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Breast Cancer  (Expert Forum)
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Correlation between Cervical Displaysia and Breast Calcifications?
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.

Correlation between Cervical Displaysia and Breast Calcifications?

by qtpuh2tme, Dec 07, 2001 12:00AM
I am 46, still have fairly regular monthy periods [no signs of menopause, that I'm aware of] (although they seem to be shorter; 3-5 days, as opposed to 5-7 days), no family history of breast cancer.  3 yrs ago in May, I had a cone biopsy for severe cervical displaysia; margins were clear.  6 mos later, same proceedure; margins were clear.  Now 2 years after last cone biopsy, severe displaysia again.  At the same time, mammo and breast ultrasound show changes [from mammo taken 2 years ago] in R-breast (my breasts are VERY cystic) and reveal 'calcifications'.  I also have at least one lump in R-breast, that can be palpably felt, that may be fluid filled.  

I would like to know what, if any correlation/relationship there is between this severe cervical displaysia and now, the breast calcifications?  I am scheduled for a surgical consult at the end of this month to discuss biopsy (ies) of the R-breast.  Under what conditions should breast biopsy be done?  If any calcification(s) is found or only if 'clustered' calcification(s) is found?  I've read about sterotactic biopsy proceedure. If this proceedure is not done, what other kind of surgical biopsy is done in concern of breast calcifications?  I am a US Army veteran (with no other 'insurance') and so, as such, may not have available to me 'all the latest surgical techniquies.'

Also, sometimes, unless one knows the 'right' questions to ask a doctor/surgeon, one doesn't get the right answers one needs.  What questions should I be asking?  What information should I know/be told?

Thank You.

by CCF-RN,MSN-JS, Dec 07, 2001 12:00AM
Dear     ,  The determination whether or not to do a biopsy is based on evaluation of information obtained from other less invasive examination and testing.  The surgeon will check the mammogram, perhaps an ultrasound will be ordered to see if this lump is fluid-filled (cystic) or solid.  If fluid filled perhaps the cyst will be drained and the fluid sent for analysis.  If the mass is palpable and easy to find this could be done directly in the surgeons office using a local anesthetic and a needle inserted to withdraw the fluid.  
The finding of microcalcifications on a mammogram are usually categorized in a range from low to high suspicion of an abnormality, based on what they look like.  More clustered microcalcifications might look more suspicious than scattered microcalcifications.
If the determination that a biopsy is recommended the surgeon will usually propose the least invasive method that can give the most information.  This could range from needle biopsy to excision of the entire lump.  Stereotactic biopsy is somewhere in the middle in terms of amount of tissue removed.   The surgeon will discuss with you the type of biopsy they would be recommending and should discuss risks and benefits.  
Questions that you would want to ask are about the results of the mammogram, if no biopsy is recommended, what further evaluation of the lump will there be.   If a biopsy is recommended what are the options, and what are the risks and benefits.  Once the type of biopsy is decided upon, you should be given information regarding any preparatory procedures you need to follow before the procedure.  The information should also include what is involved with the actual biopsy procedure, care of the site after, and when you can expect to hear back from the surgeon regarding the results.  If you are unclear about any of this information, ask for clarification.

There is no known correlation between cervical dysplasia and breast calcifications.


Member Comments (3)

by Alias, Feb 18, 2002 12:00AM
I am going through a similar situation. About the time I turned 40 years old I have been going for repeat paps and biopsies for cervical dysplasia every 3 months and for mammograms and ultrasounds every 3 months and now a mammatome on my left breast to biopsy tissue ...possible fibroidenoma. I too wonder if there is a connection here....possibly some fault in the immune system.
I am concerned though as to who should be performing the mammatome... a general surgeon (who my GYN sent me too) or a breast specialist of which I can't seem to find any.ALso, is it better to remove the entire lump or just take tissue for a biopsy. Isn't it not better to remove the entire mass? I am afraid if they open the lump, then if it is cancer it has a better chance to spread rapidly.....

by Shosh, Mar 26, 2002 12:00AM
I had a lump removed at 23.  It was atypical Ductal Hyperplaysia.
I now am 38 and need a hysterectomy.  I'm not sure if I need a full or partial.  I had heavy bleeding for weeks for about 2 years.  I went on low doses of provera to control the bleeding.  It did work but the drs really don't want me on it.  So right now I do know I need the hysterectomy because I'm at high risk for uterian cancer.  They also want me to go on Tamoxifin (tamoxifen).  I can't go on hormone therapy because of being at a high risk.
I'm concerned about menopause, and the side effects of Tamoxifin (tamoxifen).
Do you know if there is a biopsy test to test my cells in my breast?  Are there any other questions I should be asking?  Has anyone had any of these issues?
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