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mri results
I am a breast cancer survivor and it was her2 positive
and now in my left breast the mri shows a well circumscribed area of enhancement 1.5 cm x 0.8 cm and it also demonstrates a enhancement kinetics with central washout. I had a breast reduction on this breast 1 1/2 years ago but i had a mri since then and a mammogram and there was nothing showing on them. So now I,m waiting to hear if I got to have a Biospy done or not. Do anyone have any ideas what all this means i,ve done some investgating but come up with alot of different answers and worry that my cancer is back.
and now in my left breast the mri shows a well circumscribed area of enhancement 1.5 cm x 0.8 cm and it also demonstrates a enhancement kinetics with central washout. I had a breast reduction on this breast 1 1/2 years ago but i had a mri since then and a mammogram and there was nothing showing on them. So now I,m waiting to hear if I got to have a Biospy done or not. Do anyone have any ideas what all this means i,ve done some investgating but come up with alot of different answers and worry that my cancer is back.
Well,I am sorry that it's not the results we were hoping for,but this finding is one of the less alarming situations.
I have copied these two answer from doctors who will explain better than I ever could about your situation.
The woman they responded to (Carol),was asking exactly what you are asking here and I hope their answers will be helpful to you.
Of course your Surgeon is the one who will let you know exactly what is the best treatment for you.
Wishing you all the best! _________________________________________________
CCF-RN,MSN-rf
Mar 22, 2005
Dear Carol in Pittsburgh: DCIS (ductal carcinoma) is a non invasive form of breast cancer that, theoretically, should not have the ability to spread elsewhere in the body. DCIS has an excellent prognosis when treated surgically with either mastectomy or breast conserving surgery (lumpectomy) which is usually followed by radiation therapy.If left untreated, however, DCIS could develop into an invasive cancer. In addition, DCIS can be associated with an invasive cancer which would likely alter the treatment recommendations. For pure DCIS, there is no need for chemotherapy.For DCIS that is estrogen receptor positive, tamoxifen is frequently recommended following breast conserving surgery and radiation to further reduce the risk of local recurrence and to reduce the risk of a new cancer on the other side.
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surgeon
Mar 20, 2005
DCIS, by defintion, is not invasive. It should have nearly 100% cure rate (it's true that without being able to slice the samples so thin as to be able to see every single cell, it's possible to miss a tiny area of invasion. But the "IS" of DCIS stands for in-situ, which means it has not crossed a certain barrier and therefore is non-invasive and can't spread beyond the breast. It can, however, spread within the ducts of the breast. Treatment aims to get rid of all the tissues at risk for intraductal spread. The decisions are based on several details of the DCIS a person has: it can be very tiny, and, depending on age, may require only a small area of excision with no more treatment except, in some cases, taking hormone-blocking medication. In other situations it requires lumpectomy and radiation. If it's extensive enough, simple mastectomy is done. Hormone blockers are usually used, no matter what direct treatment the breast gets. It also depends on specifics of how it looks under the microscope: is there enough within a duct that the duct is expanded outward; are the cells in the center of the DCIS dying? Grade 2, in and of itself, is not enough info on which to say for sure what's best. The good news is that with treatment, cure is nearly guaranteed.
I have copied these two answer from doctors who will explain better than I ever could about your situation.
The woman they responded to (Carol),was asking exactly what you are asking here and I hope their answers will be helpful to you.
Of course your Surgeon is the one who will let you know exactly what is the best treatment for you.
Wishing you all the best! _________________________________________________
CCF-RN,MSN-rf
Mar 22, 2005
Dear Carol in Pittsburgh: DCIS (ductal carcinoma) is a non invasive form of breast cancer that, theoretically, should not have the ability to spread elsewhere in the body. DCIS has an excellent prognosis when treated surgically with either mastectomy or breast conserving surgery (lumpectomy) which is usually followed by radiation therapy.If left untreated, however, DCIS could develop into an invasive cancer. In addition, DCIS can be associated with an invasive cancer which would likely alter the treatment recommendations. For pure DCIS, there is no need for chemotherapy.For DCIS that is estrogen receptor positive, tamoxifen is frequently recommended following breast conserving surgery and radiation to further reduce the risk of local recurrence and to reduce the risk of a new cancer on the other side.
