啰嗦之前先来个短平快的，就是我乳腺B超RADS CATEGORY: 4，a slightly ill-defined, taller than wide hypoechoic lesion measuring 0.2 x 0.2 x 0.3 cm
需要做biopsy. 而且看着这个描述，心里直打鼓。
我上个月上来问有关风湿免疫科的问题，当时ANA测试1：40，口干，这个问题在没有见到免疫科医生的时候，口干就缓解了，后来免疫科医生说问题不大，就这么不了了之了。大家的劝慰我也听进去了，不再纠结这个问题。过了开心的一个月，女儿从学校匆匆回来又匆匆回去，我也按部就班定时锻炼，心情一直很好。
一直到昨天，我是去年4月30号做的乳腺年检。今年约了五月份做。因为我的乳房非常dense,两侧都有纤维腺瘤，左侧的纤维腺瘤还做过biopsy,所以一直以来都是同时做mammogram和ultrasound. 去了advanced ridiology women center, 先做mammogram，然后B超。我和B超的人说，我的左侧乳房总疼，麻烦帮我好好看一下。
她就在那一直看一直看，我后来忍不住问有什么问题吗，她说她不确定有一个地方是不是tissue，可能需要biopsy.然后她说我把图片发给医生，看她需要过来看一下不。过一会医生来了，看了一下，就说需要biopsy.
然后给我看那个图像，说是以前没有的。我当时懵懵的，就说那就做。然后就约了下周二的biopsy.
回来后收到了检查报告，mammogram没说什么，但是医生说我的乳房太dense了，看不到什么。
PROCEDURE: MM MAMMO SCREENING W/ TOMOSYNTHESIS BILATERAL
CLINICAL INFORMATION: The patient presents for a screening mammogram. History of benign left breast biopsy.
TECHNIQUE: Digital bilateral screening mammography was performed with Tomosynthesis. This examination was reviewed with the aid of Computer Aided Detection.
COMPARISON: Comparison is made with prior exams dating to 2017.
FINDINGS:
RIGHT: There are no suspicious masses, calcifications, or architectural distortion.
LEFT: There are no suspicious masses, calcifications, or architectural distortion. Biopsy clip in the upper outer quadrant.
BREAST DENSITY: Heterogeneously dense - The breasts are heterogeneously dense, which may obscure small masses.
BI-RADS CATEGORY: 1 - Negative:
RECOMMENDED FOLLOW-UP: Annual Screening Mammography Recommended.
A breast ultrasound was performed the same date as this exam and is reported separately.
但是B超的BI-RADS CATEGORY: 4 - Suspicious Abnormality:
FINDINGS: Comparison made with prior ultrasounds dating back to 12/31/2014
RIGHT: Negative. There are no suspicious findings on survey evaluation.
LEFT: Stable benign findings at the 3:00 N5 axis. At the 9:00 N5 axis is a slightly ill-defined, taller than wide hypoechoic lesion measuring 0.2 x 0.2 x 0.3 cm. This is new compared to prior exams and considered indeterminant. Ultrasound biopsy is
recommended. There are no suspicious findings on survey evaluation.
BI-RADS CATEGORY: 4 - Suspicious Abnormality:
RECOMMENDED FOLLOW-UP: Ultrasound guided biopsy is recommended.
回家后，我一直忍着不去网上查，但是看着医生给我的乳腺外科医生的宣传单，我觉得不看看什么都不知道也不行。简单看了一下，就是我这个新发现的ill defined, tallter than wide好像都是很不好的意思。唉，去年刚做完卵巢子宫全切，以为妇科可以没什么问题了，这乳腺又出问题了。
我知道我只能等待下周的biopsy,但是心情还是很波动的。刚刚在论坛上搜了一些帖子来看，姐妹们真的很勇敢。祈祷我这次也能闯关成功。
我就在advanced radiology做biopsy了，这个没什么问题吧？如果有后续的需要（祈祷不需要），唉，我也不知道该问什么问题了，就这样吧。
祝大家周末愉快，身体健康。
