Oncology (General Cancer)/Abnormal Mammogram
QUESTION: Mammogram reads: Scattered fibroglandular densities. Focal architectural distortion within central aspect of right breast. No suspicious microcalcifications are seen. Requires additional evaluation. BI-RADS 0
I have faint scar from surgical biopsy 1991 just above nipple.
I am very worried.
ANSWER: It may be that the focal architechtural distortion was from the biopsy. I wouldn't worry too much about the fibroglandular densities. If you were my patient I would want to know why the radiologist was concerned -- sometimes you have a very conscientious radiologist and when you pin him down he isn't very worried. If he has low suspicion, another mammogram in a couple of months might be all you need. If his suspicion level is high, then unfortunately another biopsy needs to be done. I know you are worried, but the best treatment for worry is to find out the answers. Hope this helps.
---------- FOLLOW-UP ----------
QUESTION: I had a ultrasound which reads: At the site of an architectural distortion, a spiculated appearing hypoechoic mass with some associated shadowing was noted measuring 1.66 x .078 x 2.27 cm. Due to its indeterminate nature an ultrasound quided mammotome core biopsy of this lesion is recommended. BI-RADS 4
Every test I have seems to get worse. Any comments would be helpful.
I think given the ultrasound findings, I would go ahead with a mammatome biopsy. I appreciate that you are worried and discouraged, but it's better to find out and deal with whatever is there. Generally spiculation suggests that the process causing it is changing; it doesn't prove cancer, though, which can only be diagnosed by biopsy.