Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is A Finding Of BiRads 3 In A Breast Ultrasound Indicative Of A Need For A Biopsy Rather Than An MRI?
Question: Is a finding of BiRads 3 in a breast ultrasound (diagnostic mammo was BiRads 4), indicative of a need for biopsy next rather than an MRI? The finding in my regular and diagnostic biopsy was a 'possible subtle architectural change'. The radiologist recommended a breast MRI with and without contrast next. If that is negative, then a mammo at 6 mos. If it is positive, then a biopsy. One surgeon I met with suggested to go right to a biopsy and skip the MRI; however, I am concerned that they don't see anything in the ultrasound (other than a couple of cysts that have been there before).
my mother had breast cancer at nearly 60 years of age. I have no previous history.....
my mother had breast cancer at nearly 60 years of age. I have no previous history.....
Brief Answer:
Better to go for the biopsy.
Detailed Answer:
Hello,
BI-RADS (Breast Imaging Reporting and Data System) is the system used to assess the risk of malignancy(cancer) risk on the mammogram.
BIRADS-4 is suspicious and tissue-based diagnosis is recommended while BIRADS-3 denotes probably benign and followup after six months is recommended.
Since your first mammogram showed BIRADS-4 and considering the family history it is better to go for tissue diagnosis.
A surgeon takes a small bit of lump through a needle and it’s a minor procedure and nothing to worry. Further treatment will be based on biopsy report.
Wishing you good health.
Thanks
Better to go for the biopsy.
Detailed Answer:
Hello,
BI-RADS (Breast Imaging Reporting and Data System) is the system used to assess the risk of malignancy(cancer) risk on the mammogram.
BIRADS-4 is suspicious and tissue-based diagnosis is recommended while BIRADS-3 denotes probably benign and followup after six months is recommended.
Since your first mammogram showed BIRADS-4 and considering the family history it is better to go for tissue diagnosis.
A surgeon takes a small bit of lump through a needle and it’s a minor procedure and nothing to worry. Further treatment will be based on biopsy report.
Wishing you good health.
Thanks
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Is it helpful to start with an MRI, then proceed to the biopsy? I am in a waiting mode for three weeks to see the specialist I would like to do any procedures.
Brief Answer:
MRI not indicated.
Detailed Answer:
Hi,
No need of an MRI.
BIRADS4 itself is an indication for biopsy. Since you have a family history, early biopsy would be more beneficial.
Do not worry about the biopsy, it’s a small procedure done in 5 minutes.
MRI not indicated.
Detailed Answer:
Hi,
No need of an MRI.
BIRADS4 itself is an indication for biopsy. Since you have a family history, early biopsy would be more beneficial.
Do not worry about the biopsy, it’s a small procedure done in 5 minutes.
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
