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Repeat MRI

Hi There! I am a 38 yr old with a family history of BC.  I had a mammogram, US, biopsy and MRI of my breasts 8 months ago with all sorts of findings that I gather were cysts, fibroadenoma, etc. They also stated in my report, which I do not unstand, is a solid benign-appearing lobulated mass in the 4:00 position measuring up to 1.3 cm in diameter, with slow progressive benign type enhancement kinetics (type 1 curve). I have another MRI next month (which is 8 months later- they forgot to schedule it at 6 months). My doctor states that I am higher risk then normal and I have also found another lump since then. I had a rough few months with all of the testing I did before and I am assuming the area of concern is the 4:00 position...I am concerned that  "benign-appearing" is not a definite diagnosis as well as not understanding the slow progressive benign type enhancement kinetics...Please can someone give me input?
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Avatar universal
Thank you so much! I understand completely from the way you explained it. I appreicate your explanation.
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587083 tn?1327120262
Hi,                                                                                  "Washout kinetics" is one of the means that radiologists use to distinguish between a benign lesion and a lesion which may be cancer. During the MRI process, you receive an injection of dye. A lesion that has quick enhancement after the injection and then has a high degree of washout (i.e. the lesion shows up quickly on the MRI film but then fades out) is more likely to be cancer than a lesion that maintains its enhancement, such as yours. Having said that, I think that you are receiving excellent care to closely monitor the lesion in your breast  since you have a family history of BC. The solid lump in the 4:00 position, could be a lobulated Fibroadenoma which appears to be benign (only one curve)
Rest assured that if the lump looked suspicious in any way, the Radiologist would have recommended a biopsy without delay.
All the best and I hope that your upcoming MRI test will result in benign findings.
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