Dear JuJuKelly, Evolutional necrosis would mean that there is some indication that over time an area of the lump is dying. Breast lumps in a younger woman are usually due to some type of benign (non-cancerous) cause. However, because this lump is changing and causing discomfort there may be a decision to biopsy or remove the lump. A biopsy is where a piece of tissue is removed so it can be examined under a microscope to look at the cells and determine if there are abnormalities of the cells. There are different types of biopsies, ranging from needle biopsy to removal of the entire lump. If the determination that a biopsy is recommended the surgeon will usually propose the least invasive method that can give the most information.
For your peace of mind you may want to seek the opinion of a breast specialist to evaluate this lump, to figure out what is going on with your breast.
Please ask your Dr to order a biopsy for you ... preferably a stereotactic core needle. In my opinion this is the least involved procedure which will give them a clear indication of what this is. I hope that for your sake it is nothing, but last year I was in the same boat as you, I had a lump that appeared suddenly, and really hurt, the breast became larger, except that mine grew like crazy (quadrupled in 5 months) I was 24 years old, and my Dr put me off, put me off, put me off ... until finally I left him and found someone who would listen and take me seriously. I did have breast cancer, and due to the size and the fact I had multiple tumors the only option I had was a mastectomy. Thank goodness I was insistant though ... I had a bilateral mastectomy, and I'm now in reconstruction. Although the largest lump was about 4cm we still got it very early, (it was still DCIS) and my oncologist did not recommend that I have chemotherapy. I also now have a 3 month old baby and I am still cancer free and doing very well, but long story short ...
Don't let anyone put you off because of your age ... I have met 16 year olds with breast cancer, and I now have a lot of friends in my same situation and some of them waited years rather than months for a diagnosis and they were not all so lucky to have clear lymph nodes. Not to scare you, and I certainly hope that it is nothing, but I encourage you to press your doctor to do what you feel you need to put your mind at ease. You know your body better than anyone else ... Good Luck!
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My wife has a lumb in left breast, peanut size, we went to see a doctor in July 03. She had ultrasound, a biopsisp test, it was not a cancer, but the doctor recommend to take it off. My wife and I do not have any idea about this, whether she should cut it off. Is there any other way to cure it? The most important how we know which doctor is specialize in breast cancer.
Thank you very much. We are looking forward to hearing from you.