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Breast Cancer Community

This patient support community is for discussions relating to breast cancer, biopsy, genetics, chemotherapy, hormone therapy, lumps, lumpectomy, lymph node dissection, lymphedema, mammograms, mastectomy, radiation therapy, reconstruction, and self exams.
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Breast Cancer

by heaven777, May 12, 2008 11:59AM
I am a 33 year old female.  I have a lump in my breast.  The other symptoms I have are some local pain, lumps in the armpit and skin changes. I recently had a mammogram, at this time the radiologist wanted me to also have an ultrasound.  I was told the mammogram was fine and the ultrasound showed lymph nodes. My primary care physician referred me to a surgeon.  Should this be a cause for concern?
Member Comments (1)

by PaulMD, May 12, 2008 08:16PM
Hi there.

Lymph nodes that are found during routine screening mammograms or ultrasounds can mean different things.  Lymph nodes are usually reactive, meaning they just respond to something that is happening in their territory, in your case, the breast.  These lymph nodes can respond to infections in the breast, or in some cases, due to a neoplastic condition (possible malignancy).  However, if this is from a malignant cause, the mammogram would have given clues to this.  It is also possible that the cause of the enlargement cannot be determined.  A significant portion of enlarged lymph nodes are actually idiopathic (the cause cannot be confirmed).  I agree with a surgeon consult who might suggest a biopsy procedure to ascertain the nature of the lymph nodes.  

Regards and God bless.
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