Faint(pink) redness on left breast for 5 months..
Hello to everyone and i hope you are all ok!
I have an issue and i can't find help anywhere. I have a very faint round redness(pink) on my left breast (including part of my areola) for 5 months!! It started small and it keeps getting bigger. Right now it is about 1-1,5inch in diameter. I have gone to 6 doctors.. dermatologists and breast surgeons and no one even cared to do further testing except ultrasound which showed nothing. Two of them could not even see it! I have used cortisone cream and an antifungal cream and nothing. I even took an antibiotic for something else i had and the redness is still there for 5months! I am desperate and anxious, because i have breast cancer history in my family and i m still 25 years old.. Can anyone tell me what else i could do about it? I have no money to go to other doctors. Is it possible to be IBC?? I have no other IBC symptoms, except occasional itching on the nipple(not on the pink spot) and this breast is more sensitive than the other for years.
Thank you in advance..
Comments
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Hi aliciado!
I'm sorry you have a symptom that concerns you enough to come here. ;-(
Let me see if I can be encouraging. If it's faint enough that two of the docs you've seen couldn't even find it, I'm wondering if you've been feeling on the spot all of this time. It could cause skin irritation that would get bigger as time goes on. If I thought that was going on with me, I'd probably cover the spot with something (so that I couldn't rub/irritate it) and give it some time.
I wouldn't think that this is IBC...take a look at "this description of Inflamatory Breast Cancer" from the main BCO site. As you read that and follow the links there you will see things like "fast moving," "aggressive," "overnight visible changes." So five months for a faint, barely-perceptible redness to expand to 1.5 inches doesn't seem to make IBC a likely diagnosis for you.
Here's hoping that the redness abates very soon!
LisaAlissa
etc: spelling
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VERY unlikely to be IBC! IBC is aggressive and rapid in presentation - literally overnight often/usually. Anything is possible but IBC would be VERY unlikely. It does not ALWAYS present with 'redness/rash' (mine didn't but did progress rapidly - 24 days) but there are MANY possibilities/probabilities for skin issues that have nothing to do with any type if BC.
'Something' is going on and you do need to find out what it is. ( Not all antibiotics 'work' on every infection. The VAST majority who come here with skin issues but having decided (usually 'thanks' to that Quack Dr Google.
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I want to thank you all so much!! You've made my day even though it was going bad and i wish you all the best! I'm so sorry i'm posting here with my insignificant problem, but i was really scared. I' m seeing another breast surgeon in a few days and i will pressure him to examine me thoroughly i guess and give me the right medication..
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Please take the opportunity to ask the breast surgeon whether it has an appearance consistent with Paget's disease or not, and if so, whether further imaging might be warranted. I do not suggest this because of any suspicion, but only because you might read about it, so best to get advice directly on point.
Good luck,
BarredOwl
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Thank you for your answer. I will ask him!
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Hello again. That doctor didn't help at all. He said it might be an old bruise that has become faint and refused to test it more although he wasn't sure what it is. I asked "why does it get bigger?" He said "i don't know"..! I am starting to really worry again. He didn't even give me antibiotics. I am seeing another dermatologist tomorrow just in case. All i am thinking is what if it is something serious and i am just leaving it there for so many months..? I know that there are cancers that don't necessarily include a tumor.. Also this week it started feeling very sensitive there and i m feeling something like pinching under the skin from times to times.. What else can i do? They are not taking me seriously..
Another thing is that my neck lymph nodes feel swallen and every time i lie down or bend over to reach something (and my head goes lower) i feel them to get too much swallen.. like they are choking me.. I know it sounds weird and i have no idea if it has anything to do with that red spot.. -
You have been to at least six (seven?) doctors who have all told you that it is nothing. Seven doctors are not "not taking you seriously." They are telling you it is nothing and you won't believe it. What would convince you? What do you want them to do?
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First of all i'm sorry for my whining, i understand this might be unpleasant for women here who have actual health problems. I know because my aunt and grandmother had BC.. Anyway, these doctors didn't see the redness thoroughly. Most of them were dermatologists and all of them said they didn't know what this is (they didn't say it is "nothing"). How can this be reassuring? I can't believe something that gets bigger is "nothing".. Also where i live(Greece) and with our insurance system i can tell you that this is not a place to rely on this kind of doctors. I cannot afford a "better" doctor so this is why i'm worried since IBC is something uncommon and a doctor should have better experience to identify it or be alarmed to get more tests.. This is a small country and even some of these doctors weren't familiar with the term.. Btw the redness is now about 2inches
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Hi, are you having any other breast changes? Heat, swelling, pain? I agree, most doctors have never or will never see IBC, and it can be difficult to diagnose. It does show up very well on ultrasound. So the fact you did have a clean ultrasound is good. My first symptom of my IBC was a very itchy, painful breast. But this is not the same for everyone, some people do not have any itch or redness or pain. The sore lymph nodes in your neck tell us that something is going on...but IBC is rare, and progresses rapidly, sometimes symptoms progress overnight. Have you been seen by a breast specialist? 6 doctors is A LOT of doctors to have been consulted, and yet you still have unanswered concerns. We cannot tell you what is going on, of course, only share our experiences and encourage you. I would see a breast specialist. Try to trust the experts, if you indeed have seen one that is. I have no knowledge of the health care system in Greece, hoping you get answers soon.
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Hello and thanks for your answer. Yes i have seen 2 breast surgeons(1 of them didn't know about IBC) and they told me to put some cream on it which didn't work. I don't have other breast changes although my left breast has always(since i was really young) been sensitive and hurted from times to times. Also i have some itching in both nipples rarely.. but i guess that's normal? The doctors checked(with their hands) my neck lymph nodes and didn't comment on them. Could this be a bacterial infection? Its shape is oval, not itchy, flaky or anything else and its color is pale pink. Are there any IBC cases that are left undiagnosed for so long but haven't progressed more?
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An appt with a Dermatologist is probably called for.
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I would guess...and mind you, I am not in a position to know (you must know that right) as I am not medical and have never seen the spot.....this does not sound like IBC at all to me.
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I have gone to 2 dermatologists too. 1 of them couldn't see it(the redness) that's why i went to a second one who also gave me a cream that didn't work. I don't understand.. Since its been 5-6 months i guess i should be relieved..? I'll try to see another breast surgeon if i can. Anyway thank you all for your answers and i wish you the best!
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aliciado--maybe it is a heat rash or allergic reaction? Perhaps you can ask a doctor to culture it? I think if it were IBC you would probably know by now but I can understand your frustration about not having a concrete answer about what is causing your symptoms. I hope you get some relief from the redness and from your worries!
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I used a steroid cream on it.. so i don't think it is an allergic reaction.. And also an antifungal cream. That only leaves me a possible bacterial infection.. or something else.. thank you too sarahr30
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Have you reported the lymph node pain and weirdness to your doctors?
A choking sensation in the front of the neck might be caused by a thyroid issue. I had a thyroid nodule about 2.5 cms, and when I tucked my chin down, I felt a choking sensation, like I couldn't breathe. Also when wearing a turtle neck. Tell the doctor about all lymph node observations and request a physical check your thyroid gland area.
Also, can you obtain a mammogram? This may detect disease that is not palpable (when a lump cannot be felt).
BarredOwl
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A doctor prescripted
a thyroid and neck soft tissue ultrasound so i m doing them next week. Also the breast surgeon said that because of my age and because my breast's tissue is realy dense, a mammogram couldn't help.. that's why i did an ultrasound. But i thought ultrasounds don't always show IBC. Can i ask again if it's possible for IBC to exist for so many months without other symptoms? -
Hi aliciado:
I am glad you will get the thyroid area and neck checked out. I had an ultrasound for my thyroid issue.
Please note that I am not a doctor and have no medical training. There may be no IBC. There may be no breast cancer. I don't know.
It still seems formally possible to me that it could be ordinary breast cancer, with associated Paget's disease (some nipple symptoms). Paget symptoms can be associated with underlying breast cancer, such as DCIS or invasive ductal carcinoma. Some doctors are not very familiar with Paget disease of the breast, because it is not very common. Please read this:
http://www.cancer.gov/types/breast/paget-breast-fa...
I am not sure how old you are [Edit: Sorry, 25 yrs old). Mammography may be less effective in younger women who tend to have more breast tissue density. Density can reduce sensitivity of detection (may miss some disease). Dense tissue appears white by mammography, and may obscure the signs of cancer, which ordinarily appear white against a black background. In other words, you may not be able to see a white flag in a snow storm. Decreased sensitivity is a limitation of the technique, but it is not a reason to deny a person a mammogram.
