Surgical Breast Biopsy

[LindsayLee]

The radiologist recommend I have a sugical excision for a breast biopsy after they have done at least two needle biopsies on the area in question. It did come back benign both times. It is an odd shape and the largest area of it is 1.7cm.(about 1/2 inch or less) My question is will this open a way for new growth or my having future problems because of this surgery? It would be nice if a Doctor would also replied to this post. Thanks

[LindsayLee]

I really dont think that the radiologist made a mistake.  I would like to believe that in my case too.You could perhaps ask for another radiologist to look at it or ask your mothers doctor what he/she thinks although they usually go by the radiologists recommendation.They do question everything!    I would like to tell you not to worry so much but I know that to be very difficult.  I know it can be shocking but please try to see that your mother does not ignore any recommendation. Did they recommend an MRI/ I do not know what those initials you used on your post means. What I now know is that the most reliable testing is the surgical biopsy.  Let me know what happens. Hope it all turns out as a better report. Please help your mother not to ignore it and be a calm support for her . That is what she will need right now. Hope this helps somewhat.

[good4u]

here is a mammography and ultrasound report of my 42- year old mother.

Mammography of both sides.

Skin and subcutaneous tissues are normal
Nipple and areolar regions are normal
1) Both the breasts show fatty glandular appearance.
2) Small well defined opacity in lateral quadrant of right breast
3) Few other smaller ill defined opacities in superolateral quadrant, few showing microcalcification.
4) No obvious opacities in left breast
5) Benign calcification also noted in superolateral quadrant of right breast.
6) No evidence of vascular prominence.

Ultrasound Report
1) 4-5 small, hypoechoic ill defined lesions in right inferolateral quadran, few showing calcific specks -? Neoplastic. Largest measuring 12 X 8 mm
2) No obvious continuity noted between the lesions
3) Rest of the both breast parenchyma normal. No ductectasia
4) Small well defined hypoechoic lesion (10 X 7mm) noted in the farlateral region at approximately 9 O' clock position of right breast-? Node
5) Few subcentimeter bilateral axillary nodes with normal morphology

Birads-5

I understand birads-5 means more chances of malignancy. but i think that the radiologists made a mistake.

My mother's family has no history of cancer of any type. She is not a smoker or alcoholic.

I hope she is just having a Benign. How many chances is she having of malignancy.

The radiologist suggested F.N.A.C?

Please help me at the earliest.

[nannotnancy]

I also had that problem with the Physicians question area, but they finally answered and it was worth it, so keep trying.

Having surgery should NOT cause any future problems, and may give you peace of mind.  There is a "myth" that surgery will cause cancer to spread, but the data shows otherwise.

As far as future problems due to surgery, you will have a scar, but doctors that specialize in breast surgery can do amazing work.  I have a few scars, but well worth it for peace of mind.  

Good luck to you,
Nan

[LindsayLee]

Every time  I go to the expert forum any time of day it says they are not taking any new questions so they are not ever available

[japdip]

Post on The Expert Forum for a response. Physicians from The Cleveland Clinic answer questions there.