After a year of strange symptoms a mass is now growing fast
Hi there, I am 32 and I am struggling to get the help I need. Please, please respond to this post.
Last August I had pain and a rashy spot about an inch by an inch on my left breast. I went to the out-of-hours weekend Dr who said my pit nodes were enlarged and the breast worrying and so I went to my Dr on the Monday morning. I was sent to the breast clinic at the hospital. They did an ultrasound, saw nothing and sent me on my way.
In October I had the same thing on my OTHER breast. My Dr said it couldn't be breast cancer if it had 'changed breasts' and refused to refer me to the breast clinic again!!! I was just sent home after being told I had mastitis! (Though I haven't breastfed for 14 years).
I conceived 2 weeks ago and 3 weeks ago my left breast (the original breast - which had the rash in August) became increasingly swollen and painful. It has a definite, large lump in it.
I saw the Doctor at my surgery today and she examined me and was not happy at all. She said that BOTH my breasts are very 'dense'. She said the denseness in the outside edges might be explained by my new pregnancy but that my left breast had a very different and distinct mass in it - just where I have been feeling the mass and pain myself. However, she also recognized that this lump seems part of the larger denseness/mass filling the whole breast. She said it needed to be 'looked at right away'. She told me the breast clinic at the hospital will be in contact with me quickly to arrange an appointment.
My concern is this:
Last time I went for an ultrasound on this breast a year ago at the breast clinic they said IBC would be easily detected on ultrasound. When the ultrasound was clear they did not do a mammogram or biopsy - they just sent me home and discharged me - so I couldn't go back of my own accord.
- do I really have time to waste with a clinic which was so poorly informed on IBC and which may do the same shoddy job of checking me again? - should I just request to see a private specialist right away instead of wasting time with the hospital breast clinic?
- or should I hope the breast clinic have become better informed in the last year? or that I may have a better Dr/specialist see me this time? - or could I refuse to leave the premises until I am given a biopsy?
I am worrying based on the assumption that I have IBC (which can't be detected by ultrasound) - but an important question I need to ask you ladies is this - my rash/bite type mark first showed nearly a year ago (last August) - causing me to be sent for that ultrasound. If I do have IBC could it really have taken ten months to get to the stage I am at now? Or does this long length of time rule out IBC?
Another concern I have is this - my symptoms in this breast have 'lurked' since last August. But they have flared up in the last 3 weeks. Suddenly my breast is larger, sore, hard, massy. It is 3 weeks and 5 days since my last period. I have just read that IBC responds to progesterone. My progesterone would have risen in anticipation of ovulation. Then, after fertilization the progesterone would have rocketed in order to maintain the new pregnancy - could this flaring up of possible IBC-type symptoms be an indicator of IBC because I have rising progesterone levels from the new pregnancy and IBC responds to progesterone? I have read that a significant number of young women diagnosed with IBC are diagnosed during pregnancy.
I am so worried. Please tell me what you think of all this. Please advise me. Please help. What would you do if you were me? How can I get myself a biopsy? xx
Comments
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I'LL COME BACK ONCE MORE TOMORROW NIGHT AND WAIT IT OUT FOR A REPLY AGAIN. IF I HAVE NO LUCK TOMORROW NIGHT I SHAN'T BE BACK. BETTER TO BE LONELY AND UNINFORMED THAN IGNORED AND UNINFORMED.
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Hi Cheyne, I'm sorry you have to go through this during such a happy time in your life (pregnancy). I'm sure one of the more informed ladies on this site will be along to help you. Please remember this site is a thread and you won't recieve an immediate response. Sometimes it takes a day or so for someone to respond. I'm not familiar with IBC so I can offer two things: (((((((((((hugs)))))))))))) and if you don't feel you are getting good care, be aggressive. Tell them you want to be seen by a specialist. I do remember during my pregnancies, my breasts were swollen and hard. I hope it's that simple. My prayers are with you.
Maureen
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Hi Cheyne, I had IBC not when I was pregnant though. I had it in 2008. My symptons are familar to you and I was misdiagnosis any way's. I would recommend a specialist that is familiar with IBC. I would ask for a core biopsy. Sometimes you cannot see IBC on ultrasounds or mammograms it comes in dense sheets not in lumps. I wish you the best and hopefully you will get more responses cause it will be in the beginning of the forum once I post.
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I sent a response to your other post.
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Hi Cheyne, I don't have IBC but if something is worrying you so much and you feel that the breast clinic is not doing what it should, for your own peace of mind I would ask to see a specialist as soon as possible. ((((Hugs))))) to you and I hope you get some answers to your questions from the docs soon.
Love n hugs. Chrissy
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Cheyne,
The answer to the most important question, at the end of your post, HOW can I get a core biopsy? really needs someone in the UK, or familiar with the UK medical system to advise you. Perhaps you could also start a thread asking for help in the UNITED KINGDOM.
Seems the fastest way to get information would be for you to go privately to a Specialist in Breast Cancer - who would know IBC much better than doctors in local surgery. I hope you can get the core biopsy.
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Cheyne,
Not only go to the clinic who didn't diagnose you correctly to begin with, but also arrange to see a private oncologist breast surgeon, AND begin to find a large Cancer Clinic in a larger city in your state. Some women have to travel a long, long ways to get to a properly run cancer place. As for your left breast, my understanding is a CLINICAL presentation of IBC is all a good breast cancer doctor needs to declare you have it, and sometimes even a skin punch will miss it, altho that's the best way for an inexperienced doc to find it. As for the lump, we can hope it's something else, but any palpable lump must be biopsied to see what it is.
