AboutClaes-Gustaf Nordquist, M.D. Expertise I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.
Experience I'm a Doctor of Medicine. Licensed/certified physician and surgeon and specialist in Medical Oncology and Radiation therapy in Sweden, Denmark, Finland, Iceland, Norway and the European Union. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. Now in private practice in Stockholm, Sweden.
Question QUESTION: Hi-I'm 39 year's old & had a regular mammogram that I was called back on. I then did the digital imaging-more involved than first one-then I was asked to do an ultrasound. Results from first mammogram showed 2 nodules-9mm within posterior left breast and 6 mm nodule more anterior. Second mammogram corresponded with the first. Ultrasound states there are cysts at 2:00 and 9:00. Uncertain if this is what they saw on mammogram-reccomend ultrasound guided aspiration and post mammogram to see if nodules disappeared. Same reccomended for 2nd cyst.the BIRAD score was 4. My PCP said they would not do a biopsy on this because likely just a cyst. From what I have read-wouldnt it be standard procedure to check these for cancer? Should I be looking for a specific type of person to perform this procedure-ex. Breast surgeon? At the hospital, I am not sure who they assign to do the procedures. This is scheduled for next week-so any immediate help would be appreciated.
Thank you
ANSWER: If the biopsies are done as ultrasound guided needle biopsies - SHOULD be done! - then they are probably done in the diagnostic radiology department. The biopsies are then evaluated by pathologists. It SHOULD be standard procedure, especially since your radiologist has recommended it!
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QUESTION: Thank you for your response. The order from the PCP is for an ultrasound guided aspiration. This was also the reccomendation from the radiologist report. However, the BIRAD rating was 4--based on that wouldn't it be standard to do a biopsy on the cyst aspiration? I would like this done either way--how can I get this done? Would I ask the PCP (despite their belief it is just a cyst) or would I ask the radiologist or person performing the procedure?
Thank you again for your assistance
Answer A BIRAD 4 lesion SHOULD be checked with a biopsy! You should ask for those biopsies (including the cysts, easily found by ultrasound) in the radiology department. That is what I believe but I'm a Swede living in Sweden and therefore unfamiliar with local procedures where you are.
