solid nodule

good day, i had a mamogram (mammogram) and result was bi-rad0  there are nodular densities with benign features on the left breast. no abnormal microcal., architectural dist., skin thickening or other indirect evidence of malignant identified.suggest another test w/c is sonomamogram. sonomamogram result: solid hypoechoic nodule on the right breast with an ill marginated margin, 10-11 oclock position, retroareolar area w/c measures 1.73x1.66x1.56cms. no calcification seen the left breast is unremarkable. the surgeon advised me to take antibiotic for 1 week but didnt say its malinant or benign. pls. help me explain the results of my tests. many thanks

[bluebutterfly2222]

An inch is  approximately 2.5 centimeters, so your area is less than 1 inch by 1 inch.

That is not large if it is just an infected area, but if it is a tumor, the true size would not be known until the pathology report from an excision came back.

Best wishes,
bb

[bluebutterfly2222]

A BI-RADS 0 means incomplete or inconclusive; further evaluation is needed.

The recommended study was a sonomammogram. This showed a solid nodule with "ill-marginated margins"  (margins that are not clearly defined) in the right breast.

It is not possible to tell conclusively if this finding is benign or malignant without a biopsy, but apparently your surgeon thinks there is a posibility that it is an infected area, since s/he recommended an antibiotic.

How it responds to the antibiotic will no doubt determine what the next step (if needed) in the evaluation  process will be.

Best wishes,
bluebutterfly

[ghie36]

as i started taking antibiotic i noticed that the nodule started to soft is it a good sign ?

[bluebutterfly2222]

I believe so, and I hope so, but your doctor or his/her staff would be the best source of information about this.

Best wishes,
bb

[ghie36]

is the size of the nodule found tru sinimamogram big?

[bluebutterfly2222]

An inch is  approximately 2.5 centimeters, so your area is less than 1 inch by 1 inch.

That is not large if it is just an infected area, but if it is a tumor, the true size would not be known until the pathology report from an excision came back.

Best wishes,
bb

[ghie36]

how would i know if its an infected area only?

[bluebutterfly2222]

The surgeon who recommended that you take an antibiotic for one week will probably decide, based on the response to the antibiotic, whether further imaging or possibly a biopsy is indicated.

As I mentioned above, the only way to be completely sure is through examination of the specimen under a microscope following biopsy, but various forms of imaging can provide helpful information to an experienced radiologist.

Regards,
bb

[ghie36]

my dr. recommend to continue antibiotic for another 5 more dys

[ghie36]

i already finished my anti biotic but still the nodule is there, what would be the dr.'s nxt step in ur opinion?

[bluebutterfly2222]

Please see my comment of 9/17/11, above.

And please keep us updated about what additional steps are taken--we care!

Best wishes,
bb

[ghie36]

i have a  2 swollen lymp nodes under my chin on the left side the other one is big and the one is small, my dr. told me to take anti biotic again but didnt tell if it was related to my nodule, i hve an allergic rhinitis evry morning

[bluebutterfly2222]

Lymph nodes can become enlarged for many reasons including infections, diseases like "mono," and more serious issues.

After you have completed this course of antibiotics, I would suggest you ask your doctor to check your lymph nodes for enlargement  at other sites (groin, underarms, etc.) if s/he did not do this at your recent visit.

Regards,
bb