Expert: Claes-Gustaf Nordquist, M.D. - 7/25/2009

Question
mammogram impression: Right breast: BIRADS 4; Suspious, biopsy recommended
Left breast : birads 2: benign
Over all impression:
Bi-RADS 4: biopsy recommended
1. 1.3 cm solid mass at 8:00 axis of the right breast for which biopsy is recommended. the findings is amendable to ultrasound guided core needle biopsy
2. Futher assessment of patients palpable abnormality 12:00 axis of right breast should be clinically determined
3 futher assessment of patients complaints of right breast pain should be clicically determined

Biopsy report:
Diagnosis
left breast
12:00 4 cm out fna: sinificant findings presents. Cocsistent with proliferative fibrocystic changes with cytologic atypia

Right breast: mass at 8:00, utrasound guided biopsy fragments of fibroepithelial lesion with focally increased stromal cellularity

Note: The apperance is compatible with a fibrodenoma, the possibility of a benign phyllodes tumor can not be entirely ruled out in this core, Re excision of this lesion may be prudent

Clinical info:
1.3 hypoechoic tissue 8:00 right breast
procedure vacuum aast right breast biopsy undr ultra soundd guidance
gross description the specimen is received in formalin in a container labled with patients name and right breast. It consist of a 2 cm aggregate of multiple cores of soft rubbery yellow-white fibrodipose tissue submitted entirely and cassette a1

Can anyone tell me what tis means?  

Answer
Has your dr not explained this? On mammography a lesion has been seen in your right breast and it is not possible by mammography alone to determine what it is so both an ultrasound scan and an ultrasound guided needle biopsy is recommended. That is then done. According to the report a fine/thin needle aspiration biopsy has been done. But later in the report one gets the impression that what has been done is a wide bore needle biopsy. Even the biopsy result is somewhat unclear. It is probable that it is a fibroadenoma (a benign not dangerous lesion) but a phyllodes tumor (which is more dangerous) can not be completely ruled out. IF your biopsy indeed was a fine needle biopsy then now at least a wide bore needle biopsy should be done. If indeed a wide bore needle biopsy already has been done then a surgical biopsy should now be done in order to confirm what this is.