Thickening breast tissue
Hello~. I'm a 45 yr old mom who just had a clear mammo and ultrasound but still have an appointment with BS coming up due to thickening in my left breast.
I don't have any palpable lumps but my left breast has what I've been calling thickening that feels different from my right. It doesn't move with the skin (ie., not attached to the skin) and is firmer to the touch but not hard that it gives resistance when I push down on the "patch".
Just wondering from the ladies who had this thickening feeling prior to ILC diagnosis, what exactly that thickening felt like. The radiologist noted in the lab result that she saw glandular tissue thickening. Density in my breast is somewhere in the middle, not too dense, not too fatty.
Thank you for reading my post. A bit freaked out after thinking I was ok. I feel like I'm in a rough sea in a small boat by myself.
Comments
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I had rope-like-sort-of-thickening, but I had it in both breasts. Honestly, I would have sworn both were exactly the same presentation. My gut told me otherwise. I had a bilateral mastectomy and my left (healthy) breast was totally clear. The right one had the cancer.
I was told an MRI would be my "gold standard" to determine if we needed to do a biopsy.
Again, left breast never lit up; right one did.
So sorry you are having to deal with this.
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Thank you so much for your reply Wallycat. Writing this as my cat Strider is staring at me.. He is curious why I look so serious.
My left is definitely bigger on one side and more "tighter" than the right. That's even visible to naked eye. It just feels like more denser than the right. I have no distinguishable lumps or even "EDGE" to the thickening. My primary symptoms are increased nipple sensitivity and just general feeling that it feels different. Plus, I just didn't like anything touching or brushing up against my left breast.
I have to wait a whole month before I see BS, April 16th, and did ask them to call me if any cancellations arise. I asked if it was normal to wait this long and she said yes.. if not more. How do people wait that long and keep their sanity? -
shoppingchicken, the thickening I had felt just like the density I'd had for decades. I didn't really pay attention until it felt bigger than the thickening in the other breast. The only other symptom I had was a temporary nipple retraction. Looking back, I should have paid more attention to that, but it was only there one day, and I thought it might be related to scar tissue from a previous biopsy in that area. I'm sorry you have to think about this for a whole month. I hope it turns out to be nothing.
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The problem with ILC is it doesn't show up well on any imaging. Mine didn't even show up on the MRI. I would push for a biopsy regardless of what the imaging says. That being said, the odds are still in your favor of it being a benign change.
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I was told I had this "rope-like" thickening about 4 years before dx, but they did mammograms and cone mammograms and nothing showed up. Dec of 2006, I had 3 vivid "boob" dreams that woke me startled. No idea why, but 3 nights in a row and that 4th morning I told DH I was scheduling my mammogram. I mentioned this to the tech....they all said it was fine. Ultrasound (due to my insistence) showed a tiny shadow. That's how I ended up with the MRI. They took me back to ultrasound so they could do the biopsy, but the ultrasound showed nothing. Not even the tiny shadow. They spent 1/2 hour to 45 minutes or so looking and checking and finally told me I had to go back for an MRI needle guided biopsy. Bingo.
So what started in January, ended up in April for the actual biopsy. I was still perimenopause and they wanted me to just start my period before doing the MRI. Yeah, right...tell a perimeno woman to have a period on demand. *shaking head*
Then I didn't have the lumpectomy till May and the bmx in June.
I hope it is nothing for you. My left boob felt the same to me, but it was just like this weird "knowing" when I ran my hands over to do a self exam. I picked the exact spot that mammogram and ultrasound totally missed. But again, my left boob felt the same "ropey"/thickening areas as the right. Go figure.
Keep us updated and hope you come back with nothing.
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Thank you so much ladies for reading my post and responding.
2tabbies. I have a tuxedo cat who I just adore. He keeps me company and comforts me when hubby and son are out of house. LOVE my cat. I too hope this is nothing and waiting really is the hardest part. Thank you for your thoughts.
kar123. Yes. I am now becoming aware and educated on sneaky part of ILC. To know that it may not even show on MRI, it's scary. I'll go with the advice of the BS whatever she suggest, but putting this fear to rest cannot come soon enough. I will have to be brave for whatever is in store for me and I'm using the wait time to get myself ready. I sincerely hope it will be for nothing...
Wallycat. I will definitely update the post as soon as I find out any results. I have been a big fan of breastcancer.org board even before all this chaos started and loved seeing people come back and post positive outcomes. Thank you for sharing your story with me and your kind words. They really mean a lot to me. Like I said, I feel like I'm in a stormy sea all alone in a small boat. Reading kind words from total strangers on this board really restores my faith in humanity, community and just other people. :-) -
Not sure where you live shoppingchicken: I understand some countries like Canada & England may have longer waits for specialty consults. Or perhaps you're in a more rural area of the US where breast surgeons aren't real plentiful. Anyway, I would hate to sit around for another month (although my tumor was probably growing for years before it was detected).
If your family doctor made the referral, is there any chance going through an ob-gyn might get you in a little sooner? Maybe you could get an MRI prior to the appointment so you have as much information as possible, especially since there could also be a delay in getting that scheduled...
Being a stomach sleeper, I noticed a strange sensation when laying like that. I was in perimenopause and thought it might be a cyst. Biopsy showed ILC. Another lesion=IDC was found with further imaging, in a separate quadrant. Both were too deep to palpate. I also had dense tissue.
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Hi Vlnrph. Thank you very much for your feedback. I actually live in NJ right across the river from Philadelphia and no shortage of doctors(I assume). The coordinator who called for initial appointment told me most of the doctors were scheduling into April so I just went with whoever was available first. I am most anxious to get this sorted and deal with whatever is in store for me. I can already I'm getting depressed. I have the letter from the radiology office and it says I have "scattered fibroglandular tissue" and that I need to follow up after 6 months for stability. I have a report from last year mammo which shows bi-rad grade of 2 which is also scattered fibroglandular tissue density.
Should I call around to see if I can get an earlier appointment? Is 4 week waiting out of norm? -
Sorry. Forgot to clarify that the appointment was made by breast care center coordinator that was contacted by my OBGYN office. The referral was from OBGYN after the mammo and ultrasound results. At first I thought the month wait was because my scan results were clear but I'm thinking it's just busy time for breast surgeons. I sure wish I don't have to deal with any of this...
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Maybe with spring break/Easter, some doctors are planning on vacation. Sounds like you went through proper channels & there certainly should be a sufficient number of physicians in your area. Four years ago, it was a 7 day wait for me here in the midwest, a little longer for the plastic surgery consult. Currently, I'm investigating a serum calcium concern - took a month to get on the endocrinologist's schedule and now the nephrologist I want to go to can't get me in for 5 weeks...
I asked a nurse if they were seeing more people, some who may have put off appointments until they could get "obamacare" coverage. She wasn't aware of many cases however I think that might also be a factor. Couldn't hurt for you to check other clinics, or maybe a cancellation will open something up. Just make sure they're in your insurance network!
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shoppingchicken. ... i know how you feel...I'm the one who realized something was wrong with my right breast via self exam....was due a mammogram anyway. ... my ilc did not show up on mammogram but i showed the dr exactly where i thought the problem was ... biopsy confirmed cancer.... mri confirmed ilc. In beginning like you i was told if it was anything at all it was very small and caught early... very treatable...a few weeks later here i am looking at a double mx and who knows what else...iI'm still in shock... very scared confused and angry. Anyway. ...ii didn't feel a lump or knot... and it seemed to come up over night....iit was sort of like a tad swollen muscle without the pain and maybe a little warm to the touch. Im so sorry for you... and for all of us going through this together. Prayers and blessings.... i think we have a lot of sisters among us...ggreat support
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Thank you so much vol4life for your kind words. I'm sorry you're going through this as well. I sure would like to pass the buck if I could. Have been losing a lot of sleep because of the anxiety and waking up at odd hours and not being able to go back to sleep. I feel like I'm going to burst into tears at any moment. Guess I'm really scared.
I did call one major cancer center on my own and their earlier avail is April 13th which doesn't help me much. I am going to try another center(but now getting further away from my house) and see what they say. I sort of have a feeling I'm not in put in that "priority" or rush category because as far as the screenings I have so far do not show anything. I know that they could still find cancer via MRI or biopsy but just to get to the breast surgeon, I may not seem a rush order to the schedulers. Sigh.. sigh.. sigh..
