"busy breast"

I am 27 years old.  I have a very strong family history of breast cancer (Mother, Sister, grandmother,etc.)  I have been tested for the BRAC gene mutations and tested negative.  I have under went 3 biopsy's now and about to go in for my forth in less then 2 years.  I have been told I have fibrocystic (?) breast.  So what gives, why do I keep having these things (Mostly complex cysts -about 3-6 at a time) pop up every 3-6 months?  It seems to alternate from one side to another.  I have very tender (sensative) breast, they itch pretty often, no discharge from the nipple.  I menstrual cycle varies, most times I get it once a month, sometimes I get is every 2 weeks.  I have not children.  I have asked and asked, anybody have any suggestions?   Or any ideas of what I should be asking?  

[BhumikaMD]

Hi,

The symptoms you describe could be due to hormonal disturbances or thyroid disorders.

It would be best to consult your physician and get a blood test to rule out these two conditions.

It would also be advisable to consult your OBG about these symptoms.

Let us know about how you are doing and if you have any other doubts. Also post us about what your doctors advise.

Regards.

[havequestions28]

Thank you for the reply.  I have had blood test done and they ruled out any thyroid and hormonal issues.  I also have had paps that have all come back normal w/ the OBG?  Anything else?  could they be wrong (2x's)?  Would those issues cause "complex cysts"?   My sister was diagnosed w/ breast cancer @ 26 when they found a complex cysts, so they are being "aggressive".  I just want to know if it's neccesary.

[BhumikaMD]

Hi,

Have you seen a breast specialist as yet? What has been advised?

Has an ultrasound and mammogram been done?

The symptoms you describe could be due to the hormonal changes related to your menstrual cycle.

You should take some oral pain relief medications, warm compresses and breast massage and see if it helps with your symptoms.

Let us know about how you are doing and if you have any other doubts.

Hope this helps.

Regards.

[havequestions28]

I have not seen a breast specialist yet.  I have been to an gynocological onocologist and they have recommended "doube" masectomies because of family history and so many of issues w/ my own?  I have had several mammograms and ultrasounds that all come back with stuff in them.  I went for an MRI 4 months ago that came back w/ 6 enhancing nodules in my left breast and 2 in my right which didn't show up in the ultrasound 1 week before that because they were very small.  Now I have 5-6 areas that show up on Ultrasound 1 week ago.  

[BhumikaMD]

Hi,

Has a biopsy of these lesions been done? What do the reports say?

Are you on any medication currently?

So have you and your doctor decided about the further plan of management?

Does pain relief medications, warm compresses, etc help with your symptoms?

Let us know about how you are doing and if you have any other doubts.

Hope this helps.

Regards.

[havequestions28]

Thanks again for the reply.  I have a biopsy coming up for these "new" ones.  The ultrasound report  says nodules? I don't take any meds.  Pain medications does not take the itch away when they do that, and the tendersness is just that..tenderness no real pain.   I will keep you posted about what I am told this time around.

Thank you for your help.

[BhumikaMD]

Hi,

Have you tried warm compresses? You should wear lose clothes and oral antihistamine medications like cetrizine or loratadine could be taken for the itching, or local application of calamine lotion.

Let us know about how you are doing and if you have any other doubts.

Also post us about how your appointment goes.

Regards.