How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Julia Kizhner Your Own Question

Julia Kizhner
Julia Kizhner, Physician Assistant
Category: Health
Satisfied Customers: 1126
Experience:  7 years experience working in Primary Care as well as Gastroenterology, Sleep Medicine & Weight Loss
Type Your Health Question Here...
Julia Kizhner is online now
A new question is answered every 9 seconds

February 20, 2010 This is what my physician emailed me Thursday,

Resolved Question:

February 20, 2010

This is what my physician emailed me Thursday, 2/18/2010: There are scattered fibroglandular elements in the right breast that could obscure a lesion on mammography. The previously demonstrated breadt density almost completely resolves with compression and is probably benign. No significant masses, calcifications, or other findings are seen in the breast. PROBABLY BENIGN in capital letters.

No abnormailities were seen sonographically in the right breast.
IMPRESSION: NEGATIVE - FOLLOW-UP RECOMMENDED
There is no sonograpjic evidence of malignancy. A follow-up right mammogram in 6 months is recommended to demonstrate stability.

My quesion is IS THIS CANCER?? CAN this diagnosis lead to it?? They are clearly saying ITS "PROBABLY BENIGN", which does not put me at ease. What can I do in the meantime, while I wait for six months to do a follow up mammo?? My physician tells me there is nothing I can do.

Your prompt response is appreciated.

MG
Submitted: 4 years ago.
Category: Health
Expert:  Dr.Saurabh Joshi replied 4 years ago.
Hello,

This "probably benign" lesion is a BI-RADS category 3 breast lesion, that is a universal classification based on Mammographic appearance.

It is found that less than 2 % of Probably Benign lesions ( BI-RADS Cat 3 ) eventually turn out to be Malignant.

This is why a biopsy is not immediately recommended and a 6 month follow up is advised.

You cannot actively do anything that would increase the probability of this turning out to be benign after 6 months.

Please find more information here :

http://radiology.rsna.org/content/225/3/918.full
Customer: replied 4 years ago.

Kindly answer questions below:

 

1) How did this (BI-RADS Cat 3) breast lesion occur?? if in fact thats what it is.

 

I do work out five to six days a week but not excessive routine or reps, and lift 5 to 8 pound dumb bells, 2) could that have been a contributer to lesion in my breast??

 

3) What do they mean by scattered fibrograndular??

 

4) What causes this condition?

 

5) Should I look for specific signs on my breast?

 

6) Is it feasible to have mammo done prior to 6 months if I experience pain, disoloratio on my breast?

 

Please respond.

Expert:  Dr.Saurabh Joshi replied 4 years ago.
Hello,

1. This lesion is probably a Cyst, or a Lipoma ( aggregation of Fat ) , a Hemangioma ( aggregation of blood capillaries ), a fibroadenoma or a neurofibroma ( nerve tissue ) these are not cancers, but benign proliferations of tissue. This can occur without any particular reason like exercise or diet etc. These can be familial or idiopathic ( occur without any cause).

2. Exercise is unlikely to contribute to this.

3. Fibroglandular is a type of breast tissue not abnormal.

4. Answered in 1.

5. Pain, discharge etc should warrant an earlier examination, routinely by Ultrasound.

6. You can have an Ultrasound before 6 months, as it does not involve radiation and is just as sensitive.

As the Ultrasound did not detect any abnormality, it is most probably a benign issue or just normal breast tissue and not a pathology.
Customer: replied 4 years ago.

1) What will be the next step after following up with mammo in six months???

a) if condition remains as is, b) if condition becomes malignant??

 

2) Can I take medication for current condition?? Anything??

 

3) Can I still have a BI-RADS cat 3 and breast cancer together??

 

4) Is this a condition that should be shared with family?

 

 

Expert:  Dr.Saurabh Joshi replied 4 years ago.
Hello,

If this is suspected to be a malignancy, then it would need to be biopsied, after a repeat mammogram in 6 months.

You cannot take any medication for this.

Breast cancer is BIRADS 5 and 6, your level 3 is "probably benign" that is there is 2 % chance of this being cancer.

This most probably is just normal dense breast tissue, you need not panic, let the follow up scan take place, if this is the same then you need not do anything.

You can ask for any history of breast cancer in your family that can increase suspicion in your case, and push for an earlier follow up.
Customer: replied 4 years ago.

I recently (today) learned my grandmother, mothers mom, had breast cancer at a young age, in her mid 30s, it was in the early stages and so she recovered, and it never returned. My mother has never had breast cancer, she is the only female of four brothers. I have a sister that is 25 and she has no signs of breast cancer. My mothers brother was diagnosed with colon cancer last year, he is in his early 60's, he recently completed chemo.

