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birad 4 stereotactile biopsy
Is anyone out there. Just got a radiology report back with a Birad 4 rating and rec for a stereotactile biopsy. Says it isn't a cyst, but a growth of 5 mm. Anyone know what this means????
Thanks. That was helpful. A glimmer of hope. At least your radiologist told you what it looked like. Mine only told me it wasn't a cyst, leavening me thinking there was no alternative but a malignant growth. He recommended a stereotactile biopsy, which I understand is more often used when they assume it is malignant. Am seeing breast surgeon this Thursday and want to push for an MRI.
radiologist gave me a Birad 4 as well, breast specials says it looks like a benign fibroadenoma. i am scheduled for a biopsy on the 19th. I do hope this helps you
i believe if it's not a cyst it just means that it's a solid. Which is either benign or malignant. Like this says, most birad 4's are benign.
BIRAD scores are not specific to calcifications. It is an overall score of level of suspicion. The percentages of breast cancer are based on all findings, not just calcifications. Here is a run down of the scores taken from www.imaginis.com
Category 1: Negative, there is a 5/10,000 chance of cancer being present. Continue annual screening mammography (for women 40 and older).
Category 2: Benign (non-cancerous) finding, same statistics and plan of follow-up as level 1. This category is for cases that have a finding that is characteristically benign such as cyst or fibroadenoma(see below for more detail).
Category 3: Probably benign finding, there is less than 2% chance of cancer. Usually receives a 6 month follow-up mammogram; most level 3 abnormalities do not receive biopsy.
Category 4: Suspicious abnormality. Most category 4 abnormalities are benign but may require biopsy since this category can be malignant in 25-50% of cases.
Category 5: Highly suggestive of malignancy. Classic signs of cancer are seen on the mammogram. All category 5 abnormalities typically receive biopsy and if the biopsy results are benign, the abnormality usually receives re-biopsy since the first biopsy may not have sampled the correct area. Depending on how individual radiologists differentiate between category 4 and 5, the percentage of category 5 abnormalities that will be cancer may vary between 75% and 99%.
BIRAD scores are not specific to calcifications. It is an overall score of level of suspicion. The percentages of breast cancer are based on all findings, not just calcifications. Here is a run down of the scores taken from www.imaginis.com
Category 1: Negative, there is a 5/10,000 chance of cancer being present. Continue annual screening mammography (for women 40 and older).
Category 2: Benign (non-cancerous) finding, same statistics and plan of follow-up as level 1. This category is for cases that have a finding that is characteristically benign such as cyst or fibroadenoma(see below for more detail).
Category 3: Probably benign finding, there is less than 2% chance of cancer. Usually receives a 6 month follow-up mammogram; most level 3 abnormalities do not receive biopsy.
Category 4: Suspicious abnormality. Most category 4 abnormalities are benign but may require biopsy since this category can be malignant in 25-50% of cases.
Category 5: Highly suggestive of malignancy. Classic signs of cancer are seen on the mammogram. All category 5 abnormalities typically receive biopsy and if the biopsy results are benign, the abnormality usually receives re-biopsy since the first biopsy may not have sampled the correct area. Depending on how individual radiologists differentiate between category 4 and 5, the percentage of category 5 abnormalities that will be cancer may vary between 75% and 99%.
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