My wife (55) just got her mamogram results and they show an ill defined nodule with microcalcifications seen on the upper outer left breast. They want her to come back for further tests ( spot compression and sonography). I guess this is a dumb question but should we be very worried ? Ty for any responses.
Thank you for the reply... The report doesn't say much, but I'll type in everything.
Findings: There is an ill-defined nodule seen within the upper outer left breast for which additional spot compression magnification images in CC and true lateral view on the left are recommended. There is soft tissue nodule with coarse calcifications seen within the right breast, consistent with fibroadenoma. No spiculated mass lesion or suspicious appearing clusters of microcalcificatons seen.
Impression: Additional work up necessary (birads category 0). There is ill-defined dodule with microcalcifications seen within the upper outer left breast, for which additional spot compression magnification images in CC and true lateral view are recommended (birads category 0). Given the appearance on these additional views, sonography may be beneficial for cyst/solid defferentiation.
Now they want her back in for: Spot Compression/Magnification and an ultrasound.
To answer your question - No she does not feel a lump and no discharge or skin changes..
A BIRAD category 0 means that the lesion is benign and no further investigations are required.
BIRAD means breast imaging reporting and data system- it is used by radiologists to classify breast lesions. Further managemnet is then decided accordingly.
Category 0: Need Additional Imaging Evaluation
Category 1: Negative
Category 2: Benign Finding
Category 3: Probably Benign Finding; Short Interval Follow-Up Suggested
Category 4: Suspicious Abnormality; Biopsy Should Be Considered
Category 5: Highly Suggestive of Malignancy; Appropriate Action Should Be Taken
An ultrasound should still be done to find out the difference between a solid and cystic lesion.
Microcalcifications are tiny specks of calcium deposted in the breast tissue. The usual plan of follow up is a regular breast self exam, a clinical evaluation in 6 months and a mammogram every 6 months or annually or as your doctor advises. A biopsy is done for a confirmed diagnosis and to rule out malignancy.
Let us know about how you are doing and if you have any other doubts.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.