Hypoechoic Mass

[lady4law]

I just recieved a print out of my mammogram and it says, I have a "slightly irregularly marginated hypoechoic mass" (I don't think the "ly" belongs in irregular...but that's the way it is printed on my imaging report. Also it states, "suspicious for neoplasm' and rates my BI-RADS as catagory IV.

I understand the BI RADS, and located a vague defination for neoplasm, but cannot find any information relative to the hypoechotic mass. DOes anyone know what these mean? I have an appointment to see a surgeon Monday but he generally won't perform one for 2-3 weeks and my report is requesting one ASAP. (my mother and gradnmother died from BC.) Any comments will be helpful as I am sure the next few days will be close to unbearable.
Jean

[mav38]

I met with a general surgeon and now am meeting with a breast spec. on the 8th.  I spoke with the dr this morning and she already has all my films and went ahead and sheduled surgery for 4/22.  We know it has to come out, it is just a matter of when.  She stated she will have to do a wire localization and then  to the OR to take out the area - into recovery and then home.  So, hopefully not too bad.  Any suggestions on any of this would be great.  Thanks!

[BhumikaMD]

Hi,

You could ask specific questions or doubts that you have about Atypical Ductal Hyperplasia.

Atypical Ductal Hyperplasia (ADH) is not cancer. ADH means that the cells lining the milk ducts of the breast are growing abnormally.

Let us know about your queries and post us about what your surgeon tells you.

Regards.

[mav38]

I am meeting with the surgeon next week.  I will keep you posted.  The more I understand about ADH, the more I am confused.  You read one thing and hear another??  DO you have any more info on ADH?

[BhumikaMD]

Hi,

You can relax about the report coming out to be benign.

Discuss the further plan of management with your breast specialist and let us know what he/she advises.

Keep us posted if you have any doubts and also let us know about how you are doing.

Hope this helps.

Regards.

[mav38]

I had my US guided core biopsy this past Thurs and got the results today.  The path report states Malignancy is not identified.  Final diagnosis:  Extensive schlerosing adenosis with microcalcifications. Focal atypical ductal hyperplasia.  The Radiologist stated it still needed to come out with surgery.  Do I have anything to worry about?

[BhumikaMD]

Hi,

Shadowing means the usual, its the dark area created where light, and in case of mammograms or ultrasound, the rays cannot enter because of some intervening matter.

I am not sure why your doctor used the term persistent. Perhaps he did multiple exams and noticed the same pattern and wants to convey to his colleagues that he is sure of the findings. There could be other reasons too and only your doctor would be able to tell you what exactly he meant.

Micro calcifications are small collections of calcium and in a concentrated or speculated pattern help detect "suspects".

Its normal procedure in suspected lesions as I told you earlier to have a biopsy after the imaging.

Let us know if there are any more queries.

Regards