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Microlubulated solid mass

A month ago I felt a mass in my left breast. I had a mammogram and they found a "dense mammary parenchyme with bilateral, non-calcified nodular masses", anyway the radiologist recommended a sonomammography.

The left breast mass is apparently a fibroadenoma ("solid, smoothly lobulated 2.0 mass"). They also found 4 more solid masses in my rigt breast. One of them is a "well-circumscribed, hypoechoic 1.4cm solid nodularity"; another one is the same but with posterior wall enhancement such as seen associated with fibroadenoma"; another  one is only described as a "0.9cm solid mass" and the last one is a lobulated 1.5cm solid nodularity wich demonstrates microlobulation and irregular borders. BiRads category 4.

My doctor refered me to a surgeon and i saw him yesterday. He aspirated the large nodule in my left breast to check for any liquid (I´m not sure why because the results already said all the masses are solid), and he told me to wait for another two months to repeat the ultrasound, instead of doing a biopsy right away. He didn´t really paid any attention to my right breast findings. Both, my doctor and radiologist recommended a biopsy, but the surgeon told me to wait because I am "only 29 years old" as he said. He also told me that if was 60, he would rush into a biopsy and removal of this masses, but not for a 29, because he wouldn´t want to cause any unnecesary damage to my breast, me being so young.

I am pretty worried about this and I wonder if my age is really an important lowering risk factor, if so, should I really wait and be patient about this, or is it really important to move quickly? He said two months wouldn´t make a difference if it were cancer. Would it?
Best Answer
962875 tn?1314210036
I'm not in favor of medical decisions based solely on age. (Although breast cancer is less common in younger women, it can be quite serious when it does occur.)

As you probably know, BI-RADS Categtory 4 carries a recommendation for biopsy, and to me it makes sense to at least do a core biopsy of the 1.5 cm nodule with irregular borders. (If it turns out benign, at least you will have peace of mind.)

One option would be to ask for a referral to another surgeon for a 2nd opinion.

Best wishes,
bluebutterfly
bluebutterfly
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Avatar universal
Like zouzi, I've been following your posts and I'm SO happy to hear about your benign results! It is always GREAT to get this kind of good news on this site and I'm really happy for you!
I started responding to questions and posts here because everyone was so kind and informative to me when I first came here. I'm glad to hear you'll do the same to provide support to others in similar circumstances. Sometimes just a few words can make a huge difference. Thank you for that, and I'm wishing you all the best.
Sending you a happy hug from Michigan (       )!        ,
nc
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Avatar universal
You can count on it...
Helpful - 0
962875 tn?1314210036
Hey, that's wonderful news--you've made my day!

I'm glad you found some company and comfort through joining our community.

I hope you'll come back and visit now and then, and  maybe  "pay it forward" by offering support and encouragement to someone else who is facing the same lonely, difficult time that you have just gone through.

Wishing all the best as you go on with your life, with peace of mind!
bluebutterfly
Helpful - 0
587083 tn?1327120262
Hi there,
Although other wonderful members have responded to your post, I've been following your thread being concerned about you...
You can't imagine how glad we all feel when we hear the word "BENIGN"
This is wonderful news! Congratulations!!
Wishing you a long,happy and healthy life.... :)
Helpful - 0
Avatar universal
It's been a month since I joined this community. I did it because I was scared and looking for alternatives to manage something unknown -the possibility of having breast cancer. This time showed me that there is people that still cares, even strangers that you'll probably never get to know. That is a really big thing that helps a lot in the middle of a really lonely time...

For me, this was only a really big scare, my results were benign, and for that, I'm really thankful. But for those other people, I have you in my prayers, in my mind and in my heart... Bless you...
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Avatar universal
Yes, I have... I feel much better today...

Thank you!
Helpful - 0
962875 tn?1314210036
Thanks for the update!

I'm glad you have such a caring and helpful doctor.

Have you been putting ice packs (off and on for short periods of time) on the sore areas? They can help with the swelling and inflammation.

I'll be keeping you in my thoughts and hoping for favorable results...

Wishing you all the best,
bluebutterfly
Helpful - 0
Avatar universal
Thank you all for your support. My appointment went as well as it could have considering the situation. My doctor is very kind and she explained absolutely every detail for me. I had two biopsies on Monday/Tuesday so I feel very sore right now... I'll get my results next week...

Again, thank you very much...
Helpful - 0
962875 tn?1314210036
As backup to the comments by SueYoung55 and me, I am sending you a private message containing  an article recommending evalauation of all breast lumps in younger women, due to the possible severity of BC in young women when it does occur.

Hope your consultation goes well tommorow!

Regards,
bb
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Avatar universal
Thank you for your blessings, my appointment is on Wednesday... I'm a little nervous about it... let's hope for the best...
Helpful - 0
739091 tn?1300666027
I agree with bluebutterfly2222 wholeheartedly. Age has nothing to do with this except when old school doctors forget that there is a whole new generation of young women getting breast cancer every single day.

Please get the biopsy. It's always better to know early than not. I'm sending blessings your way that this is NOTHING at all! Best wishes as you move forward.
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Avatar universal
Thank you, I'll go for that second opinion... I'll keep you posted...
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