Guide :

Highly suspicious hypo echoic lesions with calcifications

Hi, I just had 2 core biopsies and ultrasound for my left breast which showed 3 hypo echoic massess all irregular shaped, one 12:00 o'clock position measuring 8x6x8mm, another at 1:00 o'clock, 5x9x11mm. and a couple of cysts at 11:30 and 3:00 o'clock.  When doing the core biopsies, they found another lesion near the nipple.  I also have lossely grouped calcifications which have slightly increased in number since my last 6 month mammogram. My radiologist is appearing very admanat that these finding suggest classic invasive breast cancer because of the irregular

Research, Knowledge and Information :


Ultrasound of hypoechoic solid breast nodule


The hypoechoic lesion – Solid breast nodule . ... Calcifications on a solid mass which appear ‘punctate’ are highly suspicious of malignancy and will usually ...
Read More At : breast-cancer.ca...

Assessment of thyroid lesions (ultrasound) | Radiology ...


Assessment of thyroid lesions ... (e.g. calcifications) then hypoechoic nodules are typically ... microcalcifications in regional lymph nodes are highly suspicious;
Read More At : radiopaedia.org...

Online CME: Sonographic Evaluation of Benign and Malignant ...


Sonographic Evaluation of Benign and Malignant ... demonstrates a highly suspicious ... and focal hypoechoic areas are suspicious for malignancy ...
Read More At : iame.com...

The Radiology Assistant : Breast - Calcifications ...


Breast - Calcifications Differential Diagnosis ... Intraductal calcifications are suspicious of malignancy and are classified as BI ... This is highly suggestive of ...
Read More At : www.radiologyassistant.nl...

US of Mammographically Detected Clustered Microcalcifications ...


... mammographically detected clustered microcalcifications and ... highly suspicious lesions ... a mass lesion associated with the calcifications and ...
Read More At : pubs.rsna.org...

Mammo Flashcards | Quizlet


No calcifications US: Hypoechoic. ... Breast is highly glandular with diffuse enhancement, ... Suspicious lesion seen on 1 mammo view and negative US
Read More At : quizlet.com...

Diagnostic evaluation of women with suspected breast cancer


Diagnostic evaluation of women with ... Calcifications that are not suspicious for malignancy and ... Suspicious lesions seen on MRI must be ...
Read More At : www.uptodate.com...

Segmental Breast Calcifications - ajronline.org


Segmental Breast Calcifications ... calcifications in a segmental distribution are highly suspicious for ... E, Sonogram shows large underlying hypoechoic mass at ...
Read More At : www.ajronline.org...

ULTRASOUND OF THE BREAST - Pathology


The material in this breast lesion ... micro-calcifications, ... This ultrasound was undertaken and it followed with a biopsy the next day as it was highly suspicious ...
Read More At : www.ultrasoundpaedia.com...

Suggested Questions And Answer :


Highly suspicious hypo echoic lesions with calcifications

Hi, It is not possible for a physician to be 100% sure if a lump indicates breast cancer until a biopsy is performed and the tissue samples examined under the microscope. However, there are certain characteristics associated with lumps or calciffication that can suggest to the radiologist whether a lump is more likely to be benign not. There are some cases where very suspicious abnormalities turned up to be benign in nature and I sure hope that it's going to be the same for you too. I know that the waiting for the results is very stressing... so many of us went through that awful waiting period..But try your best to keep busy as much as you can,so the time will seem much shorter. Please let us know how things are proceeding,in the meantime I am sending you my best wishes for good results!. Good luck!
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Highly Suspicious Microcalcifications

Hi. Radiologists are quite able to identify typically benign breast calcifications depending on their form and pattern.If no suspicion is detected a biopsy is not required to prevent unnecessary procedures. However,if your next  mammogram report states that the calcification is "probably benign" and a short-interval follow-up is suggested,you could certainly discuss with your treating doctor or radiologist that you prefer to have the area of calcification biopsied since you wouldn't be comfortable waiting till your next mammogram.( check your report or call the radiologist to find out about your BIRADS score) The BIRADS score,go from 0 to 5 and this terminology is used by radiologists to describe mammography findings.The higher the score,the more suspicious the calcifications are. Microcalcifications that grow in a cluster are of course suspicious because they sometimes cluster around a mass that may indicate that there is an abnormal growth in the area.In this case, it is proper to proceed with a biopsy since it's the only way to find out if cancer is present.As you have correctly stated, many biopsies done on clustered calcification return a benign finding. Best wishes and good luck tomorrow.  
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Mammography report

