Where has my lump gone?

Hi,

My clinic date was 8th Nov, and I was diagnosed with a 4cm IDC, grade 3, which is also triple negative earlier this month. Axilla clear. (so far) The initial mammogram and ultrasound showed some dense mass and just below this was a smaller lump. I was told I needed another biopsy to determin what the smaller lump was. If the lump with the mass turned out to be suspicious, then it would make the whole area 7cm!

At the second biospy on 22nd Dec, the pathologist did an ultrasound and couldn't find the smaller lump. I was sent for 3D imaging, but he still couldn't find it. I had another ultrasound where he did a biopsy and inserted a marker/clip. I was then sent for another mammogram before leaving. I will know my treatment plan when I get my results on 14th Jan.

My question is:-

What did he take a biospy of, if no lump could be seen?

Where did he put the marker/clip?

Did he go by the initial mammogram image and judge to put the marker/clip where he thought it could be?

I always try to stay positive, but each day I go without treatment, I quietly stress myself out about it spreading as I know the type I have, has the potential to do so. All this deflates my usual bubbly confidence.

Any advice would much appreciated.

Xxx

  • Hello i.love.life and thanks for posting,

    I can understand you having questions, but I can't really provide certain answers, I don't know where this small lump has gone. Hopefully, your doctors can explain when you next see them or perhaps you can contact your breast care nurse.  

    I expect the marker-clip was to pin point the area where the biopsy was taken from for comparison with your previous tests and hence the mammogram before you left. The biopsy was probably based on the previous imaging and taken to try and get as much information as is possible to add to what they already know and for the multidisciplinary team (MDT) to review. 

    MDTs have medical specialists from different disciplines including surgeons, radiologists (who read and interpret scans and X-rays), pathologists (who examine tissue in the laboratory and identify diseases) and oncologists (who oversee medical cancer treatments) and other health professionals as well, including the breast care nurses. They will go over all your test results and put them together before coming up with your treatment plan.

    Waiting for treatment is a horrible time and everyone worries about their cancer spreading - not that knowing this helps much, but it's not uncommon to think this way.  Bear in mind that if cancer cells do escape, they often don't survive and that breast cancer treatment for triple negative disease usually includes chemotherapy that works on the whole body, tackling any potential stray cancer cells that may have escaped.  

    Over the next couple of weeks do your best to look after yourself and do things that might help to counter the inevitable stress of waiting. 

    Feel free to give us a call on Freephone 0808 800 4040, we are here weekdays (9-5) but closed on 3rd January as it's a bank holiday. 

    Take care,

    Julia

  • Hi I'm answering you on this thread cos I got a bit mixed up on the other one.

    In your message on the other thread, you asked me why I'd been seen faster. However that's not the case. I went to my GP about  the 7th October 2021 and was first seen at breast clinic on 21st October. At that first appointment I had mammograms and scans and they showed there was a problem so I had to have both breasts biopsied, which they did the same day.

    I think from our dates, that I'm about 3months ahead of you.

    I was interested to read your post because something similar happened to me.

    I have problems in both breasts. In my left one is a 5cm invasive HERS2 positive tumour for which I'm now on Chemo.

    When I originally went to GP I only fealt a lump at that side. However, on the day I went to breast clinic I also fealt something deep in my right breast which the consultant said she fealt too. Strangely neither the mammogram nor the ultrasound showed anything. The Consultant decided to do a core biopsy, which showed I have DCIS. Before I started Chemo I had a baseline MRI scan on both breasts. The 5.5cm DCIS in my right breast showed up and also an "ovoid" lump under it. I've just had another MRI scan and the DCIS is unchanged (doesn't respond to chemo) But the "Ovoid lump" is not mentioned in the MRI report. I can no longer feel the lump.

    The Consultant thinks it may have been a cyst that has just gone. Which I thought was a bit strange but he's told me not to worry about it and says he's not concerned because I'm having a double mastectomy following my chemo.

    I hope your results come back with some answers and you get to know your treatment plan. Let me know how you get on.

