請幫忙，關於breast MRI

以下是去年breast biospy 的結果 (去年是因為 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 的結果

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.

於是去看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： 

• 不好意思，寫了錯別字， 見諒 -withHope99- ♀ (51 bytes) () 04/08/2017 postreply 18:33:45

• seek a second opinion -xiaoxiao2013- ♀ (0 bytes) () 04/08/2017 postreply 18:46:14

• 有兩點您要注意： 一是microcalcification 的存在，是不是某些特征的pattern， -dw8866- ♂ (327 bytes) () 04/09/2017 postreply 15:04:56

• 謝謝您的回答 ( please read on) -withHope99- ♀ (198 bytes) () 04/09/2017 postreply 19:00:37

• 另外, MRI檢查到的那個有問題的點和我的calcification不在同一個位置。MRI發現的是另外的問題. -withHope99- ♀ (0 bytes) () 04/09/2017 postreply 19:09:49