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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does A Swollen Lymph Node Under Arms Suggest?

My daughter who is 28 yrs old went for a mamagram as she has had a swollen lymph node under her arm for 3-4 weeks. At the mamagram she was told it looked suspicious and was considered a B-4 ? and to go for a biopsy. My question is what does that mean suspicious and a B-4? Any help would be appreciated. Thanks,
Mon, 6 Oct 2014
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General Surgeon,  's  Response
BIRADS is a score given to Mamographically visualized lumps or lesions and given a score from 0 to 6 with chances of cnacer being present in the lump increasing as the score increases. 0 means incomplete assessment. 1 and 2 are negative for cancer. 3 means low chances of 2% of having breast cancer. 4 is suspicious with 20 to 35% chances of cancer. 5 is 95% chance of cancer. 6 means already proven cancer by pathologist. So in your case as the score is 4 yours is a suspicious lesion. Please go ahead with the biopsy at the earliest. Treatment can later be tailored depending on the report. You can let me know the report by asking a question on my profile page or by using the ' Ask a Specialist ' section of the site. Take care.
Dr Rishi, New Delhi, India.
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What Does A Swollen Lymph Node Under Arms Suggest?

BIRADS is a score given to Mamographically visualized lumps or lesions and given a score from 0 to 6 with chances of cnacer being present in the lump increasing as the score increases. 0 means incomplete assessment. 1 and 2 are negative for cancer. 3 means low chances of 2% of having breast cancer. 4 is suspicious with 20 to 35% chances of cancer. 5 is 95% chance of cancer. 6 means already proven cancer by pathologist. So in your case as the score is 4 yours is a suspicious lesion. Please go ahead with the biopsy at the earliest. Treatment can later be tailored depending on the report. You can let me know the report by asking a question on my profile page or by using the Ask a Specialist section of the site. Take care. Dr Rishi, New Delhi, India.