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Conflicting Mamography & Biopsy report
USG & Mamography both giving Birad 4C & Birad 5 rating for left breast lump but true cut biopsy says no evidence of cancer cells (Diagnosis : Papillary lesion left breast ), no evidence of DCIS, no evidence of malignant foci seen Note: Both mamo & USG happened post biopsy. Question : Confused with the reporting, which is more favourable scenario ?
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Need repeat biopsy or excision biopsy
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If the reports are uploaded, it would be great. Is the biopsy reported as papillary carcinoma. This is a subtype of IDC. “Papillary lesion” is unclear terminology. If BIRADS comes as 5, then it is highly likely to be malignant. Your doctor will clarify the pathology report with the reporting pathologist and then plan further. Size of the lesion, any other DCIS seen in the mammogram, any nodes on ultrasound - please check in the report. Also an IHC will be asked to be performed on the biopsy report, which will help for clarification. If in doubt, a core biopsy can be done again from the lesion or lymph node.
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Treating physician to discuss with pathologist
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Need to be on follow up
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.