Nov 13, 2021 04:32AM
Nov 13, 2021 05:45PM
I've gone through 3 mammograms, an ultrasound, and a core needle biopsy on 2 sites in the last 4 months and am meeting with a surgeon next Thursday to discuss excision of the abnormal breast tissue. It's a lot and a bit overwhelming and I'm kicking myself for delaying the mammogram for so long.
Background: My mom had breast cancer (DCIS caught early) but my mammograms have been clear until this year (I'm 49) when 6 calcifications showed up clustered in one quadrant of my right breast. They initially recommended one biopsy but changed it to two and those were both done 4 weeks ago (6 cores each). The pathology report showed several abnormalities but no cancer, and the medical imaging report recommended a breast MRI (but said that it will be left to surgeon's discretion to obtain if it is felt to be clinically relevant) and that excision was recommended.
Is excision necessary if there is no cancer in all those samples? Would an MRI be helpful as part of the decision? If I proceed with the excision, would it be recommended to just remove the biopsied calcifications or all 6? Getting almost a whole quadrant removed seems so much! Sorry for all the questions. I think I'll proceed with it for a peace of mind and because one of the sites aches from time to time and did almost all day today, which I don't think is a good sign, but am really worried about the risks and what I will look like. I heard that invasive procedures can sometimes aggravate the cancer, if there is any.
Any insight, additional information, or advice would be greatly appreciated. I'm new to all this and it's a bit overwhelming.
Here is the pathology report in case that helps:
Site A: 3 mm span - Focal Atypical Ductal Hyperplasia (ADH) and Flat Epithelial Atypia (FEA) with associated calcifications - Atypical Lobular Hyperplasia (ALH) involving radial scar and surrounding breast tissue - Small intraductal papilloma, completely contained in core, and background proliferative changes
Site B: 12 mm - At least Atypical Ductal Hyperplasia (ADH) with associated calcifications
Thanks so much
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