Two days ago after my mammogram, I was lamenting the saggy state of my still rather large breasts and contemplating whether to get them lopped off -OK, OK, surgically reduced and lifted – at the end of my weight loss.
Today I am numb as the results of the mammography reveal very suspicious micocalcifications in both breasts. How suspicious one might ask? The scoring system known as BI-RADS has both areas at 4 on a scale of 0 to 6 where: 0- incomplete, 1- negative, 2-benign findings, 3-probably benign, 4-suspicious abnormality, 5-highly suspicious of malignancy, 6-known biopsy with proven malignancy. To put this in to a better perspective, a BI-RADS of 5 means the chance a woman with that score actually has some type of breast cancer is about 95%. (For those interested, this likelihood is called the positive predictive value or PPV.) The PPV for a score of 4 is only 20-40%, but that is a heck of a lot higher risk than I had 2 days ago. Disturbingly I find there are sub categories, 4a 4b 4c with much greater risk in 4c, as high 79%. My radiologist didn’t breakdown the subcategory – just as well. It is what is.
I am scheduled for bilateral breast biopsies Monday. My wonderful PT and massage for an ailing neck are out the window for the following week then we will deal with the results.
I draw strength from all the physical trials my Mother went through the last 10 years of her life, smiling the entire time. How bad can this be? Cheers!