一直到昨天，我是去年4月30号做的乳腺年检。今年约了五月份做。因为我的乳房非常dense,两侧都有纤维腺瘤，左侧的纤维腺瘤还做过biopsy,所以一直以来都是同时做mammogram和ultrasound. 去了advanced ridiology women center, 先做mammogram，然后B超。我和B超的人说，我的左侧乳房总疼，麻烦帮我好好看一下。
PROCEDURE: MM MAMMO SCREENING W/ TOMOSYNTHESIS BILATERAL CLINICAL INFORMATION: The patient presents for a screening mammogram. History of benign left breast biopsy. TECHNIQUE: Digital bilateral screening mammography was performed with Tomosynthesis. This examination was reviewed with the aid of Computer Aided Detection. COMPARISON: Comparison is made with prior exams dating to 2017. FINDINGS: RIGHT: There are no suspicious masses, calcifications, or architectural distortion. LEFT: There are no suspicious masses, calcifications, or architectural distortion. Biopsy clip in the upper outer quadrant. BREAST DENSITY: Heterogeneously dense - The breasts are heterogeneously dense, which may obscure small masses. BI-RADS CATEGORY: 1 - Negative: RECOMMENDED FOLLOW-UP: Annual Screening Mammography Recommended. A breast ultrasound was performed the same date as this exam and is reported separately. 但是B超的BI-RADS CATEGORY: 4 - Suspicious Abnormality: FINDINGS: Comparison made with prior ultrasounds dating back to 12/31/2014 RIGHT: Negative. There are no suspicious findings on survey evaluation. LEFT: Stable benign findings at the 3:00 N5 axis. At the 9:00 N5 axis is a slightly ill-defined, taller than wide hypoechoic lesion measuring 0.2 x 0.2 x 0.3 cm. This is new compared to prior exams and considered indeterminant. Ultrasound biopsy is recommended. There are no suspicious findings on survey evaluation. BI-RADS CATEGORY: 4 - Suspicious Abnormality: RECOMMENDED FOLLOW-UP: Ultrasound guided biopsy is recommended. 回家后，我一直忍着不去网上查，但是看着医生给我的乳腺外科医生的宣传单，我觉得不看看什么都不知道也不行。简单看了一下，就是我这个新发现的ill defined, tallter than wide好像都是很不好的意思。唉，去年刚做完卵巢子宫全切，以为妇科可以没什么问题了，这乳腺又出问题了。 我知道我只能等待下周的biopsy,但是心情还是很波动的。刚刚在论坛上搜了一些帖子来看，姐妹们真的很勇敢。祈祷我这次也能闯关成功。 我就在advanced radiology做biopsy了，这个没什么问题吧？如果有后续的需要（祈祷不需要），唉，我也不知道该问什么问题了，就这样吧。 祝大家周末愉快，身体健康。
啰嗦之前先来个短平快的，就是我乳腺B超RADS CATEGORY: 4，a slightly ill-defined, taller than wide hypoechoic lesion measuring 0.2 x 0.2 x 0.3 cm
需要做biopsy. 而且看着这个描述，心里直打鼓。
我上个月上来问有关风湿免疫科的问题，当时ANA测试1：40，口干，这个问题在没有见到免疫科医生的时候，口干就缓解了，后来免疫科医生说问题不大，就这么不了了之了。大家的劝慰我也听进去了，不再纠结这个问题。过了开心的一个月，女儿从学校匆匆回来又匆匆回去，我也按部就班定时锻炼，心情一直很好。
一直到昨天，我是去年4月30号做的乳腺年检。今年约了五月份做。因为我的乳房非常dense,两侧都有纤维腺瘤，左侧的纤维腺瘤还做过biopsy,所以一直以来都是同时做mammogram和ultrasound. 去了advanced ridiology women center, 先做mammogram，然后B超。我和B超的人说，我的左侧乳房总疼，麻烦帮我好好看一下。
她就在那一直看一直看，我后来忍不住问有什么问题吗，她说她不确定有一个地方是不是tissue，可能需要biopsy.然后她说我把图片发给医生，看她需要过来看一下不。过一会医生来了，看了一下，就说需要biopsy.
