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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lobulated Mass In Breast

I am a female age 38, went for first mammo and they performed an ultrasound and found a lobulated mass on right breast, hypovascular in color doppler but equivocal on strain elastography. and recommended a biopsy. US BIRADS 4, suspicious... all this big words are driving me nuts. What is birads, what does hypovascular means.... does it sounds bad :( worried
Wed, 29 Apr 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
US BIRAD is the scoring system for breast mass. It depends on characteristics on mammography.
It is having 4 categories.
Category 1 considered as benign growth and hence no follow up or biopsy is required.
Category 4 considered as malignant suspicious growth and hence biopsy is required.
Biopsy provide tissue for histopathological examination. And histopathology is the confirmatory test for the diagnosis of malignancy.
Your breast lump is loculated and hypovascular, these also favour possibility of malignancy more. So first get done biopsy and then decide further treatment.
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Suggest Treatment For Lobulated Mass In Breast

Thanks for your question on HCM. I can understand your situation and problem. US BIRAD is the scoring system for breast mass. It depends on characteristics on mammography. It is having 4 categories. Category 1 considered as benign growth and hence no follow up or biopsy is required. Category 4 considered as malignant suspicious growth and hence biopsy is required. Biopsy provide tissue for histopathological examination. And histopathology is the confirmatory test for the diagnosis of malignancy. Your breast lump is loculated and hypovascular, these also favour possibility of malignancy more. So first get done biopsy and then decide further treatment.