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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 01:22PM

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 04:17PM 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 04:59PM 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 10:43AM 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 11:00AM 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 12:25PM - edited Nov 10, 2017 11:08AM by Dawncore1031

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Nov 10, 2017 10:41AM 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 11:09AM Dawncore1031 wrote:

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


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Nov 14, 2017 07:29AM 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 10:17AM 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 10:23AM 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 10:30AM 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 12:55PM - edited Nov 15, 2017 01:30PM 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 07:04PM 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 09:19PM 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 01:34PM 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 01:27PM 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 02:17PM 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 05:50PM 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 06:29PM 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 10:21PM - edited Feb 16, 2018 10:27PM by Dawncore1031

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Feb 16, 2018 10:22PM - edited Feb 16, 2018 10:23PM by Dawncore1031

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Feb 17, 2018 06:06AM 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 06:41AM 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 08:04AM - edited Feb 17, 2018 08:06AM 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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