Screening Question

I am a 45 yo female and have had regular mammograms last 5 years. 

Annual mammogram on October 1 showed "something" that needed further investigation.  Went today and had digital mammogram which still showed spot, so radiologist did sonogram.  Sonogram was clear. 

She reported that compared to 2007 mammogram, which was fine, the  tissue in question had enlarged.  Recommends further tests just to verify everything is ok.   Even though she does not see anything on the sonogram, she does not recommend the "wait 6 mos and repeat" theory in case it continues to grow. 

My choices are biopsy or MRI.  Of course MRI is less invasive, but she said it is "in vogue" right now.  I would prefer tests so we could know for sure.  She said I could discuss with doctor, but it up to me which way to go. 

Anyone have this type expreience?  Any thoughts?   

Thanks.          

I would do a biopsy.  There are various types of biopsy procedures, some needle.  If it has grown I would want to know and not wait.  An MRI may show another view of the lesion which again would say go directly to biopsy or follow up.  If I had an MRI and it was at all questionable I would have it in the back of my head, thinking what if it is bc and I'm waiting.  A biopsy will be definitive and then it can either be addressed or put to rest.  Best of luck with your decision.

Hi Lollypop.

In the past I have always advised going straight to biopsy to make certain - and actually went that route myself. But in more recent days as I've continued to research diagnosis and treatment, I've come to question that "wisdom."

Certainly, biopsy is the only  "sure" way to know if cells are cancer (and even then it's not fool-proof), but biopsy in itself may present a risk that scientists and drs have been loath to consider:  specifically the possibility of taking a well-contained cancer and seeding it to other tissues.

So, maybe consider taking the middle ground.  If you have the insurance coverage, get the MRI done first. That will show you if there is a really compelling reason for biopsy  - if not, then you've saved yourself some pain. If biopsy is  indicated from the MRI, you would only have a matter of several weeks delay at the most.

Go with your gut feelings - do what you need to do to take prudent action while at the same time trying to minimize risk.

Sincerely,

Tre