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Breast lump develops after biopsy
Five and a half months ago I had an MRI guided breast biopsy performed by a radiologist. The pathology report said it was a fibroadenoma.
At the time of the biopsy I developed a hematoma about the size of a tangerine. As time passed what I thought, and was told by the nurse practitioner Breast Health Coordinator, was a hematoma slowly began to get smaller and after four months was the size and shape of an egg. It could be easily felt by both hands at the same time with one hand on the top of the breast and the other hand on the bottom of the breast. It seemed to be more towards the top of the breast and spanned the 10 o'clock to 12 o'clock area. I have large breasts, bra size 36H as measured by a professional bra fitter, so the 10-to 12 o'clock area is a couple of inches. The lump is now the size of an avacado pit a little more than an inch around.
Four doctors have felt it, none has committed to saying it is a hematoma, some have said that it could be scar tissue, which I doubt because it was present immediately after the biopsy.
The last doctor I saw three days ago, a radiologist, looked at a fresh mammogram and did part of the ultrasound herself, said that on ultrasound it did not look like a hematoma and that she could not see anything that corresponded to what is easily palpable. She did find a dark irregularly shaped spot right at the site where the biopsy was done. She said that needs to be biopsied and that she will do it guided by ultrasound. My new surgeon says that the first radiologist might have missed the spot he was intending to biopsy, and that the dark spot could be cancer that has grown, or continued to grow in the last five and a half months. The pathology report from January said the spot the first radiologist biopsied in January was a fibroadenoma, how could that be a miss? Wouldn't a miss have been normal breast tissue?
Meanwhile, I am now three days post mammogram and ultrasound. What I have been believing was a hematoma for the last five and a half months, which has been in the same spot shrinking slowly for the past five and a half months, has moved from the 10-12 o'clock position to the 4-6 o'clock position! I don't understand how this is anatomically possible. Could the trauma from the 6-8 mammogram squeezes from three days ago have caused a hematoma to move that much? If it's not a hematoma what could it be? Because my breasts are so large, the lump I thought was a hematoma isn't visible through the skin. I have dense breasts so how could anything that large possibly "travel" from one area to another? Am I in any danger of having any kind of embolism, fat or blood, from this? When the radiologist does the biopsy of the dark spot she found, if she also punctures the hematoma or whatever it is while performing the biopsy could that be dangerous?
At the time of the biopsy I developed a hematoma about the size of a tangerine. As time passed what I thought, and was told by the nurse practitioner Breast Health Coordinator, was a hematoma slowly began to get smaller and after four months was the size and shape of an egg. It could be easily felt by both hands at the same time with one hand on the top of the breast and the other hand on the bottom of the breast. It seemed to be more towards the top of the breast and spanned the 10 o'clock to 12 o'clock area. I have large breasts, bra size 36H as measured by a professional bra fitter, so the 10-to 12 o'clock area is a couple of inches. The lump is now the size of an avacado pit a little more than an inch around.
Four doctors have felt it, none has committed to saying it is a hematoma, some have said that it could be scar tissue, which I doubt because it was present immediately after the biopsy.
The last doctor I saw three days ago, a radiologist, looked at a fresh mammogram and did part of the ultrasound herself, said that on ultrasound it did not look like a hematoma and that she could not see anything that corresponded to what is easily palpable. She did find a dark irregularly shaped spot right at the site where the biopsy was done. She said that needs to be biopsied and that she will do it guided by ultrasound. My new surgeon says that the first radiologist might have missed the spot he was intending to biopsy, and that the dark spot could be cancer that has grown, or continued to grow in the last five and a half months. The pathology report from January said the spot the first radiologist biopsied in January was a fibroadenoma, how could that be a miss? Wouldn't a miss have been normal breast tissue?
Meanwhile, I am now three days post mammogram and ultrasound. What I have been believing was a hematoma for the last five and a half months, which has been in the same spot shrinking slowly for the past five and a half months, has moved from the 10-12 o'clock position to the 4-6 o'clock position! I don't understand how this is anatomically possible. Could the trauma from the 6-8 mammogram squeezes from three days ago have caused a hematoma to move that much? If it's not a hematoma what could it be? Because my breasts are so large, the lump I thought was a hematoma isn't visible through the skin. I have dense breasts so how could anything that large possibly "travel" from one area to another? Am I in any danger of having any kind of embolism, fat or blood, from this? When the radiologist does the biopsy of the dark spot she found, if she also punctures the hematoma or whatever it is while performing the biopsy could that be dangerous?
Best Answer
Since you only had a biopsy, the Fibroadenoma would certainly still be there .... they don't just go away and they do increase in size or they can also reduce in size. You may well have had a hematoma but that doesn't mean that the original finding wasn't present. There would be no danger in having another biopsy .... a hematoma over time if not resolved can become more solid than liquid. There is also the possibility that even another Fibroadenoma has formed. If you have fibrocystic breast condition you are subject the to the formation of multiple cysts or Fibroadenomas. These benign tumors have been referred to as "breast mice" due to the fact that they may "move". I see no danger in having another biopsy; why not ask your Surgeon about an excisional biopsy which would be an open procedure that would remove the lump entirely. Film or no film, if the lump can be felt it can be identified and removed surgically. Regards ....
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