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Doctor insights on: Stromal Fibrosis Breast Mass

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What color are the tissue samples from a malignant breast mass?

What color are the tissue samples from a malignant breast mass?

It is not: Possible to reliably tell the difference between benign and malignant tissue by the color of the specimen. Most needle core biopsy specimens are whitish in color, and possibly blood-tinged, no matter what they turn out to be. ...Read more

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What can ask dr @ core biopisy for large, very painful, & abnormal breast mass? Can dr tell me anything helpful feeling overwhelmed and confused

What can ask dr @ core biopisy for large, very painful, & abnormal breast mass? Can dr tell me anything helpful feeling overwhelmed and confused

The doctor: Who performs the core biopsy may be able to discuss the probability that the mass is malignant based on the imaging features. However, he/she will not be able to tell you anything more regarding the biopsy results. The specimens cannot be reliably assessed visually, other than a determination that the samples are sufficient for the pathologist to analyze. The pathologist needs to analyze them. ...Read more

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Non-palpable breast mass has gone from 8mm in Feb. '15 to 1.2 cm in June '15. What could it be?

The specific: imaging features determine the probability of malignancy. However, a 50% diameter increase in 4 months would warrant a biopsy even if the imaging features look benign. That doesn't mean it is malignant, it just means that it's time to find out what it is. Presumably it looked benign/probably benign in Feb since no intervention was recommended. ...Read more

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How can I proceed with diagnosis of upper quadrant breast mass?

How can I proceed with diagnosis of upper quadrant breast mass?

First step: Is to see your doc for a clinical evaluation. Next step usually involves imaging with mammography and ultrasound. If a suspicious mass is detected, needle biopsy would be indicated. If a mass with benign features is detected, no follow up or short interval follow up may be indicated. ...Read more

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How can you distinguish between a benign and malignant breast mass?

How can you distinguish between a benign and malignant breast mass?

Clinical: Evaluation and imaging studies (mammogram, ultrasound, MRI) help assess whether a mass needs biopsy for definitive diagnosis. Sometimes certain imaging features are specific for a benign cause (for example hamartoma, calcified fibroadenoma, or oil cyst). Other times, imaging features can estimate the probability of malignancy and help indicate what follow-up is needed. ...Read more

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How often is a breast mass cancerous when it shows up brightly colored on an ultrasound? (mine also has some irregular shape and shadowing)

How often is a breast mass cancerous when it shows up brightly colored on an ultrasound? (mine also has some irregular shape and shadowing)

Difficult to say: Without reviewing the images and full report, but irregular margins and shadowing tend to be suspicious features on ultrasound. By brightly "colored", it probably means internal blood flow with Color Doppler. Based solely on the features you describe, this is at least a BIRADS category 4B intermediate suspicion lesion, which implies about a 40% chance of malignancy. It probably needs a biopsy. ...Read more

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If I have had 4 breast mass removals but none cancerous, (fibroadenomas), could I just get all breast tissue removed so it doesn't happen again?

If I have had 4 breast mass removals but none cancerous, (fibroadenomas), could I just get all breast tissue removed so it doesn't happen again?

Advise: To have a total mastectomy for benign process might be too much. I offer prophylactic mastectomies to women that are a high risk of breast due to family history, personal history, or who have positive genetic testing. Having fibroadenomas does not increase your risk of developing breast cancer. ...Read more

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What is the approach of the breast mass? I wanna know the whole process.

What is the approach of the breast mass? I wanna know the whole process.

A full: imaging workup, usually mammography and ultrasound. If the mass is identified as a suspicious finding on mammo and/or ultrasound, then an image-guided needle biopsy with next steps depending on the biopsy results. If not identifiable on imaging, then referral to breast surgeon. ...Read more

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BreastSx- Would you remove a benign breast mass that was larger than a golf ball under local anesthesia?

BreastSx- Would you remove a benign breast mass that was larger than a golf ball under local anesthesia?

Depends.: It's possible. Make sure your surgeon is a board certified general surgeon with extensive experience in breast surgery. A biopsy should have been already done and show benign disease. ...Read more

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If a breast mass has not spread to the lymph nodes then there can be no metastasis to any other area correct?

If a breast mass has not spread to the lymph nodes then there can be no metastasis to any other area correct?

Unfortunately No.: Unfortunately breast cancer can skip the lymph nodes and metastasize to other parts of the body. This happens relatively rarely but has been seen. The risk of cancer in ither parts of the body is much lower if the lymph nodes are clear, but it is not impossible. ...Read more

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What could a sore hard breast mass be other than cancer?

What could a sore hard breast mass be other than cancer?

Different things: Cyst, abscess/infection, benign tumor like fibroadenoma, lipoma, lymph gland enlargement, fibrocyctic changes, milk cyst, hematoma/blood accumulation from trauma etc. ...Read more

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Is a heterogeneous breast mass with posterior attenuation suspicious of malignancy? I have very cystic breasts so US was not that clear.

Is a heterogeneous breast mass with posterior attenuation suspicious of malignancy? I have very cystic breasts so US was not that clear.

Generally,: The ultrasound descriptors you mention imply a more suspicious nature. However, all of the imaging and clinical features must be taken into account. Also, keep in mind that "suspicious" in breast imaging implies a chance of malignancy between 2%-95%, which is a huge range, and in fact 75% or so biopsies of suspicious masses turn out benign. ...Read more

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8mm breast mass in Feb, 2015 is now 1.2 cm, seen on MRI on June 1, 2015, but couldn't be found on ultrasound? Any reason? Or cause for concern?

8mm breast mass in Feb, 2015 is now 1.2 cm, seen on MRI on June 1, 2015, but couldn't be found on ultrasound? Any reason? Or cause for concern?

Without knowing: Any of the features of the mass, it is impossible to assess the level of suspicion, if any. There are benign and malignant masses. The fact that it is not seen on ultrasound does not negate the finding on the MRI. ...Read more

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Can a dilated duct be confused as a breast mass on ultrasound? I'm nursing. Also, do dilated ducts compress when pressed?

Can a dilated duct be confused as a breast mass on ultrasound? I'm nursing. Also, do dilated ducts compress when pressed?

It is possible: Ducts are tubes, which should look like a hose with us, while a mass has a different shape, so they are not often confused. You can have a mass grow in a duct.

The presence of milk in a very dilated duct will cause echoes on the us and might be misinterpreted as a mass. Ducts, unless extremely dilated, should be compressible.

Please see your provider and consider a breast surgeon consult. ...Read more

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Last february I did needle aspiration for left breast mass & was fibrocyctic changes. Now I'm pregnant of 31 weeks & worried to converte to malignant?

No!: Do you have a familyhx of breast/ovarian cancer? I see you had ovarian cyst/breastmasses, is there a famhx? Age related you are not at risk and fibrocystic changes do not mean cancer. Cut back your caffeine and consider breastfeeding (which protects you from breastcancer), do a monthly breastexam and have our doctor keep an eye on the lump (which may increase in size due to pregnancy hormones). ...Read more

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Could an ovarian cyst and breast mass mean hormonal imbalance? If so, what treatment can regulate this? Currently on femodette birth control

Need Immediate Eval: If those are happening you should be evaluated immediately. First the nature of the breast mass should be determined (cystic versus solid) and potentially a biopsy taken. Then the cyst must be evaluated. I would not recommend wasting time. Most likely everything is fine but if there is a problem the sooner you know the better. ...Read more