Thanks again for reading my post. BCO has been a real life saver for me. 5 weeks to go so you know I'll be here a LOT. -
Hi Everyone ~
My thickening presented as a pinkish, semi-circle discoloration, around the lower third of my breast that I was sure was IBC but was actually lymphovascular congestion caused by the tumors and one day it just got heavier. Also, 2 of my tumors were palpable but very different. One was a very distinct, hard lump and the other was more of a gelatinous, fibrous, bumpy, fatty mass that initially was of no concern to my breast team but I was very concerned about it with good reason. I insisted on an MRI instead of a mammogram which along with the ultrasound only showed the two palpable tumors. I actually had four.
It's a drag that were all here but it's amazing to have the support, caring and access to information that would have taken months to get otherwise.
Wishing you the best shoppingchicken and all of the BCO sisters. The majority of time it turns out to be nothing but it's great that you are following through.
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Hi First Wild Sign. Thanks for sharing your story and reading my post. Like everyone else, it's the waiting that is really hard. I have almost 5 weeks of waiting to go and I can't seem to find any breast care centers that have any earlier appointments. It's not due to shortage of doctors. I live 15 min from Philadelphia, mind you..
I have begun breast journal to see what is happening daily. Maybe this can help when I go see the breast surgeon. Just writing down where it hurts, how often etc. I regret not paying more attention to my breasts as I am not sure exactly when this thickening started. I did do BSE but always just paid more attention to LUMPs and not thickening.
I also called the OBGYN to ask if I can get a script to get MRI done before meeting BS but we'll see if they okay it. They might think it ridiculous patient ordering imaging herself.
Thank you ILC ladies by the way for letting me post here. I know I don't have even have a diagnosis yet. I really appreciate your company. -
I think they have to order it for you or you might have to pay out of pocket. My OB was the one who told me about the MRI as the next step after he told me he thought my cancer 'didn't present like cancer'. I am curious though, why they are sending you to a BS. Have you had an u/s?
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Hi Trvler. Thanks for reading my post. I did have an ultrasound already couple weeks ago along with mammo. Diagnostic mammo and ultrasound ordered by my OBGYN who felt the thickening on my left breast which I told her about. To be honest, I don't know when this thickening appeared. I just noticed it one day and told her and she agreed it's different than from my right. My right breast is saggier and I can feel similar thickening but it's not so prominent(as per sagging). She suggested that I go see BS regardless of the mammo + US result because of the new change. Radiologist rated bi-rad3 even though the report says there are no cysts or abnormal finding. I think again, because of this new thickening. Ultrasound results says it's most likely glandular tissue.
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So then, they never biopsied it?
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Hi.. I'm not at that stage yet as I have still yet to get MRI done. I don't have any tissue to biopsy as far as mammo and ultrasound as nothing was found. Just the thickening underneath the skin to the touch.
Just got back from BS appointment and they're ordering MRI. Not sure of the appointment yet but sometime next week. Thanks again for reading my post. -
Well, let us know if you need tips on how to handle an MRI if you are claustrophobic. I am and it was a big issue for me so I have lots of advice.

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Oh that would be great!! I'm not sure what exactly is involved in breast MRI but from what I've read, it is very claustrophobic. Hope they put me in feet first and have xanax ready? :-) I don't understand how they expect people not to move and be perfectly still for 45 minutes...???
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Xanax is key for me
I call the day before and ask how long beforehand the staff suggests taking the Xanax (usually on the ride to the center...) This means that you need a driver... If you wear leggings that do not have any metal on them, they may let you keep them on! My feet went in first and I lay face down. They placed an IV and injected dye at some point during the session. It caused a weird flushing sensation for me. I am extremely claustrophobic - Xanax made it very easy! Take care. Hope you have answers soon. If they see something suspicious, press for a biopsy. It will give you peace of mind. -
THEY won't give you Xanex. You have to get it from your doctor ahead of time. If you take it regularly, take more than you usually do. I take a small dose sometimes to sleep. .25 mg. But this time I had to take 3x that amount. Also, I closed my eyes they entire time. I had them give me headphones with music of my choice. But they will give you earplugs if you prefer. ASK for what you prefer. DO EVERYTHING you think will make you more comfortable. Earplugs make me MORE claustrophobic. They tried to rush me to go in. I waited until I was ready. I don't give a crap about THEIR schedule. I wasn't going in until I was ready. I was hot so I had them take off my socks. Good luck!
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Thanks for the tip Trvler. I already suffer from panic attacks so I have xanax with me at all times just in case. Good to know I won't have to explain all that is happening, even to a doctor, just so I can get a prescription. It would be just too exhausting and drive home the point that I'm feeling desperate.
