提上来再问dw8866,还有问题, 谢谢了!其他懂的行家也帮忙看看我的case

以下是去年breast biospy 的结果 (去年是因为 suspicious microcacification做的biospy)

 

fianal pathlogic diagnosis

Benign breast tissue demostrating columnar cell alteration/hyperplasia with atypia and without atypia and fibrocystic changes

calcifications are seen within benigh ducts/lobules

今年mammogram and ultrasound 的结果

The calcifications have significanly increased when compared to 2015 and 2016. The calcification now covering areas of 5cmX3.5cmX6.6cm. These calcification remain highly suspicous and surgical biopsy is recommend.

于是去看surgeon了,做了breast MRI, here is the result:

Background parenchyma extremely dense with several T2-bright lesions noted, compatible with cysts. Backgound enhancement is minimal. In the right breast, in the posterior third of the upper outer quadrant, there is one small area of nodular enhancement noted. This measures 4-5mm in maximal diameter. This lesion shows T2-bright signal centrally. Peak enhancement is, in some areas within this lesion, greater than 400% above baseline. There is no other area of mass-like or non-mass like enhancement in the right breast considered suspicious.

I am totally confused becuase the area MRI found have problem is not the same area that Mammgram shows. So my surgeon did not suggest to perform a surgical biosy on the calcification site. What should I do at this point? It seems that my calcification is getting worse and worse. Should I insist to have surgical biosy on the calcification site? or should I seek a second opinion? 

Please suggest and I really appreciate your help!

所有跟帖: 

Please read on -withHope99- 给 withHope99 发送悄悄话 (277 bytes) () 04/10/2017 postreply 07:37:22

不是oncologist. 看了您的information. breast MRI 都讲的很清楚, -锅沿- 给 锅沿 发送悄悄话 (269 bytes) () 04/10/2017 postreply 08:47:50

thanks! -withHope99- 给 withHope99 发送悄悄话 (0 bytes) () 04/10/2017 postreply 09:04:46

不知道你钙化群到底在哪个位置,和MRI肿块之间相对距离?有特殊形状的微钙化群 -dw8866- 给 dw8866 发送悄悄话 (353 bytes) () 04/10/2017 postreply 13:34:01

谢谢,钙化在4点方向,MRI 检测有问题在10点方向,会有关联吗?我的医生是建议做10点方向的,不建议做4点方向的 -withHope99- 给 withHope99 发送悄悄话 (0 bytes) () 04/10/2017 postreply 15:10:35

很正确,只要做upper outer quadrant 10 o'clock的肿块biopsy就可以了,事实上,超过50% -dw8866- 给 dw8866 发送悄悄话 (222 bytes) () 04/10/2017 postreply 18:57:24

非常感谢! -withHope99- 给 withHope99 发送悄悄话 (0 bytes) () 04/10/2017 postreply 19:33:12

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