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BIRAD 5

Hi,

I am 33, had an u/s and mammogram on my left breast due to a new lump. It is palpable, I have had some pain and the nipple has gotten smaller than the right one. I went for a core u/s guided biopsy and the results should be in by end of next week.

The find of the u/s and mammogram are as follows:

"ill defined area of increase density in the upper outer quadrant of the left breast not effaced following application of the spot compression device and demonstrating areas of architectural distortion. Small cluster of microcalcifications with pleomorphic configuration and a heterogenous density.
In the region of discomfort, ill defined hypoechoic masses presenting as island with small non-shadowing echogenic foci and irregular distal acoustic shadowing. The largest island as follows: 2 o'clock 4cm from  nipple: 23.4x16.4x18.7mm"

Interpretation:
"Palpable lumps in the upper outer quadrant of the left breast with bothersome features on mammography and sonography highly suggestive of multifocal carcinoma of the breast.
Early firbrocystic change in both breasts.
BIRADS category 5 - highly suggestive of malignancy"

All of this does not sound encouraging and apparently I have dense breasts. I should say that a year ago this same lump was smaller and it was classified as a cyst.

I know I have to wait for the biopsy results to be 100% sure but the highly suggestive of multifocal carcinoma of the breast makes it sound like it is bad bad news.

Any opinions??

thank you.

Lolis
5 Responses
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587083 tn?1327120262
Hi,
Unfortunately a BIRADS score 5 assigned on your report indicates that the findings are highly suspicious of malignancy,but please remember that only a pathology analysis of the tissue extracted can render a definitive diagnosis.As stated on your report,multifocal carcinoma of the breast occurs when there are multiple tumors in the breast that all come from one original tumor,but often tends to be a less invasive cancer because the tumors have not moved into other parts of the body.
I can understand your concern over this finding....but I really hope that you still have some chances that this could be something other than breast cancer.
Wishing you all the best...
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Avatar universal
Thank you zouzi!! I am prepared for it to be breast cancer but I am very impatient to find out so that can take the appropriate course of action. Grandmother died of breast cancer.
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587083 tn?1327120262
You are welcome lolis,
I know,it's awfully hard not to know...the waiting for the biopsy results is the worst part!You haven't been diagnosed with nothing yet,but if this turns out to be cancer,we women are the strongest people in the world!  
The main thing is you are in the system now and if it is cancer ( I hope not)you will get the recommended  treatments planned specifically for you,beat this disease and be well again !
Hugs and prayers sent your way.....
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Avatar universal
Hi,
Just to provide an update, Friday I was diagnosed with in situ and invasive ductal carcinoma. It is multifocal and in the same quadrant of the breast. Waiting to hear from the surgeon to talk about the next steps. In addition, the axillary lymph nodes showed thickened mantles raising the possibility of regional metastasis.
Can't wait to have this process started :-)
Helpful - 0
587083 tn?1327120262
Hi Lollis,
I am so sorry that you have  been diagnosed with BC...but bear in mind that BC is NOT a death sentence.Many of us have been able to beat this disease successfully and so will you,I am sure, because of new technologies and advanced treatments available.
Getting a cancer diagnosis is overwhelming....It's going to be a long journey, but take things one step at a time,follow all your doctor's recommendations and with a positive attitude you can beat this disease like many of us did.
My thoughts and prayers are with you and I hope that all your treatments will be completely successful .
I wish you well and a speedy recovery! .
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