Pain in my lymph nodes

I had a needle biopsy using ultrasound last week on a lump in my right breast which was found in a routine mammogram. The lump was directly beneath the areola and not particularly deep. As a result I have been diagnosed with cancer and am awaiting an appointment with a surgeon for a lumpectomy and sentinel node biopsy consult. While I had little or no pain after the biopsy in my breast, I am now experiencing serious pain in my underarm area where my lymph nodes would be on that side. Is this something that I should call my regular physician about while I am waiting for the appointment with the surgeon? Does this mean that the cancer has gone into the lymph system?

[japdip]

No, cancer isn't necessarily the cause of the discomfort in the axillary area. Lymph nodes can become enlarged for several reasons. I don't know how long you are going to have to wait for your surgical appointment so if you are terribly concerned you might give your Dr. a call regarding this problem. If your wait isn't more than a couple of weeks then I would just wait and discuss it with the Surgeon.   Regards ....

[Karma54]

Thank you for your reply. I have an appointment on Monday with the surgeon. Who knows how long it might be before the surgery. I have never been contacted by the radiologist and my regular doctor seems to washed his hands of me. At what point does one get referred to an oncologist in this process?

[japdip]

You may be referred to the Oncologist either before or after whatever additional surgery will be recommended. The procedure differs with each Surgeon but you should make this one question to discuss when you have your appointment. I wouldn't expect that the Radiologist would be contacting you for any reason and your personal Physician would have little to do with your case at this point. From here on it will be Surgeon and Oncologist who will be directing your care.   Regards ....

[Karma54]

Thank you for your reply. I will keep those questions in mind when I have my appointment on Monday. Have a good weekend.