提上來再問dw8866，還有問題, 謝謝了！其他懂的行家也幫忙看看我的case

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： 

• Please read on -withHope99- ♀ (277 bytes) () 04/10/2017 postreply 07:37:22

• 不是oncologist. 看了您的information. breast MRI 都講的很清楚， -鍋沿- ♂ (269 bytes) () 04/10/2017 postreply 08:47:50

• thanks! -withHope99- ♀ (0 bytes) () 04/10/2017 postreply 09:04:46

• 不知道你鈣化群到底在哪個位置，和MRI腫塊之間相對距離？有特殊形狀的微鈣化群 -dw8866- ♂ (353 bytes) () 04/10/2017 postreply 13:34:01

• 謝謝，鈣化在４點方向，MRI 檢測有問題在10點方向，會有關聯嗎？我的醫生是建議做10點方向的，不建議做4點方向的 -withHope99- ♀ (0 bytes) () 04/10/2017 postreply 15:10:35

• 很正確，隻要做upper outer quadrant 10 o'clock的腫塊biopsy就可以了，事實上，超過50% -dw8866- ♂ (222 bytes) () 04/10/2017 postreply 18:57:24

• 非常感謝！ -withHope99- ♀ (0 bytes) () 04/10/2017 postreply 19:33:12