 

1) Is this something I should report to my personal physician??

 

2) Would this require the need for an earlier mammogram??

 

3) How can it be determined exactly what I have?

 

You mentioned cyst, lipoma etc.,

 

4) How can it be poin pointed wht it is??

 

5) Must I wait six months to find out?

 

6) Is there alternate testing that can be done now? other than biopsy?

 

I'm health conscious and I exercise, and so I'm eager to be proactive and not simply sit around and wait. There has to be something I can do to find out exactly what it is now instead of waiting, and wasting valuable time that can ultimately save me.

 

7) What else do you recommend that I do??

 

Look forward to your response.

 

 

Expert:  Dr.Saurabh Joshi replied 4 years ago.
I am going to opt out of this conversation as you do not seem to be accepting any of my answers.
Customer: replied 4 years ago.
Relist: I'm very concerned about my diagnosis, and it appears that the expert does not wish to answer all of my questions, I would prefer an expert that will provide answers to doubts I have. Breast cancer is a serious and critical topic, and I need someone that will be more sensitive to my questions and condition..
I'm very concerned about my diagnosis, and it appears that the expert does not wish to answer all of my questions, I would prefer an expert that will provide answers to doubts I have. Breast cancer is a serious and critical topic, and I need someone that will be more sensitive to my questions and condition.
Customer: replied 4 years ago.

It appears this expert has opted out of our conversation, I'm requesting someone else to answer last set of questions please.

 

Thank you.

Expert:  Julia Kizhner replied 4 years ago.

Hello. I am going to try to help you answer your questions.

 

1) Is this something I should report to my personal physician?? -- yes, family history of early breast cancer is very important to report to your physician.

 

2) Would this require the need for an earlier mammogram?? -- you would not need an early mammogram if one was suggested to be done in 6 months. Results of the mammogram says NEGATIVE which means there is no evidence of cancer. The only reason to repeat a mammogram in 6 months is to make sure that some dense tissue in your breast is not hiding something behind (very unlikely).

 

3) How can it be determined exactly what I have? -- mammogram is the only can determine if there is a suspicious density on the mammogram. If there is a suspicious density, then biopsy is the only thing that will be able to exactly determine what is going on. However, your mammogram did not show any suspicious densities, therefore, there is nothing there to biopsy.

 

You mentioned cyst, lipoma etc.,

 

4) How can it be poin pointed wht it is?? - again, mammogram can just show a density. If there is a suspicious density, then you will get an ultrasound (which sounds that you had). Ultrasound can differentiate between a cyst, lipoma and a cancerous density. To confirm the exact diagnosis, biopsy is needed.

 

5) Must I wait six months to find out? -- if the radiologist suggested waiting 6 months, it is safe to assume that you do not need to have a sooner mammogram. However, for your piece of mind and if your insurance pays for it, you can ask your doctor to repeat your mammogram in 3 months.

 

6) Is there alternate testing that can be done now? other than biopsy? - You can discuss with your doctor doing an MRI of your breast. MRI of the breast is highly sensitive in determining breast cancer, however, it is very expansive and insurance may not approve it. However, it is worth pursuing this.

 

7) What else do you recommend that I do?? -- I would encourage you to wait. Your mammogram did not suggest anything that needs to be biopsied. For your own piece of mind you can talk to your doctor about doing an MRI of the breast or to repeat mammogram in 3 months. Also, I would suggest you do monthly breast exams and if you feel a lump, address it with your doctor.

 

I hope you find this information helpful. If you need any clarification or have any additional questions, please let me know and I will be glad to assist you further.

If you are satisfied with your answer, please click the green "ACCEPT" button, otherwise your deposit stays with JustAnswer and I do not get compensated for my work.

 

Best wishes,

Julia

Julia Kizhner, Physician Assistant
Category: Health
Satisfied Customers: 1126
Experience: 7 years experience working in Primary Care as well as Gastroenterology, Sleep Medicine & Weight Loss
Julia Kizhner and 6 other Health Specialists are ready to help you
Customer: replied 4 years ago.

Thank you for your quick response Julia and I appreciate your sensitivity to this matter.

 

I will follow up with my physician about the above for my piece of mind.

 

I look forward to following up with you in the very near future.

 

Thank you once more.

 

 

Expert:  Julia Kizhner replied 4 years ago.

I am very happy I was able to help you. Please feel free to follow-up at any time. I will be happy to help you.

Julia

Customer: replied 4 years ago.
Thank you.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery