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Post Message ] [ Message Board ] [ Search ] [ FAQ ]Posted by Sunnie on 8/1/2000 from 206.37.206.68:Hi, I am a 47 year old who had a complete hysterectomy, including ovary removal at the age of 43 for fibriod tumors. I am currently taking estrogen. Shortly after my hysterectomy I had my first mammogram because of a large lump on my right breast. After followup mammos and ultrasound, I was told that I had 11 cysts in my left breast and 4 in my right. Ended up having a needle aspiration on the right because one lump was so large that it was visible to the nakid eye. It was benign. Next mammo (1 yr) showed that the cysts were going away. My pcp decided I didnt need a mammo the next year. This year I had a mammo in April. Called back for compression views. There were suspicious calcifications. Had a needle guided excisional biopsy. Pathology report came bacl borderline DCIS/ ataypical hyperplasia. I live in a very small town in the California desert, so I asked to go to USC Breast Center to see Dr. Silverstien for a second opinion. At USC the diagnosis was also deemed borderline, but he felt comfortable calling it atypical hyperplasia. Said to get a follow up mammo to make sure there was no more califications. So in June I had a new mammo just on the left. AGAIN I was called back. They found two lumps (8mm and 5mm) side by side on my left breast (the excisional biopsy was done on the 7 oclock position on the left breast, the new lumps found in the 12 oclock position). These lumps didn't show up on any prior mammos. Sent for an ultrasound. Mamo report says suspicious. Ultrasound says NOT cystic (no fluid), says solid nodules, probably benign. My doctor was going out of town for 2 weeks, so he had the ultrasound reports sent to the surgeon who did the other biopsy. Saw the surgeon. He was sort of undecided what to do. I am sure they don't have all the sophisticated equipment here to do stereotactic biopsies, or core biopsies. The only thing he mentioned was another excisional biopsy which he didnt want to do since I just had one done in May. He said they LOOK like they could be benign, but he isnt sure. said maybe we should wait for 6 months. I am concerned because of the atypical hyperplasia diagnosis and also because they were NOT there in April. My PCP came back from vacation and called me yesterday. Wondered why the surgeon hadn't acted on the lumps. Said they are solid and should be checked out. He called the surgeon and told him his concerns. The surgeon admitted that he was a bit undecided what to do. He said if I hadn't had the biopsy in May, he would not hesitate to biopsy these lumps. He did tell me if I had uneasiness about waiting he would do a biopsy. IF that is the way he feels, shouldn't I insist on a biopsy? I would even be happy with a needle aspiration to rule out a malignacy. The pcp called me back and said the surgeon is going to call me. He said he will do a biopsy (excisional again). Apparantly he has had some thoughts about it over the weekend. Should I be concerned because of the atypical hyperplasia?
Sunnie
PS. I also should mention I am a heart patient. (under control) Heart disease runs in my family. As far as I know breast cancer does NOT, but my mothers sister died of cancer and her father. I have no sisters, only brothers. In fact it is hard to track breast cancer in a family that for generations on both sides has been dominated by males.
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