breast pain again!

[sheep]

Hi I have posted a question before, have steady heavy breast pain and swelling along with a sometimes severe itch no burning or redness in my left breast, had u/s mammo mri all show fibrous cycst mri stated things appeared to to fine follow-up in 6 months. Now the doc. is leaning towards lymphadema, The thing is I have no pain or swelling in my arm, so is this still possible? I'm 47 strong fam. history of b/c mom and sis passed from it. Had a total hysterectomy at 29. Take low dose of premerin. Please give me your thoughts, is it possible they are still missing something? Is my body trying tell me something? This started after I had a small pappilary cyst removed 15 months ago.P.S. the pain and swelling gets worse as the day goes on usually in the morn. I feel pretty good. I know the pain is not imaginary there has to be an answer somewhere I can't be the only person going through this. Thanks for your help.

[sheep]

pathology reads, dialated ducts and cystic spaces both demonstrating moderate hyperplasia no evidence of atypia.
thanks for asking.

[healthcareguerilla]

You had a total hysterectomy at age 29, and you are now 47 and taking Premarin?  Is that correct?  Have you been taking the Premarin all this time?  Why?  Long-term use of Premarin, or any hormones is not good for the body.  Is there some special reason why you're taking it?

What was the pathology report from the cyst removal.  At any rate, it sounds like you should get an ultrasound at least to see what's going on in there, if anything, now.

[CCF-RN,MSN-rf]

Dear sheep:  Without evaluation, it is impossible to speculate on what may be causing your discomfort. The well known version of lymphedema usually occurs in the arm when the axillary (under arm) lymph nodes are damaged or disrupted causing fluid to pool in the arm.  Technically, lymphedema could occur anywhere if there is damage to the lymphatic drainage in an area where fluid pools in a lower (or more dependent area).  Lymphedema happens in legs as well.  If you feel there is not adequate explanation, you might consider a second opinion, preferably with a breast specialist (often affiliated with large academic medical centers).  An breast specialist may also be well equipped to discuss your risk of breast cancer and the appropriate surveillance for your risk.