再次闖關，這回是乳腺

來源: 貓弟弟不吃魚於 2022-05-21 12:38:39 [檔案] [舊帖] [給我悄悄話] 本文已被閱讀：次 (17568 bytes)

囉嗦之前先來個短平快的，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. 而且看著這個描述，心裏直打鼓。

我上個月上來問有關風濕免疫科的問題，當時ANA測試1：40，口幹，這個問題在沒有見到免疫科醫生的時候，口幹就緩解了，後來免疫科醫生說問題不大，就這麽不了了之了。大家的勸慰我也聽進去了，不再糾結這個問題。過了開心的一個月，女兒從學校匆匆回來又匆匆回去，我也按部就班定時鍛煉，心情一直很好。

一直到昨天，我是去年4月30號做的乳腺年檢。今年約了五月份做。因為我的乳房非常dense,兩側都有纖維腺瘤，左側的纖維腺瘤還做過biopsy,所以一直以來都是同時做mammogram和ultrasound. 去了advanced ridiology women center, 先做mammogram，然後B超。我和B超的人說，我的左側乳房總疼，麻煩幫我好好看一下。

她就在那一直看一直看，我後來忍不住問有什麽問題嗎，她說她不確定有一個地方是不是tissue，可能需要biopsy.然後她說我把圖片發給醫生，看她需要過來看一下不。過一會醫生來了，看了一下，就說需要biopsy.

然後給我看那個圖像，說是以前沒有的。我當時懵懵的，就說那就做。然後就約了下周二的biopsy.

回來後收到了檢查報告，mammogram沒說什麽，但是醫生說我的乳房太dense了，看不到什麽。

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.

回家後，我一直忍著不去網上查，但是看著醫生給我的乳腺外科醫生的宣傳單，我覺得不看看什麽都不知道也不行。簡單看了一下，就是我這個新發現的ill defined, tallter than wide好像都是很不好的意思。唉，去年剛做完卵巢子宮全切，以為婦科可以沒什麽問題了，這乳腺又出問題了。

我知道我隻能等待下周的biopsy,但是心情還是很波動的。剛剛在論壇上搜了一些帖子來看，姐妹們真的很勇敢。祈禱我這次也能闖關成功。

我就在advanced radiology做biopsy了，這個沒什麽問題吧？如果有後續的需要（祈禱不需要），唉，我也不知道該問什麽問題了，就這樣吧。

祝大家周末愉快，身體健康。