    Big hugs 

    Lilyanne xx

     

     

  • Hello my lovely,

    Thank you for taking the time for me. I really appreciate it.

    I have responded to your post on another thread elsewhere (not so easy to find your way back to a thread if you can't remember the heading title :laugh:).

    I will however use this thread to keep in touch with you as its the easiest one for me to find.

    Hope all is well

    Much love xx :love:

  • Hi I.love.life,

    I've copied your previous reply that you posted on the other thread and placed it here for easy reference. I find it's easy to get lost on this site and Chemo fuddles my brain a bit which makes it harder.

     

    Hey Lilyanne,

    Hows you?

    Sorry about the confusion. Please let me explain.

    I first went to my GP on 24th Oct, she sent an urgent referral to the clinic, and two days later, a nurse called me to attend the breast clinic on 8th Nov. (a letter of confirmation came through the post in the meantime). At the breast clinic, I had a mammogram, ultrasound and biopsy all on the same day. I got the results on 1st Dec, where I was diagnosed with BC, but there were problems so another appointment was made on 22nd Dec for a second biopsy, 3D imaging and a marker. I get the results of the second biopsy on 14th Jan. Hopefully I will find out my treatment plan then?

    I think there is only 3 weeks difference all in all between dates where you and I are seen by our GP's and attending the breast clinic. 

    Oh Lilyanne, the only thing I know right now is around mid Dec I started having having sharp shooting pains in the breast, in and around the tumor. I called my BCN who told me not to try not to worry too much, as every pain/twinge I had would make me think my BC was spreading. Now just that area is warm where the rest of the breast is cool. It is also tender whereas it wasn't before.

    I haven't mentioned it again to anyone as I don't want to appear to be making a nuisance of myself.

    Sorry for the mix up

    Much love xx 

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    If you've started reading this message at the bottom, go to the top of it to see why it's here. Lilyanne xx

  • Hi i.love.life 

    We are very close to each othWeer regarding our dates. My biopsy results came back after 2 weeks  and I saw my Consultant who gave me 2 Options for treatment. I couldn't decide on the spot because at that point I didn't have enough information. However once I had the proper diagnosis, I researched everywhere to find out more about my cancer, which helped me make a more informed decision.

    I noticed that Julia, one of the nurses on here has responded to you. Have you considered giving her a call? I've copied + pasted her number again here for you:.                                           Freephone 0808 800 4040, 

    They are very supportive and she may be able to offer you qualified advice regarding the pain and heat you're experiencing.

    Biopsy is only way they can accurately diagnose the type of BC you have and what is helping it grow. It is possible to have different types of cancer at the same time. (I have different ones in each breast) 

    I presume that you have an appointment on the 14th Jan? and that will be when they discuss your results and treatment options with you. I know it must feel like it's miles away.

    Have you looked at any information about YOUR type of cancer?Try to stick to trusted sites like on here, NHS and McMillan. I know it can be scary and not everybody wants to know the details but it may help you understand the treatment/s on offer especially if you're offered more than 1 option. 

    This is all new to me and we're all trying to find a pathway through this. I have no medical background so can only offer support as someone else who is experiencing something similar to you. I'm happy to continue chatting on this forum but if you prefer to chat with me privately then send me a friend's request where we can chat 1to1 

    Take care, sending much love 

    Lilyanne xx

     

     

     

     

     

  • Hi Lilyanne,

    I've tried to request you as a friend, and it does say request sent on my side, but it seems it hasn't come through to you (or am I not doing it right?).

    Try sending the request from your side to see if we get some joy

    Much love xx :love:

     

  • Hi,

    I've found and accepted your request.

    If you scroll up to the top of the page you should find it under messages. You have to look for and write personal messages there. I don't think you get notified in your email.

    Lilyanne xx

  • Hi i.love.life,

    How are you doing today?

    Lilyanne xx♥️

  • Hi, Lilyanne,

    Im fine, and hope you are too

    I have PM you. 

    Much love xx :love:

  • Hi I've replied by PM 

    Love Lilyanne xx