Ask a doctor on the topic of Gynecology

Ultrasound of the breast

October 10, 2018 | 20,00 EUR | answered by MD Felix Aaslepp

Hello, I am 53 years old and have to go for an ultrasound every six months due to a very cystic breast. The last mammogram was a year ago. A year ago I also had a core biopsy, but it turned out to be just a fibroid. On Monday I went to my gynecologist for a check-up and he found a round lesion with a dorsal acoustic shadow, he said it could also just be calcium and gave me a referral to the senology department. When I search for this online, I always see "carcinoma" immediately next to acoustic shadow. I am completely distraught, my appointment in senology is not until in 2 weeks. Is there still hope that the lesion is not malignant, it is about 1 cm and the gynecologist practically found no blood flow during the Doppler test. It is also close to the nodule where a core biopsy was performed last year. Can I still hope that everything turns out to be harmless or is an acoustic shadow practically proof of malignancy?

Thank you

Best regards
Gwenna

MD Felix Aaslepp

Hello!
Thank you for your question.
"Dorsal acoustic shadowing" simply means that the tissue is very dense and therefore no sound is reflected from behind. Such a rounded lesion could be anything, including a fibroma like last time. The minimal blood flow is actually a good sign, as malignant tumors are usually well-vascularized in order to grow quickly.
Without further examination, a definitive conclusion cannot be made. Wait for your appointment in the senology department and try not to worry too much until then.
I wish you all the best!