Dialted Duct & Lymph Nodes

[YAp]

I had my first mammogram and ultrasound. I was called by my primary a few days after. He referred me to a breast specialist.
The results are the following;
Mammogram: Stated fibroglandular elements in the upper quadrant of the left breast. No mass or cyst. However the sonogram read: an elognatged dilated duct in the left breast at the 8 o'clock position. It also stated prominent-sized fatty lympn nodes in both axillae. One measuring 2.5 cm and the other 1.8 cm.
I was referred to the specialist for dilated duct.
Should  I be concerned? What could this be?  What additional test if any should I expect to do?

[YAp]

Thank you for your response.
I did see a surgeon and had a biospy. I like to share the results with you, because I was informed by my surgeon that I need another biospy.
Should I be alarmed? and why do you think another biopsy is required?

Tissue: Lymph Node-Rt Breast Ax

Final Diagnosis:
Biospy of Right Axilla: Breast tissue with fibrocystic change and papillary ductal hyperplasia with apocrine features.

He explained that the biospy was of breast tissue and not of the enlarged lymph node.

Should I worry and what may be the next step?

Thank you for your time.

[DrBhumikaMD]

Hi,
The reports that you mention should not be a cause of alarm. The dilated duct and lymph nodes seem benign lesions most probably.
What is important is that you see a surgeon and ask him if a biopsy of the lymph nodes needs to be done for a confirmed diagnosis. He would then decide after a proper clinical examination, if he thinks the lesion is suspicious.
It is best to have a confirmed diagnosis and plan further management accordingly. Let the surgeon do the clinical examination and then he will also decide whetehr the dilated duct can be managed conservatively or a surgical intervention is required.
Hope this helps.
Good luck.

[Fernando Roque, MD]

Hi.  The dilated duct most likely will not lead to malignancy, but it might be susceptible to developing infection and nipple discharge later on.  So it might be best to have it seen by the doctor earlier.  The fatty lymph nodes are also non-specific findings and is not indicative of any malignancy.