Solid masses 2-1 each breast

[christine41twokiddos]

Hi there.  I am looking at a prophylactic mastectomy or regular at this point-bilateral.  Mammo showed calcs 5 weeks ago.  Stereotactic showed ALH and Radial Scar two differrent quads L breast.  MRI was performed and R breast showed two areas of concern.  Yesterday 4 more biopsies CN with ultrasound and two of the 4 look to be solid and I was told none of them have fluid in them.  I have a family HX of BC and am preparing for the mastectomy-bilateral plus reconstruction.

I am hoping it is in its early stages.  None of the sites were palpable.  What is the significance exactly of solid vs. fluid filled?  Dr. thinks is it DCIS in L and that it is uncommon to have BC in both but possible.

Thanks for the help here!

[christine41twokiddos]

I got the call on July 3.  All 4 biopsies showed high risk lesions.  Two radial scars, 1 more ALH and a papilloma.  I am moving forward with a prophylactic bilateral mastectomy surgery in August and reconstruction..expanders at first then implants.  All this activity is a warning sign.

Relief to have NO cancer yet and happy I can take charge and get rid of all the tissue.

Hugs.

[Dr Santos]

Hello there,
An ultrasound sends sound waves through breast tissue, which will pass through a fluid-filled cyst. Solid masses will reflect sound waves.  Simple fluid filled cysts are always benign and solid masses with smooth contours and monotonous internal appearances are also commonly benign.

DCIS is a term used to describe cells that are growing inappropriately inside the ducts of the breast and look like cancer cells under the microscope. These abnormal cells have not spread into the surrounding fatty breast tissue or to any other part of the body. They are totally confined to the duct. This link may be of help:http://www.dcis.info/dcis.html

Take care and regards.

[PaulMD]

The calcifications can be due to DCIS which is a pre-malignant lesion.  This can develop to an invasive cancer if left alone.  Solid lesions are more characteristic of malignancy than fluid filled, cystic lesions.  If you have a strong family history of breast cancer, and at the same time having all of these breast changes and findings, I believe that risk reduction strategies may indeed be appropriate.  One of these strategies is the bilateral mastectomy that you are contemplating.  Another would include intake of drugs such as Tamoxifen.

Regards.