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Cluster of Calcifications
Hi , my mother got her mamogram and ultrasound done. Mamogram showed cluster of calcification on left breast and few microcalcification on right breast. Birad 4 advised MRI
Ultrasound shows hypoechoic lesion on left and right breast almost 12×4mm and 8mm×5mm. She has too much anxiety and assumed its cancer possible fibroadenoma. The doctor said we cant take biopsy as there is no lump visible on ultrasound and only shows fibroadenoma so lets wait for 3 months and repeat the ultrasound again and the calcifications are likely due to fibroadenoma.
Please advise if this is the right approach
Answers (15)
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BIRADS 4 ka matlab hi hota hai "suspicious â tissue diagnosis chahiye", aur uske liye 3 mahine wait karna standard nahi hai. Waiting BIRADS 3 ke liye hota hai, 4 ke liye nahi. Cluster microcalcifications ultrasound par aksar dikhte hi nahi, isliye "lump nahi dikh raha to biopsy nahi ho sakti" wali baat sahi nahi â aise cases me stereotactic (mammogram-guided) vacuum biopsy hoti hai, aur ultrasound par jo hypoechoic lesion dikh rahe hain unki USG-guided core biopsy ho sakti hai. 65 ki umar me isko fibroadenoma maan lena thoda risky hai.
Next Steps
Ek breast surgical oncologist ya breast clinic me second opinion lijiye aur biopsy ka option zaroor discuss kijiye â mammogram, USG aur MRI reports saath le jaiye. Reports samajhne ya plan par honest doosri raay chahiye to mujhse Practo par consult kar lijiye. Sirf wait karke 3 mahine nikaalna is grading me main support nahi karunga.
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Unlike other cancers, breast cancers don't produce tumor markers at early stages....A BI-RADS 4 rating means an abnormality is suspicious and a tissue biopsy is needed.
Most BI-RADS 4 lesions turn out to be benign (non-cancerous), but a biopsy is the only way to know for sure.
Hypoechoic lesion is almost 1.2cm (12mm) which can easily be taken up by FNAC or biopsy. Either get a biopsy or PET CT
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BI-RADS 4 means the finding is suspicious, but not cancer-confirmed.
Calcifications can be benign, but their pattern matters.
Please get the mammogram reviewed by a breast radiologist.
A biopsy may be required depending on the calcification pattern.
No need to panic, but don’t delay the recommended evaluation.
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Need further investigations to be sure as most breast lumps are benign in nature . Biopsy or FNAC is needed here ..
Next Steps
go for FNAC / BIOPSY or PET SCAN
Health Tips
do not worry just stay positive and stay with your mother and reassure her ...
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