That is true, you should not be given report information over the phone by anyone other than your Physician. I would look for a Breast Surgeon for your biopsy if one is available; the MRI could certainly be done at any hospital but I would think best done where you had your Mammogram and Ultrasound. It's always better to have all your films in one place if possible. Evidently whatever was seen on the first Mammogram did not disappear on the spot compression and therefore left a question as to what it might be .... hence the recommendation for biopsy. This is always the safest way to go when there is even the slightest question as to what is seen on film. In reality a biopsy is the ONLY way to know the true nature of any finding on film. Stay calm now and take this one step at a time and keep us posted, OK ?? Regards ....
You already have your mammogram, now you need to have an MRI. Once you have both get a second opinion from a Breast Specialist before any proceedures. Once you are over that second opinion and only if necessary ask the Breast Specialist to refer you to a Breast Surgeon for the Biopsy. There are several types of biopsies so make sure the breast Specialist tells you and informs the surgeon what kind of a biopsy you are to have.
Good luck.
Thank you so much for your responses. I'm expecting a call from my GYN office by Wednesday. I'll definetely let you know how its going. Yes, its better to take one step at atime and stay calm unles I hear bad news. Another question I have - is there a difference between breast specialist and breast sugeon (i thought that would be the same doctor) and what is the best way to look for one you can trust? I live in NYC, may be I should go to Sloan Catering hospital (specializing in any kind of cancer) or its too early to go there?
Thanks again! I'm so happy i found this site!
It is definitely good to take baby steps, rushing is not going to change whatever the results will be, take it easy and don't stress yourself.
As far as I know and when I had to look for my oncologists, I was told by my friend a chemotherapist to look for a breast specialist because they are precisely specialized in soft tissue but the ones I met were not breast surgeons/mastologists so I had two oncologists as mentioned.
It would be a good idea to go to Sloan Catering Hospital I have heard very good comments regarding their doctors and experience. Once you have your mammogram and your MRI, then get an appointment with a breast specialist at Sloan Catering Hospital remember he is to tell you what kind of a biopsy you are to have and to refer you to a good surgeon specially if you are to have a surgical/open biopsy, if you need a needle biopsy or similar ones the specialist will know who to refer you to. It will not be early to see them if you have the mammo and MRI them simply get your appointment as soon as possible so you will have some peace of mind.
Please let us know how you are doing and how your procedures are going and specially what your pathology report says.
Good luck and again take it easy.
Regards
Hi Marylou, thanks again for your support and the answers. At this point I need as much info as possible to understand in details whats going on and what to expect. I'm going for Breast MRI today and will let you know what the result is. Got my spot compression and US report yesterday. Here it is:
FINDINGS:
Spot compression views the left upper outer breast demonstrate island of dense breast parenchyma associated with parenchymal distortion. No suspicious calcifications are noted. Directed US to the area of concern reveals hypoechoic vaguely defined area without significant posterior shadowing or discrete nodularity. Periphereal vascularity is seen on color Doppler examination.
IMPRESSION:
1. Ill-defined hypoechoic area of parenchymal distortion and assymetry in the left upper outer breast. Developing neoplasm is suspected. Tisuse sampling by means of vacuum assisted core biopsy is strongly recommended. MRI of the breast with gadolinium should be considered prior to intervention.
2. BI-RADS 4C: Suspicious findings.
I understand that this result is not good, but still ONLY biopsy can tell me if it is cancer. Do you by any chance know any statistics for BIRADS 4C "fales positive" findings? My son is 21 now, when I was breastfeeding him I had inflamation in the left breast - can it be the reason of the findings? Should I go for second opinion before doing the biopsy or should I do the biopsy ASAP?
I really appriciate any input and info!
Thanks again for the support - I really really need it right now!
I don't think a second opinion is needed at this point, lana, as they are still testing you, and with yout scans so far the next step that is really indicated is that biopsy.
No question about it.
It's not the same as when you were breastfeeding. This could very well be cancer, but then it said a 'newly developing one'?
The worst part is not knowing anything and that is what causes the fear. Once you find out, no matter which way, you will feel a lot better.
I am sorry that you have to go through all this, but should the news be not what you wanted, you wilol still be able to handle the reality of no matter what is going on/not going on. KAT