MRI to detect recurrence in skin?

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Hi, it's been a while since I've been to this site, but I've been thrown back into the world of BC anxiety and I have a question that I hope someone can answer.  About 2 weeks ago I noticed a pinkish lump about the size of a pencil eraser right next to my mastectomy scar.  I made an appt. with my onc, b/c it's been 2 years since my surgery and although I initially suspected it might be scar tissue I wanted to have her look at it since I'd never noticed it before.  I became a little nervous that it could be skin mets.  She looked at it and sent me for a mammogram and ultrasound and asked me to also follow up with my breast surgeon.  Neither the mammogram or US showed anything, but now my breast surgeon wants me to have a breast MRI.  My question is this - can an MRI detect a recurrence in the skin?  The ultrasound technician thought that the lump was in the skin.  Any help is appreciated - I've googled this and can't seem to find anything definitive.

Comments

  • bevin
    bevin Member Posts: 1,902
    edited July 2011

    I am sorry, I dont have experience with this but wanted to post to bump your question back up-. I am sure someone will be along soon with some news or input.

  • jdeking
    jdeking Member Posts: 408
    edited July 2011

    I am also not sure... hopefully someone who knows will come along and see this.  I thought most suspected skin mets were biopsied, but maybe it can show some uptake on MRI.

    Good luck!

  • dogeyed
    dogeyed Member Posts: 884
    edited July 2011

    JANMARCH,  Well, the MRI is used to detect, for example, inflammatory breast cancer -- which, by the way, your description of symptoms does not match up with that, so do not worry -- but that kind of cancer shows up in the skin's layers and is very difficult to diagnose, so they use an MRI which can usually SEE what's going on in the skin, whereas a mammo and ultrasound will NOT SEE very well any stuff in the skin.  So, that explains why they are using the MRI, your small pink lump is in the skin and MRI is the only way to see what it is.  In addition, they can do a skin punch biopsy, and sometimes that will tell what it is.  Now, a dermatologist can also look at it and see if it's a cyst, he would remove it and send it to the lab, just in case, and sew up where it is... but since it's so close to where you had cancer before, that is not the solution or the way to go, at least for the time being.

    I cannot hazard a guess as to what your pinkish lump might be, but could be an infection and/or abscess, could be a fibroid type thing, but sounds a lot like a cyst to me, as I mentioned.  I've had many cysts all over in my skin through the years, my father gets them too, they look just as you described it, and the doctor just cuts them out, sends them to the lab just in case, and that's it except for the short time it takes for the stitches to heal. 

    Do let us know what happens as far as what your lump turns out to be, it will help others who wind up with what you have, and of course we who have posted here want to know, too.  GG

  • JanMarch
    JanMarch Member Posts: 167
    edited July 2011

    Thanks for your replies!  I do hope it is something simple like a cyst.  My BS said that he didn't want to stick a needle in it or excise it without having an idea what it is first, which is why he wants to do the MRI first.  I was truly hoping that when I went to my onc, and then the radiologist and then finally my BS that one of them would say, "Oh yeah - this is just scar tissue, or a cyst, or whatever".  But so far they've all kind of scratched their heads and said they're not sure what it is.  It's hard and palpable, doesn't hurt and have any tenderness, but is slightly pinkish-reddish. 

    I will definitely come back and post what I find out.   Thanks again!

  • Cleb
    Cleb Member Posts: 28
    edited July 2011

    when I found my Breast tumor I already had a small tumor on my finger which everyone seemed to think was a ganglion cyst.  Well, it shrunk during chemo to almost nothing and shot back up afterwards and when another started growing next to it with growth underneath of the finger, I went to hand specialist.  He sent me to UVA.  They wanted to biopsy the next day.  I could not drive that far two days in a row.  They are pretty sure it is MFH, a malignancy which is usually made of the same cells that my breast tumor contained, squamous with apocrine features.  I just finished treatment in April.  Oh yeah, this requires amputation of the finger!  My MRI gave three different possible diagnoses, but felt that the malignancy was the only one.  They do not treat this with rads or chemo and it always comes back!  A little miffed in Virginia!  Maybe they're wrong.

  • dogeyed
    dogeyed Member Posts: 884
    edited July 2011

    CLEB, wow, interesting story... I thought you were joking about taking the finger off, but you know what, I think I'd be telling them to hack it off tomorrow, please, sir!  Depends on which finger, I guess, unless you are indeed saying they MUST remove your finger.  Gee whiz, another operation, and might take some getting used to, but if it would make cancer go away, have at it.  Keep us posted on how things go.  I think your story is amazing, but I am SO sorry you got this drastic development!!!  GG

  • Cleb
    Cleb Member Posts: 28
    edited July 2011

    Hi Dogeyed!

    It is the most important, the almighty bird finger, I laugh but I play guitar.  Jerry Garcia was a multiple finger amputee.  I can't help but wonder which was the primary cancer.  Though it's not definite, MRI states it is likely malignant along with a metastises in same finger.  Thanks for listening.  I always have guitar hero.  It kept me going through breast cancer treatment.  I could get lost!  See ya!

  • IllinoisNancy
    IllinoisNancy Member Posts: 722
    edited July 2011

    Hi,

    I had recurrence in the breast skin in Oct 10.  It was just as you described, small and pinkish tiny bump.  My BS did a biopsy the minute she saw it.  It did not show up on the mammogram, MRI, nor the PET scan.  The only way they found it was by looking at my skin and doing the biopsy.  I had a double mastectomy and most of the skin removed from my left side.  I had a lat flap so they could use the skin from my back.  I also had chemo prior to the surgery which removed the tiny red bumps completely.  I am now on Armidex for five years and hope that I don't ever get it back.  Good luck,

    Nancy

  • dogeyed
    dogeyed Member Posts: 884
    edited July 2011

    CLEB,  Richie Havens plays a lot of his chords with his thumb somehow.  I remember now about Jerry Garcia, I read a couple books on him.  I play guitar, not very well, and my thoughts about the numbness in my fingers from chemo neuropathy (it SHOULD go away) is at least I won't feel the frets biting into my skin.  Haven't played since the one brother gave me was destroyed in move a few neighborhoods over, and a nice black 12-string I saw is down on list of priorities now.  The Edge is my fav at the moment, his picking is mesmerizing.  There's a documentary called "Singing Guitars" I think is the name, fellow fixes them for the stars and they sit down and play a while.  GG

  • Cleb
    Cleb Member Posts: 28
    edited July 2011

    Hey Dogeyed!  I can't believe you know Ritchie Haven!!!!! PM me and let me know how old (or young) you are!  All kidding aside, I'm sweating this because the two UVA docs wanted the biopsy that day, if they could have.  Amputation is the only option.  I had a messed up pathology report for my breast tumor, it looked smaller than it was so I had a lumpectomy.  But the finger tumor was definitely there before the breast tumor.  I would hate to think they missed the primary,

    Well, anyway, I think playing a guitar will be therapeutic.  I can't believe you know Ritchie Haven. Little Darlin'! Oh yeah, I started out on a 12 string.  But I swear I can't remember who made it.  What kind of B.C. did you have and how far are you in or out of treatment?  You seemed to know a lot about inflammatory breast cancer.  DUH!  Don't mind me, I'm firing on 3 cylinders.  I just read your dx.  I am so sorry and don't know how to navigate on this site well enough to know where else you've posted.  Hope all is well for all of you.

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