Another biopsy, 3 yrs. later

Women's Imaging: orchids at the doorway, orchids inside... 

It's always a surprise.  

We show up for our annual mammogram, and the doctor sees something.

(Actually, not all of us show up.  Women who do not have health insurance or who live far from a clinic may not have that surprise until they feel a lump--much later in the growth of a tumor.)

Today after the usual two x-rays per breast, my radiologist asked for three more of my right breast, including a close-up of the lower breast.  Ten minutes later she asked for a closer close-up.

Then came the news: a patch of eight or so tiny specks of calcification.  They looked like the cluster of stars we call the Pleiades.

"Calcification is sometimes a sign of cancer, sometimes not," Dr. Iyengar said.  "We won't know until we do a core needle biopsy."

Vocabulary Lesson One for breast cancer patients: needle biopsy.

Cancerquest.org defines needle biopsy:

A needle biopsy is rarely used to obtain skin tissue; it is usually used to remove a sample from internal organs, lymph nodes, or deep skin areas. These techniques involve the use of a small, hollow needle and is sometimes aided by an imaging technique such as x-ray.  There are two types of needle biopsy, fine needle aspiration (FNA) and core needle biopsy.  They differ in the amount of tissue removed. Core needle biopsies remove a larger tissue sample than FNA.1More about these are in the sections that follow.

See also:

http://www.mayoclinic.org/tests-procedures/breast-biopsy/details/what-you-can-expect/rec-20236113

I had plenty of time to think about it between x-rays: the right breast, not the left, site of my lumpectomy three years ago.

Does that mean all the cells of my body are vulnerable to going haywire at this point in my life--coming up on 69 years?

Or is it just the cells of my breast?  Why didn't I have a double mastectomy last time?  Go for it now.

I'm so grateful for the expertise of Dr. Geeta Iyengar.  She's kind and she recommended the ultrasound three years ago that revealed my stage 2 tumor.  I think ethnically she may be from India.  I trust her completely.

It was also great to see Winona, the radiology technician who did my ultrasound three years ago and showed the tumor to me and Dr.Iyengar.  She knows me by face and welcomes me each time I show up a year later.  She's African-American and very warm-hearted.

Anyway, I'm strapping my seat belt for another ride--whether a short trip or the beginning of a roller coaster, I don't know.