--------------------------------------------------------------------
surgeon
Mar 20, 2005
DCIS, by defintion, is not invasive. It should have nearly 100% cure rate (it's true that without being able to slice the samples so thin as to be able to see every single cell, it's possible to miss a tiny area of invasion. But the "IS" of DCIS stands for in-situ, which means it has not crossed a certain barrier and therefore is non-invasive and can't spread beyond the breast. It can, however, spread within the ducts of the breast. Treatment aims to get rid of all the tissues at risk for intraductal spread. The decisions are based on several details of the DCIS a person has: it can be very tiny, and, depending on age, may require only a small area of excision with no more treatment except, in some cases, taking hormone-blocking medication. In other situations it requires lumpectomy and radiation. If it's extensive enough, simple mastectomy is done. Hormone blockers are usually used, no matter what direct treatment the breast gets. It also depends on specifics of how it looks under the microscope: is there enough within a duct that the duct is expanded outward; are the cells in the center of the DCIS dying? Grade 2, in and of itself, is not enough info on which to say for sure what's best. The good news is that with treatment, cure is nearly guaranteed.
well next week is surgery mascetomy because of my history and i have a question if you a\have a double masectomy and then implants should you still have mri,s done or not and i guess they will do more testing of the tumor when it is removed to see if any other treatment needed
Hi,
All I know is that usually women have an MRI before conservative breast surgery (lumpectomy) to make sure that there are no other abnormalities within the breast, aside the one that was detected on mammogram and Ultrasound.
I am not sure why an MRI would be useful in your case, since you and your treating doctor have opted for a double mastectomy and the breasts are going to be removed.
I honestly cannot tell you if you need an MRI or not before surgery... I really don't have an answer for you.However if your doctor has recommended an MRI,then there must be a reason and you should have it done since he/she have all your medical records and know what is needed in your particular case.
I hope that your surgery will be uneventful and most of all successful in beating cancer one more time and for ever.
Wishing you the best of luck and prompt recovery...
All I know is that usually women have an MRI before conservative breast surgery (lumpectomy) to make sure that there are no other abnormalities within the breast, aside the one that was detected on mammogram and Ultrasound.
I am not sure why an MRI would be useful in your case, since you and your treating doctor have opted for a double mastectomy and the breasts are going to be removed.
I honestly cannot tell you if you need an MRI or not before surgery... I really don't have an answer for you.However if your doctor has recommended an MRI,then there must be a reason and you should have it done since he/she have all your medical records and know what is needed in your particular case.
I hope that your surgery will be uneventful and most of all successful in beating cancer one more time and for ever.
Wishing you the best of luck and prompt recovery...
I'm so sorry you're going through this mess again. Having reconstruction won't mess with having MRI's.
I chose to have DIEP reconstruction using my own skin and tissue while leaving my muscles intact.
I have yearly MRI's done for surveillance. If you feel comfortable having the MRI's yearly, I'm sure you can get your oncologist to schedule it for you. Most implant manufacturers recommend an MRI every 3 years or so anyways.
Best wishes
I chose to have DIEP reconstruction using my own skin and tissue while leaving my muscles intact.
I have yearly MRI's done for surveillance. If you feel comfortable having the MRI's yearly, I'm sure you can get your oncologist to schedule it for you. Most implant manufacturers recommend an MRI every 3 years or so anyways.
Best wishes
Thanks Sue for clarifying! :)
I thought "popabear36" asked if an MRI was required before having the double mastectomy..After re-reading her post and yours,I realized that she meant "Post surgery".....
P.S. Sorry popabear3 for misunderstanding your post.
Some doctors don't always agree that patients should have an MRI post mastectomy unless painful symptoms occur,but Sue Young is absolutely right that after your surgery,an MRI test, every one or two years,could certainly be of value to make sure that all is fine.
Again I want to wish you all the best!! :)
I thought "popabear36" asked if an MRI was required before having the double mastectomy..After re-reading her post and yours,I realized that she meant "Post surgery".....
P.S. Sorry popabear3 for misunderstanding your post.
Some doctors don't always agree that patients should have an MRI post mastectomy unless painful symptoms occur,but Sue Young is absolutely right that after your surgery,an MRI test, every one or two years,could certainly be of value to make sure that all is fine.
Again I want to wish you all the best!! :)
Well the surgery is over and i had a masectomy with a sentile node biospy and got the results today they said it is dcis and they found a .55 cm of invasive breast cancer and it was a grade 2 and nothing in the node so now i have to wait to see a ongolagist to see if any further treatment is required so do anyone have any ideas or thoughts on treatment or not becuase i feel since this is my second time having it even though its small that i should have a little chemo or something so any thoughts i would appreciate
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All I can say is that since a biopsy is recommended, I would assume that your BI-RADS score is probably a 4,which means that the lesion is only suspicious,but it doesn't mean that cancer will be found.
BI-RAD (Breast Imaging-Reporting and Data System), is a system used by radiologist to categorize the findings on Mammography,Ultrasound and MRI.You could call the radiology institution to find out about it.
Radiologists use numerical codes that go from 0 to 5.
The higher the score the more suspicious the lesion is.
Many BI-RADS score 4 return a benign finding and I am hoping that the results of your biopsy will be benign also.
Hang in there....and good luck!