but it was old blood from the biopsy. Something like this could be seen on mammo and US. The connection would be visible on a ductogram .

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Feb 6, 2018 11:50AM Dawncore1031 wrote:

Yes , it is.. doctor did ultrasound , and seemed very unsure why was happening, scheduled a ductogram and mammo, I also have a area on the other side of same breast , that looks red like . And when I shower it gts really red , he called that something else eurothema or something like that.. just hoping for good results.

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Feb 6, 2018 12:29PM djmammo wrote:

Dawncore1031

Probably said 'erythema' which just means "redness".

Ductogram is a great test, not many rads like doing them but they are very valuable. A very thin cannula is inserted in the duct that produces the discharge, contrast is injected and a few mammo images are taken. A little awkward but usually well tolerated. The cannula looks like a sharp needle but its not so don't worry about that. Also, resist the temptation to express the discharge yourself before the ductogram as in order to do the test the discharge has to occur at the time of the test so leave some in there. Let us know how it goes.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Feb 16, 2018 04:21PM - edited Feb 16, 2018 04:27PM by Dawncore1031

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Feb 16, 2018 04:22PM - edited Feb 16, 2018 04:23PM by Dawncore1031

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Feb 17, 2018 12:06AM Dawncore1031 wrote:

can someone help me understand what this means?

FINDINGS: About 0.4 cc of contrast was able to be instilled through the duct of concern prior to meeting resistance. The ductal system tracts to the superolateral right breast. This terminates close in proximity to the areas of previous biopsy. An intraductal filling defect could not be identified in two views. However on the ML imaging, there is a linear area in the retroareolar right breast which could either represent a long length filling defect or else an area of duct truncation. This was not seen on the CC view. IMPRESSION: Equivocal finding for intraductal filling defect in the 12:00 retroareolar breast, seen only in one view. Second look ultrasound is advised in this area. Surgical management or breast MRI may be obtained for further evaluation of bloody nipple discharge. BI-RADS Category 0 - Incomplete: Additional Imaging Evaluation Needed.

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Feb 17, 2018 12:41AM djmammo wrote:

Dawncore1031

They think they might have found something in one of the ducts related to your problem, but they are not sure enough to act on it yet without a few more imaging tests.

Your doctor(s) should have explained this to you. If they didn't they are not doing their job.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Feb 17, 2018 02:04AM - edited Feb 17, 2018 02:06AM by Dawncore1031

No they didn't actually when ductogram was finished I asked radiologist if she saw anything she said it looked fine .then I GT this report haven't spoke to doctor yet .they like to do things on a weekend.. where the patient must wait..

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Feb 27, 2018 11:59AM Dawncore1031 wrote:

ok , well went to see doctor today and he started with saying that ductogram was negative, then he preceded , next step was mri, then possible duct removal , then he decided to do another ultrasound cause i was still having the bleeding and now a pain , like burning, and as soon as he started ultra sound , he said wait, thats new , he seen what he says was a ductal carcinoma , and he now suggests partial mastectomy, to remove the ducts , he says typically being where it is located, close to nipple should be benign, ,Isnt what he is saying, but not verbally stated dcis? or am i wrong...

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Feb 27, 2018 12:11PM djmammo wrote:

Dawncore1031

Which doctor did you see today? There will need to be a biopsy of whatever he found before those kinds of decisions can be made.

Board Certified Diagnostic Radiologist specializing in Breast Imaging helping members understand their health care provider's reports and recommendations.
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Feb 27, 2018 12:17PM - edited Feb 27, 2018 12:18PM by Dawncore1031

I seen my regular doctor which is a breast specialist. When all this first started he did a core biopsy but it was in a different area , but only test in nipple region was the ductogram which results are above . But doc I seen today said that it came out fine ,

, .

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Jul 3, 2018 02:49AM - edited Jul 3, 2018 02:50AM by Dawncore1031

this is really bothering me, after all the above was done , i ended up have a central duct removal done on the right breast., and removal of intraductal papaloma, after surgery was sore of course, thats expected. 3 mths later my right side hurts worse then right after last surgery, ,And now i have lump under left side .with pain.So i go to doctor for checkup, and i swear this man treats me like i am there for drugs, i never ask for anything all i want is a answer, so i explain the pain and the odd bruising towards underarm, and show him where it seems to get hard and swollen , and also the new issue on left side with watery discharge and yellow pussy looking discharge.. he does ultra sound and says the knot on the left which is actually protruding out of underneath breast , if fatty cyst wrapped in glands i think he said . and right side where papaloma was removed , he said was fine , that my breasts were filled, i mean mean filled ..with a abundent amount of cysts. he says its fibrocystic changes i just turned 40. me, says .. i am concerned i had 2 aunts who passed away from breast cancer , asks for a mri, he was once gonna have me do, then he gives me this horrible story about chuck norrises wife having a mri done, and says she has never been the same since , so he doesnt like mri's , then precedes to tell me i need to adjust my diet, and i dont know how much more i can do that , cause i have intercysteral cystitus, and i am also allergic to gluten, and i have Gastroparesis , so .. not much more i can do diet wise.i am not over weight, 5"4 153lbs i am active.. i really think he is treating me like a statistic cause i have tattoo's , and its fayette county pa,, when all this first started, he seemed concerned cause i was so young, and had so much going on in there at the same time aka" busy breasts"" now its i am getting older...errg.. .I hurt so bad, cant even hug my kids or my husband, they swell, there like rocks, so irritated.....


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Jul 3, 2018 06:04AM - edited Jul 3, 2018 06:05AM by mustlovepoodles

Sounds like you need a second opinion. I don't know what you have going on there, but it doesnt sound like your doctor is being responsive to you. And the whole Chuck Norris's wife MRI thing? What quackery is this??

Oncotype 23. Positive for PALB2 & Chek2 gene mutations. My breasts are trying to kill me! Dx 7/20/2015, DCIS/IDC, Right, 1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR-, HER2- Surgery 8/20/2015 Lumpectomy Surgery 9/3/2015 Lumpectomy: Right Chemotherapy 10/19/2015 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 2/4/2016 Prophylactic mastectomy: Left, Right Surgery 10/19/2016 Hormonal Therapy Femara (letrozole) Surgery
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Jul 3, 2018 07:02AM DATNY wrote:

Yeah, I would do a google search to find the top doctors in your area and move away from this one. He is ignoring your issues, and you need high quality medical assistance immediately.

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