Does anyone have experience or know of a core biopsy being wrongly diagnosed?

FormerMember
FormerMember
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Hi All

My profile gives my diagnosis background - 28 Dec 2017 ER HER2+ BC. but my consultant and team overlooked a reference in the ultrasound report 13th December, to a secondary mass that needed further biopsy/MRI.  I discovered it in my notes by chance when attending my pre-op on 15 Jan as I was scheduled for a lumpectomy and sentinel node biopsy on 22 Jan 2018. 

So had second ultrasound and second core biopsy.  Radiologist told me there and then it looked identical to the first tumour was malignant and because of the overall size of both 4cm plus, I would need Chemo first and a mastectomy.  Saw consultant and he said 95% certain it was malignant and my operation was cancelled until they had rushed the biopsy results through, but said it would either be Chemo first or mastectomy.

Amazingly second biopsy on second tumour only 1.5mm away from first tumour in left breast came back benign! However today I saw consultant for scan results - bone scan show 'trauma and irregularity' to rib cage. 

CT scan on 19 Jan showed sclerotic bone lesions, so sent for bone scan 31 Jan andby m MRI 2 Feb.

BUT I am more worried because he said they intend to remove both tumours and that the second one looks identical to the malignant one (which even I noted at the ultrasound) and although the biopsy came back benign and they 'expect' it to be okay, only histology will confirm and they may have to have me back in for second surgery and mastectomy! So I am booked in on 12 Feb to have lumpectomy (removing both tumours) and sentinel node biopsy, but really concerned that the second tumour will turn out to be BC and the core biopsy was wrong, especially given that two consultants confirmed they thought it was malignant.

Sorry for the ramble but it's thrown me as I've been up in the air since the 13th December and only flagged the second tumour because I read my notes, otherwise they admitted they would have operated and had to close me up! It's been quite a rollercoaster and put back the start of my treatment.

Does anyone have any experience or thoughts on the accuracy of a core biopsy result, or knowledge of one being freakily wrongly diagnosed?

Thanks for reading.

Sharpie6

  • Hi Sharpie6 It does sound like you've been through the mill a bit. It must be worrying for you. But well done you for reading your notes and finding the problem. That just shows how important it is for all of us to be on top of what's happening. 

    Can biopsies be wrong? I'd imagine any procedure can be wrong, but the error rate would be pretty low. However, a biopsy is taking a sample of tissue and then the pathologist looks at the cells in that sample. It is possible for suspicious areas to be partly ok and partly cancerous. The main thing though is that your surgeon is on to it and that means they can treat both lumps if the second does turn out to be cancerous.

    I have tagged  as she had a bad time with misdiagnosis and she may have more to say.

    Wishing you all the best.

    Lynn xx 

  • FormerMember
    FormerMember in reply to Kacang

    Hi Lynn

    Thank you so much for your reply.  It's always a great support when you lovely ladies talk sense and share.

    I'm not a worrier but the mistake made on the 13th December has really sowed a seed of doubt and of course, it's the fear of the unknown and the uncertainty of what lies ahead that affects us all.

    Anyway, on Monday I finally start my treatment along with lots of others no doubt - wishing you well Lynn and everyone else out in the MC community.

    Sharpie6 x

  • hi  

    I had a terrible time

    routine mammogram missed a tumour in 2012, even though i'd had loads of mammograms because my boobs were lumpy and dense.

    paid for  private screen but it was all highly suspicious so I was advised to go back into NHS for MRI

    biopsy only showed DCIS or non life threatening non urgent pre cancerous cells.

    MRI report was done twice, first by private guy, who picked up the 2nd lesion,  and then by the Royal Marsden in London, the 'top' cancer hospital, who didn't. 

    Surgeon marked up boob and I took the trouble to point out the 2nd lesion which was now an obvious lump in my chest, not even obscured by boob 

    post op discovered that the surgeon had missed the 2nd tumour completely. 

    post op histopathology showed Her2+++ and then everything suddenly became very urgent indeed as I was sent for staging scans that I was told I wouldn't need and then on to oncology 

    so yes, a catalogue of errors from top professionals 

    only here today because I made a fuss and raised a complaint 

    Carolyn

    xx

     real life success stories to remind you that people do survive breast cancer

    https://community.macmillan.org.uk/cancer_types/breast-cancer/f/38/t/115457

    Dr Peter Harvey

    https://www.workingwithcancer.co.uk/wp-content/uploads/2013/03/After-the-treatment-finishes-then-what.pdf

     

  • FormerMember
    FormerMember in reply to Carolyn28

    Thank you.

    Good gracious Carolyn, what a terrible experience to go through, I'm so glad you did battle and came through.  It's been a steep learning curve for me and made me questions every step.  I think when it's our lives in their hands, we need to take control and ask questions - keep them on their toes.  I'd rather be known as a pest and get the best care, than be too accepting and not be here.

    Best wishes

    Sharpie6 x

  • Hi.  I’m new on here but a year post mastectomy.  Sorry you’ve had a tough time and well done for being so perceptive.  I always tried to be an advocate for my own health and asked lots of questions which weren’t always welcome.  My situation was sort of similar to yours in that initially I was told my biopsy showed a tiny 1mm area of IDC with low grade DCIS and I was booked for a lumpectomy.  I was told that it was so tiny they were amazed the pathologist found it.

    Jump to 2 days before my surgery and I get a call from the hospital saying they had found further areas of concern and my surgery was cancelled.  It really floored me, especially as I’d had loads of mammograms and ultrasound.  How could anything have been missed.  After more biopsies it was more low grade DCIS and I went on to have the mastectomy.  

    Post surgery pathology showed that the invasive was 10mm not 1mm, and whilst this is still small, it’s still a big discrepancy.  I asked for all my images to be looked at again at another hospital for a second opinion which thankfully came to the same conclusions.  

    Sadly mistakes can and do happen.  Biopsies seem to be pretty accurate initially to show grade and type but there is still a lot of uncertainty until the post op results come in.

    I also know someone diagnosed with lobular whose MRI scan showed the lesion to be very large when in fact it was quite small meaning an unecessary mastectomy took place.  Very shocking.  It’s certainly not always welcome but keep asking questions and don’t hesitate to ask for a second opinion if you have any doubts.

    Wishing you all the best.

    Frances

  • Hello, I know where your coming ! Had a mastectomy in November, recurrent bc cancer. I was only 35 when i under went lumpectomy and radiography, complicated with a thrombosis in the arm pit. But firstly was given the wrong results, registrar confused me with someone with same fore name.. But I'm 60 now and moving forward, recovering from mastectomy, sorry but that doubt will always stay with you, but stay strong and move on.

    My love and thoughts are with you!!