MRI guided biopsy or more breast removed

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So today I met with another consultant, my latest ultrasound and biopsies are inconclusive. I have a tumour that is 2.6 cm diameter but the MRI shows a shadow area around it (5cm diameter)

They suggested an MRI guided biopsy but this would be another month delay and it's already been nearly 2 months. The alternative is that they take out all of the shadowy bit so I guess that would be about a third of my boob.

My thoughts are that if they are worried about the shadowy bit then chances are it'll be cancerous and removed anyway and that I want this thing out asap. Thoughts welcome!

Also, they said that if the cancer is 5cm diameter they will send to a clinic in USA for additional testing. Has anyone else heard of this? It is to see if chemo is required apparently.

Also, the MRI showed an area in my other breast that the ultrasound didn't show so they will look again with an MRI in about 3 months time to see if it's changed. Has anyone else had that scenario?

Decided to take the day off work tomorrow as think I've had enough stress for the week!

  • Hi hope your managing to process things as well as you can. I am further along this horrible journey so can share my experiences, what I have found is that there are a lot of differences in treatment up and down the country so what happens to each of us can be different.

    I found a lump this time last year, went to doctors referred to breast clinic had mamagram and was told straight away that I had bc. I had a biopsy same day followed by other procedures in the same week whilst they gathered information. Treatment plan was lumpectomy and radiotherapy. However this changed after the first surgery, the tumour was larger  than what had been seen on images -  5cm, due to age and size of tumour they sent it for onco type testing my score came back in the 40s which meant they were now recommending chemo, I was gutted as it was a drastic change to inil plan. Also there wasn't a clear margin around the tumour and further surgery was needed. They had also removed a second smaller tumour, to cut a long story short I had three ops to try and get a clear margin but ended up having a mastectomy in April. This showed significant dcis within the tissue. 

    I had chemo from Oct to Feb and am due to start radiotherapy in June.

    I spoke with the radiology consultant this week she talked me through everything that had happened to make sure she understood what had gone on but this was really useful for me, although the surgeon and bc nurses have been good I havnt always fully understood and they never seemed to have the time to explain and I have just kind of gone from one treatment to the next. (This will be the longest break in treatment). She explained that I was always destined to have radiotherapy as the initial tumour was 5cm. I hadn't known this and in fact a registra had told me if I had a mastectomy I wouldn't need radiotherapy- not really a good trade and clearly in accurate. 

    I would say be prepared for things to change and take your time in making decisions. It can feel like forever but sometimes that time can give you a little space to take stock.

    Good luck. Xx

  • Thank you for your reply, it helps to hear other people's experiences.

    Sounds like you are nearing the conclusion of a long and difficult journey, what I've found so far is that I get my head around the shock of one piece of news and possible plan and then there's another appointment that changes things (for the worse).

    You're right that the treatment changes depending on location, I am so glad I had the MRI and that they know there is something else there before my surgery. Finding more during surgery must have been very difficult for you.

    Wishing you all the best for your radiotherapy Xx

  • Thank you. I have never had an mri scan, my first ct scan is next week but this is only to plan for the radiotherapy. 

    I think this is why you worry have they got it all is there more lurking undetected but they were adamant that as I had no lymph node involvement it wasn't needed.

    It's a long and difficult time and you think you won't get through it but you will be suprised by the strength you have. Best wishes xxx