2nd opinion?? Calcifications

[barriju]

Hi I am 35 with no family history of Breast Cancer. I had a lumpectomy 3 yrs ago which turned out benign (RB). I recently felt two lumps in my left breast and was scheduled a diagnostic mammogram and ultrasound. The ultrasound showed these lumps as cysts and that there were no concerns about them. There were concerns about the mammogram as it showed a cluster of calcification directly behind the cysts that he said was highly suspicious. He recommended that I follow up in 6 mths for another ultrasound. After reading some of these posts I am wondering if I just do the "wait and see" or is this standard procedure?? It also seems that people are posting more specific information such as size, Bi-rads codes ect?? Should I have been given this info or is this information given at a later time?? Any advise or information would be appreciated. I feel very uninformed:(

[japdip]

The details of your examinations would be in the actual reports that were sent to your prescribing Physician so you might ck. with that office for a copy. Microcalcifications are an indication that some abnormality is present within the breast tissue ... NOT necessarily something malignant. I think the 6 month re-check is a proper recommendation since the findings did show cysts. If something is truly "highly suspicious" then a biopsy is usually recommended so this may have been an overuse of the term "highly suspicious". If I were you I would contact your Dr.s office and request that he/she sit down with you and discuss the reports in detail. I don't see a need for a second opinion as that would merely be having your films read by another Radiologist.   Regards ....

[lisamariern]

I had microcalcifications (bilateral and scattered) that were "watched" on every 6 month mammograms for over a year. On the most recent mammogram, an increased cluster was seen on the right breast. The radiologist recommended a stereotactic needle biopsy.  This came back as ADH (atypical ductal hyperplasia).  An excisional biopsy (lumpectomy) was then recommended. This was done by a breast surgeon. The pathology result came back as borderline ADH/DCIS (ductal carcinoma in situ). For me, it was important to remove this abnormal tissue before it had a chance to develop into invasive cancer. You definitely want to stay on top of the 6 month follow-up mammogram.  If you do not feel comfortable with this and want to be more aggressive, you could request a biopsy.  To put your mind at ease though, according to my research, most biopsies do come back negative.