Breast Lump

[JuJuKelly]

What do you think about this? I am 20 years old.(FYI: In 2000 I was diagnosed with sarcoidosis of the skin, after a sore on my nose wouldn't heal.I haven't had any symptoms since.)Not quit a year ago during my yearly check up my doctor found a lump in my left breast.She sent me to get an ultrasound.They found that it is a sloid mass @ 5 o'clock on my breast.It seems to be around the size of a quarter.They told me to keep an eye on it and come back in 6 months for another ultrasound/sonogram.When I went back the second time they found that it never really got any bigger nor smaller but that it was showing some sign of evoultional necrosis.What is that?It has never really been uncomfortable other than there being a lump I wouldn't know it was there.Now it is beginning to be very uncomfortable.It seems to be getting firmer and for the last week or so my nipples have been very tender and my left one seems to be a bit enlarged.I usually don't have any sensation in my nipples at all.Also, my right breast is soar but I can't exactly pinpoint the source of the pain. Also, in the last few months I will have episodes where my feet and the backs of my thighs burn. It is a weird sensation.Not tingly but just VERY sensitive.This burning lasts for a few days to a week.Then it goes away.*My Grandmother passed away from breast cancer. I am not sure what is going on. My doctor assumes the mass in my breast is not cancerous because of my age.I just don't know what to do. Should I wait and have another sonogram or have it biopsied?What is a biopsy?I just want to know what might be going on.

[Tora]

Dear Everyone,

My wife has a lumb in left breast, peanut size, we went to see a doctor in July 03. She had  ultrasound, a biopsisp test, it was not a cancer, but the doctor recommend to take it off. My wife and I do not have any idea about this, whether she should cut it off. Is there any other way to cure it? The most important how we know which doctor is specialize in breast cancer.
Thank you very much. We are looking forward to hearing from you.

Sincerely yours,

Tora

[jwhitfie]

JuJuKelly,

Please ask your Dr to order a biopsy for you ... preferably a stereotactic core needle.  In my opinion this is the least involved procedure which will give them a clear indication of what this is.  I hope that for your sake it is nothing, but last year I was in the same boat as you, I had a lump that appeared suddenly, and really hurt, the breast became larger, except that mine grew like crazy (quadrupled in 5 months)  I was 24 years old, and my Dr put me off, put me off, put me off ... until finally I left him and found someone who would listen and take me seriously.  I did have breast cancer, and due to the size and the fact I had multiple tumors the only option I had was a mastectomy.  Thank goodness I was insistant though ... I had a bilateral mastectomy, and I'm now in reconstruction.  Although the largest lump was about 4cm we still got it very early, (it was still DCIS) and my oncologist did not recommend that I have chemotherapy.  I also now have a 3 month old baby and I am still cancer free and doing very well, but long story short ...

Don't let anyone put you off because of your age ... I have met 16 year olds with breast cancer, and I now have a lot of friends in my same situation and some of them waited years rather than months for a diagnosis and they were not all so lucky to have clear lymph nodes.  Not to scare you, and I certainly hope that it is nothing, but I encourage you to press your doctor to do what you feel you need to put your mind at ease.  You know your body better than anyone else ...  Good Luck!
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[CCF-RN,MSN-JS]

Dear JuJuKelly, Evolutional necrosis would mean that there is some indication that over time an area of the lump is dying.  Breast lumps in a younger woman are usually due to some type of benign (non-cancerous) cause.  However, because this lump is changing and causing discomfort there may be a decision to biopsy or remove the lump.  A biopsy is where a piece of tissue is removed so it can be examined under a microscope to look at the cells and determine if there are abnormalities of the cells.  There are different types of biopsies, ranging from needle biopsy to removal of the entire lump.  If the determination that a biopsy is recommended the surgeon will usually propose the least invasive method that can give the most information.

For your peace of mind you may want to seek the opinion of a breast specialist to evaluate this lump, to figure out what is going on with your breast.