然后给我看那个图像，说是以前没有的。我当时懵懵的，就说那就做。然后就约了下周二的biopsy.
回来后收到了检查报告，mammogram没说什么，但是医生说我的乳房太dense了，看不到什么。
PROCEDURE: MM MAMMO SCREENING W/ TOMOSYNTHESIS BILATERAL CLINICAL INFORMATION: The patient presents for a screening mammogram. History of benign left breast biopsy. TECHNIQUE: Digital bilateral screening mammography was performed with Tomosynthesis. This examination was reviewed with the aid of Computer Aided Detection. COMPARISON: Comparison is made with prior exams dating to 2017. FINDINGS: RIGHT: There are no suspicious masses, calcifications, or architectural distortion. LEFT: There are no suspicious masses, calcifications, or architectural distortion. Biopsy clip in the upper outer quadrant. BREAST DENSITY: Heterogeneously dense - The breasts are heterogeneously dense, which may obscure small masses. BI-RADS CATEGORY: 1 - Negative: RECOMMENDED FOLLOW-UP: Annual Screening Mammography Recommended. A breast ultrasound was performed the same date as this exam and is reported separately. 但是B超的BI-RADS CATEGORY: 4 - Suspicious Abnormality: FINDINGS: Comparison made with prior ultrasounds dating back to 12/31/2014 RIGHT: Negative. There are no suspicious findings on survey evaluation. LEFT: Stable benign findings at the 3:00 N5 axis. At the 9:00 N5 axis is a slightly ill-defined, taller than wide hypoechoic lesion measuring 0.2 x 0.2 x 0.3 cm. This is new compared to prior exams and considered indeterminant. Ultrasound biopsy is recommended. There are no suspicious findings on survey evaluation. BI-RADS CATEGORY: 4 - Suspicious Abnormality: RECOMMENDED FOLLOW-UP: Ultrasound guided biopsy is recommended. 回家后，我一直忍着不去网上查，但是看着医生给我的乳腺外科医生的宣传单，我觉得不看看什么都不知道也不行。简单看了一下，就是我这个新发现的ill defined, tallter than wide好像都是很不好的意思。唉，去年刚做完卵巢子宫全切，以为妇科可以没什么问题了，这乳腺又出问题了。 我知道我只能等待下周的biopsy,但是心情还是很波动的。刚刚在论坛上搜了一些帖子来看，姐妹们真的很勇敢。祈祷我这次也能闯关成功。 我就在advanced radiology做biopsy了，这个没什么问题吧？如果有后续的需要（祈祷不需要），唉，我也不知道该问什么问题了，就这样吧。 祝大家周末愉快，身体健康。如果是有点年纪了，建议少吃肉，多吃素，肉里太多激素。
记得刚来东北部那会儿，我在stop shop 找猪骨头熬汤，没找到，但看到有卖脖子部位骨头的，就常常买回家熬汤，顺便骨头上的肉也吃了，当时也不懂，其实脖子骨头上有很多淋巴的，虽然不吃那些组织。但后来我卵槽上也长了东西，当时医生以为是卵巢癌，动了大手术，结果就是一个良性的瘤。后来我想这事是怎么发生的呢，可能和吃那个脖子骨头肉有关系，我们家族里没有长这长那的。后来就不怎么吃猪肉了，怕了。即使有时偶尔吃，也是买baby ribs,别的不吃。
万一真有事也是极其早期，勇敢面对积极治疗就是了。
不过也别太紧张，自己生活规律，保持健康，有些病痛会扛过去的。祝好。
随着年龄增长，得癌的概率越来越高，得了切了就是了，该咋过还咋过，这是我的想法， 癌已经变成老年病了，带癌生存的人不少，一样能活到90岁左右。