From the consultant radiographer saying my biopsy findings are "probably malignant" to the consultant oncoplastic breast surgeon stating otherwise.

Hello,

Please I am very confused with my two diagnosis. I was recalled from an initial mammogram, where the consultant radiographer performed a punch biopsy. Afterwards she told me that the "6mm partially defined density" of "ill defined mass is probably malignant" with "appearances suspicious to a small cancer". I was therefore referred to an "MDT meeting" the following week where a consultant oncoplastic breast surgeon then "confirmed intermediate changes to the breast but no cancerous cells". The breast surgeon however now wants to "remove more tissue to check under the microscope just in case."

I don't understand how the diagnosis went from "cancerous" to "intermediate changes to the breast"? I don't really know who to believe? The consultant radiographer was very certain it was cancer but the consultant breast surgeon now tells me it's not.

Please can someone clarify? Whom do I believe?

Thanks very much.

  • It's hard to digest all the information you are given isn't it, the only advice I can give you is that the radiographer is only looking at an image on the screen, the samples taken will have been tested thoroughly and if the oncology team require more testing take the test its only doubling your negative test. In the unlikely event they go on to find something consider it a lucky break. 

  • Hi Loulou6059, thanks for the reply. It's very kind of you. It's been a whirlwind 6 weeks of extreme emotions. One minute I have cancer, the next minute I don't so my brain is discombobulated to say the least! I am going for a further biopsy next week and I hope to know for certain. I am however extremely grateful to the medical staff and to the whole process - they've all been amazing! 

  • Hello and thank you for posting.

    I am sorry that you feel confused by the information given to you about a breast biopsy result.

    Once a biopsy has been taken the sample is sent to a laboratory and the cells are studied under a microscope by a pathologist to determine what the cells look like. This can range from a normal healthy cell, an abnormal cell, a low-grade cancer cell, and then a high-grade cancer cell. 

    It is important you discuss this with your team as they will give an answer that is specific to you and your situation. But from what you have told us it sounds like the Consultant radiographer's impression was that your punch biopsy had suspicious cells that looked like they could be malignant (cancer). This was not a definite diagnosis as she used the term suspicious which is why the MDT (Multidisciplinary Team) is needed.

    A breast MDT meeting, (a gathering of all of the breast specialists, including radiology from that hospital)  will then examine the slides further. This is normal practice for all cancers, at all hospitals. The MDT's joint impression seems to be that although the cells look suspicious, they do not necessarily look cancerous. So the decision has been made to advise you that more breast tissue is needed. This is so the pathologist can ensure that other cells in that breast are purely abnormal cells and have not 'turned into' cancer cells.

    Do discuss this all further with your team, and I hope you get the information you need. If you want to talk anything through with one of the nurses on our helpline the number is Freephone 0808 800 4040. The lines are open from 9am till 5pm, Monday to Friday.

    Take care,

    Sarah.

  • Thank you Sarah for your kind reply and for clarifying matters. I have an appointment for a vacuum breast excision that will hopefully give a definite diagnosis but now that I am better informed, I feel a little more positive and less frantic. Kindest regards.