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来源: newage6 于 2024-05-20 09:02:33 [档案] [旧帖] [给我悄悄话] 本文已被阅读：次 (2852 bytes)

由于我乳房是高密度，妇科医生推荐我做MRI，我4/4 号做的MRI 结果是abnormal。

“ There is a 7 mm enhancing mass in the central upper left breast. Targeted left breast ultrasound examination is recommended to aid in determining image guidance for core needle biopsy in this high-risk patient. There are no suspicious findings in the right breast. Sonogram of the spleen may be helpful for further evaluation. Other cross sectional imaging such as CT of the chest may be helpful for further evaluation of periaortic fluid. OVERALL FINAL ASSESSMENT: SUSPICIOUS. BI-RADS Category 4A: Low suspicion for malignancy.”

然后医生又让我在5/6 做ultrasound, 进一步确认了MRI的检查结果。

Ultrasound 的结果如下：Abnormal

Impression

: Mass in the 12:00 left breast is favored to correspond to the enhancing mass on MRI and warrants ultrasound-guided biopsy OVERALL ASSESSMENT: BI-RADS Category 4: Suspicious finding-biopsy should be considered. Subcategory 4a: low suspicion for malignancy. RECOMMENDATION: One site ultrasound guided biopsy of the left breast Findings and recommendation were discussed with the patient by Dr. Lowdermilk. Thank you for allowing us to participate in the care of your patient. SSM Health utilizes EPIC as a reminder system to notify patients of their next recommended mammogram. > Interpreting Provider: Mary C Lowdermilk, MD on 5/6/2024 12:00 PM

Narrative

EXAMINATION: Limited left breast ultrasound on5/6/2024 11:38 AM. PRIOR: Breast MRI 4/4/24 HISTORY: 52 year old female at increased risk for breast cancer with an enhancing mass in the upper central left breast is referred for second look ultrasound FINDINGS: Limited ultrasound of the upper central left breast demonstrates a hypoechoic mass with angular margins in parallel orientation in the 12:00 position 8 cm from the nipple measuring 6 x 3 x 5 mm favored to correspond to the enhancing mass on MRI

然后护士当天就给约了今天的用ultrasound做biopsy 。radiologist 不是同一人，不过ultrasound的technologist是同一个人。在做活检之前那个技工又做了一遍ultrasound，然后在左边乳房mark了一下。我以为他们都是确认好地方才开始做的。做完后又做了个mammograph 发现医生取活检的地方和MRI推荐的地方不是一个地儿。医生说这不是他的错也不是ultrasound 技工的错，因为他们都是人都会出错，还跟我说下次用MRI 再做一次活检。今天的结果还不知道，他们就要charge我将近$3000。我不知道该和谁讨个说法关于这种情况，对他们的专业行为我真是失望, 觉得被欺骗了。请版主和有经验的网友献计献策。先谢谢了！