As usual, ultrasound has added no useful information to the mix when it comes to male breast lumps. What it told you us what you already knew: there's a lump. At your age, it's almost certainly gynecomastia, which is a common condition: enlargement of breast tissue in males. It's often tender, and not rarely involves only one side. Most often there's no particular explanation and it's entirely harmless. It can be due to medications, marijuana, and, rarely, endocrine problems such as testicular tumors or other hormone issues. I agree it makes sense to see a surgeon. A blood test (for hormone issues), a testicular exam, might be done. As to the lump, assuming everything else is okay, the choices are just keeping an eye on it, removing it, or doing some form of biopsy -- which would usually be a needle biopsy.
A related discussion,
Eight nopple pain was started.
I got a second opinion. I saw one of the best surgeons who specializes in oncology in my area. He has alot of experience dealing with breast cancer. He looked at my ultrasound films and rescanned me. He said it is not cancer. He told me it is either an enlarged or inflamed breast bud or the beginning or gynecomastia. He told me the clinic I originally went to is known for doing things like scaring people into getting biopsies. He said it is how they make their money. I wasn't the first person they saw with the similar situation. I understand that it is better to be safe than sorry, but the radiologist at the first clinic i went to was an cold ***. I trust this doctor more he treated me like a person and really made an effort to make me understand everything. He ordered a blood test to check my hormones and another appointment in a month to view the results and rescan me with an ultrasound. He told me that he could remove it if I wanted. He said there is no need to do that for any reason other than comfort and he said that it is almost guarnteed that the pathology report would show it as benign. I am going to do the blood work ( hopefully good ) and then have him remove it for piece of mind. As of now I feel alot better I would say about 80% still catch myself thinking "what if?"
I would appreciate any feedback you have.
thank you for your answers they are really helpful and comforting.
I am opting for either a core biopsy or just completely removing it. What are your thoughts? If it is more than likely gynecomastia how come they aren't saying anything about it to me?
Dear jon671, Without benefit of further evaluation and physical examination we cannot speculate on what this might be. A suspicious lump requires further evaluation, to determine what this is. A suspicious mass is just that something that looks abnormal and we are not quite sure what it is. So far the testing hasn’t given a definite answer as to what this mass is. A biopsy of the mass would help to clarify what this is. A surgeon would be most appropriate to evaluate and determine the type of biopsy that would help best to determine what this is.
Male breast cancer is rare, but one out of every 150 cases of breast cancer involves a man, usually in men over 60 years old.
I am going thru the exact same thing. Having the mass removed next Thursday. Except mine is under the rt nipple and a little bit larger. How did yours turn out? Benign I hope.
A related discussion,
lump under left nipple painful was started.