What are alternatives to MRI-guided biopsy for breast cancer concerns?
Community Member
a month agoMRI cleared left breast and lymph nodes but found 2 other questionable areas in right breast. MRI guided biopsies recommended. Any other alternative options? Diagnosis RIGHT BREAST, UPPER OUTER CALCS, 9G VACUUM-ASSISTED STEREOTACTIC CORE BIOPSY: INVASIVE LOBULAR CARCINOMA, ESTIMATED HISTOLOGIC GRADE 2-3, INVOLVING MULTIPLE CORES, MEASURING UP TO 4 MM MICROSCOPICALLY. PLEOMORPHIC LOBULAR CARCINOMA IN SITU WITH COMEDONECROSIS, EXTENSIVE. MICROCALCIFICATIONS NOTED BOTH IN TUMOR AND NONTUMOROUS BREAST TISSUE. The final results are MALIGNANT and concordant with imaging. Surgical and oncologic management is recommended. Recommend breast MRI for extent of disease evaluation given lobular phenotype and extremely dense breasts. Estrogen Receptor 99 % POSITIVE STRONG Progesterone Receptor 75 % POSITIVE MODERATE Ki67, proliferation marker 50 % HIGH HER2 by IHC NEGATIVE 0 HER2 test by FISH* pending Genetic testing results pending
Community Member
a month agoWhile MRI-guided biopsy is often the most precise method for sampling areas that show up only on MRI, it's natural to want to understand all available options. Some facilities offer MRI-compatible ultrasound for real-time guidance, and occasionally areas might be accessible through other imaging methods, though this depends on the specific location and characteristics of the concerning areas. The most important step is having a detailed conversation with the breast imaging team about what alternatives might be feasible in this particular case, as they know the exact location and imaging features of these areas. What questions are most important to ask the medical team about the biopsy process?
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