For now, I'm just trying to keep myself busy till the MRI; then comes the dreaded waiting period, the heart stopping phone ring, maybe more test like biopsy, more waiting etc etc. "ACKKKKKKK". Just makes my stomach queasy thinking about it. I'll have try and not to let my mind goto that "bad" place. -
Shopping: You can do it. You will get through it. Let us know what happens.
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I have been following your posts shoppingchicken and all of what you are going through is very familiar to me. I had thickening of nipple tissue but they didn't find anything on mammogram, ultrasound, or needle biopsy - finally did MRI (I too am clostraphobic but in this case they had me facing forward with my boobs hanging down - not as bad as being face up for me). In the end, they had to do a surgical biopsy and found the ILC. Finally had lumpectomy two months later in 2011. Stage IIa hormone positive, node negative ILC. Had Onco DX test and was an 11. Have had radiation and am on Arimidex. I have encountered more thickening in the nipple area (or at least I think so) - my Radiation Oncologist and Medical Oncologist insist that it is not a recurrence - is just scar tissue, but I am concerned. Next step is surgical oncologist. Good luck to you - you will make it through!!!
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Thanks for the words of encouragement Trvler and Buffysmom.

Buffysmom. Did your MRI reveal anything? Did you have to do surgical biopsy because they didn't find anything on MRI?
Wondering if I should ask for biopsy even if MRI comes back clear. It seems like that is what some of the member here were suggesting. -
This sounds crazy, but I just don't remember. I think the MRI was done after the surgical biopsy since it came back without clear margins. They wanted to see how it had spread - I guess. In any event, if it was done before the surgical biopsy, it must have not shown anything, because I was absolutely shocked to find out that I had cancer. I really thought that one of these tests would have caught it.
Where is the thickening in your breast - mine was right on the aerolea - crescent shaped kind of around one side of the nipple. I know how anxious I was just waiting for all the testing to be done. Keep us updated.
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MY MRI is this Friday and even as I'm hoping for a good clear result, I feel like I have a biopsy in future for me and it's getting really scary. Like every new test I have to do is a major hurdle till they tell me I'm okay. I'm worried one of them is going to trip me up. I took too much comfort in mammo and ultraound not finding anything...
My thickening is upper outer quadrant in my left breast about 1-2 o'clock and about 2 inches away from areola. The skin itself is fine. It feels like normal skin. It's the thickening underneath that is different from my right. I have similar thickening on my right but it's not in the same place. I have no puckering or dimpling but left breast looks "fuller". The thickening itself as per radiologist is maybe just glandular tissue but who knows. Probably why BS wants me to go and get the MRI. ** Over the past week, I put corticosteroid cream on the left areola(just small itching) and now the darn thing turned darker which is freaking me out. Why do i do this to myself... -
The waiting is the worst part. I understand your concern about more tests. Each time I got an all clear it was a roller coaster of elation to worry again when I couldn't get clear answers. Not sure if anyone has mentioned this. I haven't read back through the comments. Xanax worked wonders for me during the waiting periods.
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Hooray for shoppingchicken getting her MRI scheduled, although it's not for a few more days. Good thing your radiologist gave you a BIRADS-3: when my insurance denied a follow-up scan for me despite the same rating, I used that fact, along with their own policy guidelines, to appeal & won! Hope you don't have that kind of trouble since it took me two months to resolve, including going in person before the company physician/lawyer committee to present my case.
Realize that the 45 minutes in the tube is broken up into several shorter segments so you get to wiggle and practice deep breathing between "takes". My techs always tell me what is coming up, for instance, they start with a short 90 second session, then go to the longer ones. If you move around and blur the images, they have to repeat things. It is noisy.
Like daisylover, I had a strange flushing reaction and felt warm when the contrast was injected IV. I asked what brand they used (MultiHance) and since then have always requested an alternative gadolinium formulation which has been fine.
I'm glad you will have this additional information for the surgeon to review. Worst case scenario, they see a suspicious lesion and get your appointment moved up or suggest a biopsy. They can't really stick a needle in for a sample very easily unless there is a defined target. Getting bad news is not fun however having a diagnosis can be a relief because then you are able to design a plan of action rather than waiting in limbo.
Even if nothing is found, you will have a baseline to compare with down the road should your thickening tissue continue to be a problem.
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