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Breast Cancer Community
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Ultra sound findings question
by dmdav, Jul 24, 2008 11:01AM
I have been followed for about 5 years for a "benign lesion" in one breast that always appeared stable. My recent mammo showed it had enlarged a bit. I was sent for an ultra sound with the findings of a 5mm mass with mixed echogenicity. It is mostly hypoechoic with a small hyperechoic nodule along the anterior surface and is exceptionally vascular. I was told that it could be a fibroadenoma or an active lymph node. I will be having a breast biopsy. The more I read about either of these, the more I'm worried that it doesn't sound like either. Do you have any thoughts? What could be there stable for so many years and then become worrisome? Thanks for any info you can help me with.
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With the present ultrasound and mammographic developments, I believe that you doctors are taking the right course in assessing the lesion. Breast lumps or nodules that enlarges would warrant a biopsy or further investigation, to rule out a neoplastic process. The increased in vascularity is also a factor in considering a biopsy since fibroadenomas are usually non-vascular.
However, it is still too early to tell if this is indeed benign or something else. The mammogram can also give us a clue if the lesion is probably benign or malignant, and it will be helpful to ask your radiologist about the BIRADS category of the mammogram (you can learn more about BIRADS here: http://biradsclass.blogspot.com/). One point that I want to make is that vascular lesions have a bigger tendency to bleed when biopsied and I recommend discussing the procedure very well with your surgeon.
Regards and God bless.