Now, for me, while my info at the bottom just says Invasive Ductal Carcinoma, I also have the clinical presentation of Inflammatory Breast Cancer, which at my Hope Womens Cancer Centers in my town (I'm lucky) are absolutely positive I have that, too. There are people who can have both IDC and IBC. With IDC, you get a growth that is obvious on a mammogram. With IBC, you will get a thickening of skin, and noticeable swelling, and eventually a whole lot of pain, with a red mark sometimes appearing on the skin. I had mammogram, and later CT scan, and right underneath my red mark is where a 5+ cm growth is, which I NEVER felt, and the pictures also showed several other growths of various sizes, and an adenoma in my ampit of a pretty good size, too, with enlarged lymph glands. But this is the good part: After extensive baseline testing, bone scans, CT scans of my whole body, etc., my cancer had not yet spread! Imagine that! Most breast cancers are very slow-growing, altho Inflammatory Breast Cancer is indeed aggrresive.
I am 60 years old, so I am postmenopausal and do not have the hormone thing confusing any diagnosis like you may have. But I first noticed in November 2010 that gosh, my skin on the end of my breast was really tough-feeling, kind of rubbery, and that's when I noticed just how much larger that breast was than the other one, and within another month, it began to hurt like the devil, at which point I had begun to figure out what doc, etc., to go to, so come January after a few missteps on finding the right doc, the red mark appeared. Now, I don't know if my progression is typical or not of Inflammatory Breast Cancer, those were just what I had and how quickly they seemed to appear. But anyhow, I was diagnosed in February with both types of cancer, chemo treatment began almost immediately, I'm still in it now and it's June, and in July I will have surgery to remove the breast, I elected not to save mine and plus they said they weren't planning on saving it anyway.
My biggest fear is my statistics for the IBC part of my cancer in the skin is not as good as plain old IDC with the growth. But my breast surgeon is quite relieved with the progress my chemo has made on dramatically reducing nearly all symptoms of both cancers, the cancer load has been significantly reduced. The very first chemo treatment I had, the pain left my breast, the swelling went down, and while I was annoyed at myself for not coming in a couple months sooner, I also realized that some women come in "early" as they beg everyone with the pink ribbon organizations, and yet they don't freak out like my docs did and jump all over them with "get that chemo in there STAT!" So, even if I had gone in the moment I noticed my breast felt kind of hard and swollen, I likely would not have been put into chemo until about when I did. So, even tho these docs have perhaps missed something serious for you, you are still within the year of finding problems with your breasts, so better late than never, and I believe the results will be so dramatic once you begin treatment, that you will begin to relax with what is going on with you, IF THEY FIND anything sinister. The push for early detection has merits, but so TOO does going in at all, which the push helps with that part, as well. And while you do sound like an IBC person, it could just as easily be that you simply have a typical slow-growing cancer that has made your breast seem like IBC, when in fact it may not be. As I said, a skin punch biopsy of any suspect skin tissue, CT scan will show skin thickening, and a qualified oncologist will also visually and palpably recognize it as being IBC, the latter of which is the very best way of knowing, if you do have it.
I hope my information and advice has helped you. Yes, you must take this just as serious as a heart attack, and if someone FINALLY unfortunately diagnoses you with some type of breast cancer, whatever kind it is, you will indeed work through the shock that will hit your system of this strange reality, but hon, I'm telling you, coming to this particular breast cancer organization website was singly one of the best things you could have done for yourself. I know, the answers were slow coming, and when I first came here, I was just like you. But eventually I found a home here, and if you got cancer, you are in the right place, you will benefit tremendously from the support of so many wonderful women here. And there are women here who are pregnant and going thru all this crazy treatment and scariness, so you will get some advice from them, they are in a few places under the forum thread called "Young Women With Cancer," I think it is, under the section on the main forum Index for "Support and Community" down towards the bottom, and here is the link: http://community.breastcancer.org/forum/27
Let us know how things go with setting up as many docs as you can (smile!) and bless you, child, you are going to be okay now.
GG
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I see that this thread is over a week old so hope that you have seen a specialist.
From what I've read, IBC is unfortunately oe of the most missed/misdiagnosed form of BC though it is the most aggressive. I was very fortunate in that I saw my PA within a week of symptoms - she took one look at me told me that she thought it was IBC and had me in for mammogram within 2 hrs. Also had a sonogram and biopsy done before I left them. Had pathology report the next morning (Fri) and saw surgeon on Monday. Started Chemo 17 days after DX.
I can't give you any info on being pregnant IF you are IBC - I was 18 yrs post menopause when I was DX.
Especially being pregnant please find a specialist with IBC experience to check you out
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Hi Cheyne: I see that your post is more than a week old, so I hope that you have looked at the other posts and have returned to your doctor, or better yet, had a private consultation with a knowledgeable breast cancer doctor. IBC is very often misdiagnosed. Mine just started off as a rash and I was told by a breast surgeon in an excellent teaching hospital that 'it was nothing'. Later the nipple inverted and a mammogram showed 'skin thickening' but no masses or lumps. Ultrasound showed edema and inflamed nodes. Congratulations on your pregnancy and you don't need the worry of cancer at this time. I hope that you have been able to see a specialist and feel confident with their diagnosis.
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