I am so grateful for you all, as I've been. reading posts for a couple of months. I need help/advice. At the end of June I had a screening mammogram. I got a call back for a diagnostic, I had new calcifications on the right side. The radiologist thought that most likely was benign but wanted to biopsy to be sure. I had the stereotactic biopsy in mid July. It came back with these results:
Breast, right, upper outer quadrant calcifications, stereotactic biopsy:
- Sclerosing ductal lesion with adenomatous and fibrocystic changes, with calcifications
- Epitheliosis of the usual type
- Columnar cell change
- Pseudo-angiomatous stromal hyperplasia
- Negative for malignancy
I was thrilled that all was benign. The radiologist referred me to a breast surgeon for this part of pathology: Sclerosing ductal lesion with adenomatous and fibrocystic changes, with calcifications.
The breast surgeon said that there was still a small chance that DCIS was there and suggested an excisional biopsy to remove the entire area of calcifications, which I had last Thursday.
when I arrived at the radiologist office to have the wires inserted last week, the radiologist said that the area with calcifications was too big to remove it all, so they would sample again, larger this time. They removed a 5cm by 3 cm piece. All came back benign, thankfully. This is the pathology report from that:
- Myxoid fibroadenoma, 0.2 cm
- Usual ductal hyperplasia
- Columnar cell change
- Pseudo-angiomatous stromal hyperplasia, microscopic, incidental
- Apocrine cysts with calcifications
- Apocrine metaplasia
- Calcifications in benign duct profiles
- Biopsy site changes
This is radiology report:
Imaging was discussed with Dr. and it was agreed to place 2wires, one at the level of the clip from biopsy and 1 more anteriori inthe bulk of the regional calcifications upper outer quadrant. Due to the extensive calcifications in the upper outer quadrant ands subareolarspace, it would be challenging to remove all of thec calcificationsso the idea with surgery is to remove a larger sampling of the calcifications.
This is super long....but I'm frustrated because was this excisional biopsy needed? They told me that they would remove all of the areas with calcifications, but then changed it the day of surgery and is there a chance something else could be hiding? Should I get a second opinion or chill out and be thankful?
Thank you in advance!!!
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