I am a 50 year old male and and have a lump under my right nipple which is painful (bruise like) when pressed. I have been to see my doctor who, without any testing, referred me to a surgeon who wants to do a biopsy. Nether doctor provided any diagnoses or possible cause of the lump/pain. The condition is asymmetrical and both doctors ruled out Gynocomostia. I've spent less than 1 hour between both doctors and I am at a loss as to how to proceed. I personally feel that the doctors have not done enough pre-surgical testing. I am desperate for advice.
I am not taking any drugs or medications nor do I have any history of radiation therapy. However, my mother had breast cancer about 20 years ago and has recovered. Neither of my doctors suggested a mammogram or MRI and the surgeon didn't offer a core biopsy as an option. A couple of months ago I had a bump right next to my nipple which resulted in a small dark scaly patch for several days, but I did not notice any discharge. I have had not other external symptoms since. Just the lump and the pain when touched. The surgeon checked me for gynecomastia and ruled it out. He checked my lymph glands and found the gland under my right arm (same side) to be slightly enlarged. I checked myself when I got home and could not find any swelling. My surgery is scheduled for the 21st and I need to get smart way before then.
I just received a phone call from the surgeons office and we discussed some of my concerns. The doctor does not feel that a core biopsy is practical because there is a good chance that he would have to go back in at a later date and remove the lump and that a mammogram would only add additional expense to the process because the lump should be removed. He also said that there's about a 5% chance of it being life threatening (the big C).
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