• Pre-radiation post biopsy mammogram - anyone have experience with this?

    Asked by Beannie on Wednesday, December 12, 2012

    Pre-radiation post biopsy mammogram - anyone have experience with this?

    8 Answers from the Community

    8 answers
    • nancyjac's Avatar
      nancyjac

      I'm not sure what you are asking about. Is this your first mammogram or is this a different type of mammogram?

      almost 5 years ago
    • Beannie's Avatar
      Beannie

      No I have had the mammograms and lumpectomy. Due to microcalcifications being issue, I am being referred for followup mammogram to check for residual microcalcifications or other areas of concern, that may need to be taken out, before I can start radiation.

      almost 5 years ago
    • nancyjac's Avatar
      nancyjac

      Ok. I have had personal experience with both microcalcifications showing up on mammograms as well as follow up mammograms. How can I help you?

      almost 5 years ago
    • Beannie's Avatar
      Beannie

      Just a little nervous about having it done again, especially when told it any left I would need re-excision. Did you have one prior to radiation or treatment after surgery/

      almost 5 years ago
    • nancyjac's Avatar
      nancyjac

      No, I had several mammograms done but they were all prior to any treatment. Your situation may be different, but a mammogram is usually an initial diagnostic test done prior to any treatment. Since you have already had a lumpectomy, the determination as to whether the surgery was able to remove all visible cancer cells would normally be determined from the post surgery pathology report examining the tissue removed to determine if their were clean margins surrounding the removed tissue.

      A mammogram that shows calcifications, rather than a clearly defined tumor, sometimes is an indicator for inflammatory breast cancer, which is what I had. I had chemo first followed by a bilateral mastectomy that was actually multiple surgeries. Because IBC involves the skin of the breast, it took 3 re-incisions before the pathology report showed clean margins. By that time, so much skin had been removed that there was not enough left to close the wound, so I also had to have plastic surgery to transplant a patch of tissue and skin from my abdomen to cover the wound on the left side of my chest. This was all done prior to radiation and didn't involve any additional mammograms.

      Bottom line is, I am a bit confused by why your oncologist would go back to a mammogram for diagnosis when you have already had surgery. Each case is different, so it may be appropriate in your case, but if you haven't already, I would ask for a copy of your pathology report from your surgery and ask why he has ordered another mammogram at this point instead of a more definitive diagnostic test such as a CT or MRI.

      almost 5 years ago
    • Beannie's Avatar
      Beannie

      Mammogram today indicated another cluster of microcalcifications in same area of lumpectomy today. Will have to have surgery again - but have been referred to a breast specialist first thing Monday morning. Dazed and shattered about having another procedure - not sure at this point of what the procedure will be. Cannot have radiation of course until this is resolved - just have to wait until Monday to see what my options will be at this point. It's going to be a nerve wracking weekend.

      almost 5 years ago
    • nancyjac's Avatar
      nancyjac

      You might want to consider getting a second opinion. If it were me, I would be concerned about an oncologist that relies on mammograms as follow up diagnostic tests to base surgery on and if he/she suspected that the lumpectomy would not provide clean margins, why a mastectomy wasn't done instead. Have you had any other diagnostic tests other than mammograms? A PET, CT, MRI? Why wasn't the new cluster of calcification that showed up in today's mammogram not found prior to you lumpectomy? Something just doesn't seem right here to me.

      almost 5 years ago
    • Beannie's Avatar
      Beannie

      Will be having MRI prior to any further surgery. Residuals are found in postbiopsy mammogram in a lot of situations. The thought of having a mastectomy terrifies me and I wanted to avoid that if at all possible - but I know that may be what I have to come to terms with based on what is going on.

      almost 5 years ago

    Help the community by answering this question:

    Create an account to post your answer Already have an account? Sign in!

    By using WhatNext, you agree to our User Agreement, and Privacy Policy


    Read and answer more breast cancer questions.  Also, don't forget to check out our Breast Cancer page.