I am a 52 year old woman who has a history of fibrocystic breasts. I was on HRT but discontinued use almost one year ago. In doing my breast self-exam I noticed a dimple in my left breast (it's been there awhile, but seems bigger). I immediately went to my surgeon and he did a thorough exam and said he didn't think it was anything to be worried about. I didn't think at the time to ask him what else would cause a breast dimple other than a tumor. He didn't seem concerned and I see him every six months. Should I be concerned enough to request an ultrasound? I felt relieved when he told me he didn't think it was anything, but have since read lots about breast dimples and am a little concerned. What other conditions cause breast dimples? I have found little info on the Internet ... all info I have found says that this should be a concern. Thank you.
Dear mathilda: The first step would be a mammogram, if you did not already have one. Ultrasound is usually best at distinguishing a solid mass from a fluid filled cyst and may not be helpful in determining the source of your "dimple." If you have had a mammogram and it is negative, you might ask your doctor about a breast MRI. Another option is to gather a second opinion from a breast specialist. If all is negative, then early follow-up may be acceptable but a growing dimple needs explanation.
Mammogram would be the most important step: you didn't mention having it, although I find it hard to believe a surgeon would evaluate your for a new dimple and not order one, so I assume one was done and was ok. Ultrasound isn't all that helpful as a solitary screening device. If the exam and mammogram were ok, then followup is acceptable, although with a perceived change, I'd be inclined to make it more like 3 months than 6, initiallyl.
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