Understanding LCIS and Clumped Enhancement: What Does It Mean?

Question
QUESTION: Stereotactic needle biopsy revealed one LCIS of 5 cm. MRI revealed surrounding "clumped enhancement" as well as various cell activity in the other breast. What does this mean? The radiologist recommended I talk with a surgeon about an excisional biopsy of the 5 cm lesion. I had a fibroadenoma removed by lumpectomy 7 years ago, so I'm not too thrilled at distorting this breast again. I'm more inclined to go with prophylactic BM, and get reconstruction.

ANSWER: What is it you want to do? Bilateral "prophylactic" mastectomy followed by reconstruction? Well that can be done at any time! But first find out what this is! So have the biopsy done as your dr. suggested ASAP! Please do keep me posted!


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QUESTION: I want to know what "clumped enhancement" means surrounding the LCIS. Also, is 5cm a large area on a barely-B cup woman?

Answer
That is just a technical term for a cluster of abnormalities (enhanced signal) indicating that there may be something abnormal there. What that may be must be determined by biopsy. A 5 cm (roughly 2 inches) lesion is certainly not small. Actually rather big regardless of cup size.