Worried- lots of symptoms but nothing confirmed
Brief history.
46 (almost 47) yr old female, get callbacks every year for diff things changing on mammos, right breast biopsy 2 yrs ago for microcalcifications bi-rads 4, came back benign, have heterogeneously dense breasts, maternal aunt diagnosed at 63. This April I had a tingly/pulling feeling in right breast, very weird sensation. Lasted for weeks, then early May getting in shower one morning and noticed a definite indent on that right side where that pulling feeling was, like right in that axillary fold area. Had US and was told they only found a cyst on lower side under breast, not anywhere near where i'm seeing indent, they also said they could see a lymph node....never said any more about that. As the months went on I started to feel a small pea sized lump inside, right where that indent is, then started noticing a line of small lumps as i run my finger down the front side of my armpit. Called Dr again and she ordered a MRI of breast. That came back fine. Still have the lump inside as well as the lumps (about 3 of them) along the front or armpit. Now have been noticing that my arm is getting numb/tingly feeling, going down my arm and affecting my pinky and ring fingers. My next screening mammo isn't until Jan 2021. The mammo I had this past Jan was not a 3D....just a regular. I'm just not sure whether to keep pushing or just wait until January. Also note, I've have 3 complete blood tests, March, May and Oct. and all 3 of them have had an elevated CRP result, which is the inflammation test. (just doesn't show WHERE the inflammation is) I also deal with basal cell carcinoma skin cancer. I've had a small rash under breast for about a year now. Dermatologist first though Intertrigo and gave me steroids, didn't help. The rash doesn't look anything like Intertrigo. Looks like 4 little red bumps, like mosquito bites but not really raised more flat, comes and goes, itches. Finally did a punch biopsy on it and she said it's "inconclusive"
Do i wait, or push for a mammo? Thanks for any and all advice!!
Comments
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Since your August post you have had an MRI, which is notoriously sensitive but nonspecific leading to lots of benign biopsies and having a less than 5% false negative rate. I believe negative mammogram plus ultrasound plus MRI are pretty definitive for ruling out cancer. What is your number one concern? Why are you still worried that you have a breast issue as opposed to a skin issue? Almost all of us have heterogeneously dense breasts and the ultrasound and MRI have more than addressed that. I think of CRP test results reflecting cardiovascular issues
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My number one concern is the feeling of that lump deep inside plus the other lumps at the front of the armpit and now the numbness/tingling feeling in arm/fingers. I agree that all of the testing is pretty definitive but I still have this gut feeling. It seems like new symptoms popping up all the time. I forgot to mention earlier that back in May when noticing the indent I also noticed my nipple/areola looked a bit darker, i felt it and it felt almost dry/scaly. I did squeeze it and had a clear sometimes milky discharge out of one duct. I did mention this to a friend of mine that works in mammography and she said if it was bloody and spontaneous, then it would be more of a worry. I still have the discharge.
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camper - do you have continuous or spontaneous discharge? If it's only when you squeeze - quit squeezing.
Melissa is right. You're really have had every definitive test. Of course there could be something there - but I don't think you'll convince anyone to slit you open just to take a look. I'm assuming you've seen a GYN or a breast specialist? If not - that's the next step. If you have, then you should either follow their recommendations for monitoring going forward - or discount their expertise and find another doc for a second opinion.
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