Hi, An ultrasound differentiates between the normal breast tissue and a solid or cystic lesion. It differentiates by picking up ultrasound waves and lesions of the same density as the breast would be isoechoic. A hypoechoic lesion would be one with lower density than the rest of the area. It needs to be investigated further. A needle aspiration or FNAC is done usually - which is a safe OPD procedure to take some cells from the site and send them for examination. The ultrasound report says it mostly looks like a benign or non malignant lesion - but a needle aspiration or FNAC would give a confirmed diagnosis. Hope this helps. Good luck.
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MAMMO AND ULTRASOUND RESULTS

Hi Sorry my report stated to Birads 2. So I should be at safe side right? Best Regards Worried
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ultrasound terms

Hi, On ultrasound, sound waves are used to project an image on film.  Lesions can be either hypo echoic (darker) or hyper echoic (brighter).  An ultrasound cannot differentiate between cancerous and non-cancerous lesions. It can only tell whether they are solid or cystic (fluid filled). A hyper echoic lesion is generally whiter than the surrounding breast tissue and clinical evaluation and further investigation is required to come to a definite diagnosis. Bit as you say, the lesion is regressing in your case, it could be an infective pathology and you need to get a review in 6 months time as suggested. No flows during color doppler mean that the lesion is not vascular. Yes, itraobserver variability does mean the difference in tnterpretation when two people are reading the ultrasound. Hope this helps. Good luck.
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Extreme family history

Hi There.  I too have a strong family history of breast cancer.  Unlike yourself, my sisters didn't get BC......I did.  It sounds like you are on top of your breast health and this is the key.  I personally didn't get a BCRA1/2 test because I chose to do all the preventive measures instead.  That choice came after I was diagnosed with stage 1 BC.  I'm a 13 year BC survivor.  I'm telling you this because you are being pro active with your health by getting this test. Otherwise, your on top of it and that is what saves lives.  Try to stay positive and remember your doing this for you.....so you can live a long and productive life.  I commend you on making this choice to take control of your health.  Walk in there proudly and get those test results.  Your taking care of business :). Best to You
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Expert Opinion Requested

This report seems to indicate the one cyst which would be of no concern and the other two lesions were not defined although one did show calcifications. A diagnosis cannot be made thru examination only .. a biopsy of some type is needed for a difinite cause of these lesions. Usually a BIRADS score is assigned to the reading which would either indicate the need for a frequent re-examination or a biopsy. Prognosis can't be made in the absence of a diagnosis. As a rule Radiology reports are explained in detail by the pt.s Physician and further recommendations are made at that time. I would advise that your Mother see her Physician as a follow-up to her Mammogram and follow whatever he/she recommends for further testing or treatment.  Regards ....
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Unclear diagnosis

This may well turn out to be a Phyllodes Tumor which can be either benign or malignant. The long wait for the final Path. report isn't all that unusual .... specimens may be sent to outside Labs for various staining and studies. I doubt seriously that the biopsy results would be wrong but the final report on the specimen removed by lumpectomy will contain more complete information. As far as treatment .... that will depend on the Path. results and would be decided when and IF you are referred to an Oncologist.    Regards ....
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Bi-Rad 4 scared please

The last sentence is GOOD !! These are desirable non-findings. There is no way to speculate as to what the clustered calcifications may indicate.Only the biopsy can answer your question as to the meaning of these calcifications. Many biopsies for calcifications return a negative / benign result.  Regards .....
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ACR BI-RADS 5

Hi and welcome to our community! Unfortunately, you do have reason for concern.   Family hx is a factor in only 10% to 15% of BC cases.         A radiologist is supposed to use the BI-RADS 5 Category only if there is a high level of suspiciousness, leading him/her to conclude there is > 95% chance of malignancy . About 80% of BI-RADS 5 cases  are confirmed to be cancer upon biopsy. But on the other hand, none of these statistics mean  much when it comes to an individual case. You could still be in the group that have benign results. My best advice is, "Hope for the best, but prepare for the worst." Please update us when you obtain your results, or write again if you have further questions or need support, by adding your additional posts to this same thread. You will be in my thoughts. Best wishes, bluebutterfly
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