In fact, my DCIS was diagnosed by mammography despite an "extremely dense" (highest category of density) breast. I would request a mammogram.
If the cost of care is an issue, there may be a local equivalent of the American Cancer Society in your country, that may be able to help you with such issues by directing you to whatever resources may be available for possible mammography screening.
BarredOwl
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IBC will show up better on an US than it will on a mammo.
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Hi aliciado:
The above posts suggest that IBC is rapidly evolving in presentation and very rare (but not impossible). The various symptoms been going on for 5-6 months. Breast ultrasound showed nothing. You have been to the dermatologist.
It may not be IBC. I don't know. I am wondering if it is another type of breast condition that may be screen-detectable by mammography. Mammography would seem to be a reasonable step that may identify an issue, and might provide an explanation for continuing symptoms that have not otherwise received a medical diagnosis.
Mammograms may detect issues that are not visible on ultrasound:
http://www.cancer.org/cancer/breastcancer/detailed...
"Ultrasound has become a valuable tool to use along with mammography because it is widely available and less expensive than other options, such as MRI. Usually, breast ultrasound is used to target a specific area of concern found on the mammogram. Ultrasound helps distinguish between cysts (fluid-filled sacs) and solid masses and sometimes can help tell the difference between benign and cancerous tumors. In someone with a breast tumor, it can also be used to look for enlarged lymph nodes under the arm.
The use of ultrasound instead of mammograms for breast cancer screening is not recommended. However, clinical trials are now looking at the benefits and risks of adding breast ultrasound to screening mammograms in women with dense breasts and a higher risk of breast cancer".
I do not question the use of ultrasound in the first instance, but having received a negative result, I do not understand why a mammogram would not be indicated.
BarredOwl
Dx Right: ER+PR+ DCIS (5+ cm) with IDC (1.5 mm) and micro-invasion < 1 mm; Grade 2 (IDC); 0/4 nodes.
Dx Left: ER+PR+ DCIS (5+ cm); Grade 2 (majority) and grade 3; isolated tumor cells in 1/1 nodes (pN0i+(sn)).
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Thank you all for your effort here.. The last doctor said my neck lymph nodes are not swollen (he examined them thoroughly but i ll check it with US too) and there is nothing wrong with my nipple. I have never had discharge or flaky skin on my nipple/areola neither it is red, painfull or flattened. Are there any other breast cancer types that include just pale redness?Would it be better if i asked for an MRI?
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HI aliciado:
I do not have answers to your questions, and can only make general comments. I am sorry I cannot be more helpful.
Unfortunately, only a trained medical doctor who has conducted a current clinical examination and taken a proper history from you can provide some kind of diagnosis and advise you properly as to the significance (if any) of the pink area.
Your neck nodes have been checked by a doctor and you are now scheduled for a thyroid ultrasound, so that will be evaluated.
MRI is very expensive in the US, so it is often, but not always, preceded by mammography and ultrasound. There may be some cases where MRI would be recommended, but I do not know what those are (and could not know if they would apply in your case or not).
BarredOwl
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Aliciado, you have been told again, that your breast i ok. I am curious why you cannot trust your Doctors (7 of them)???
Do you think it could be a faint birthmark?
Do you have other anxiety issues? While we must trust our gut feelings when we know something is wrong, I am wondering if you are being reasonable since you have been to so many Docs. Maybe it is time to relax and move on, watching for changes.
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Aliciando,
Looking over your posts, it doesn't sound like cancer at all, and the Dr's you have seen have confirmed that. Go and enjoy your life.
HUGS....
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Others may have missed it in the thread, however, aliciado also stated on Feb. 5, 1016, "A doctor prescripted
a thyroid and neck soft tissue ultrasound so i m doing them next week."aliciado, please let us know how your thyroid ultrasound goes next week.
BarredOwl
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Thank you all for your concern and support. I'm doing the thyroid and neck soft tissue US, next Tuesday so i''ll let you know
Meadow yes i am under a lot of stress and i have a sort of insecurity against doctors in my area, because as i said before they are not so experienced(our health system care has fallen down lately, so cheap "bad" doctors are my only choices..) The last doctor i saw though, the one who prescripted the US, seems pretty good but he is a pathologist not a breast surgeon.
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Hello again. I just did the ultrasound on my neck and they told me that my lymph nodes(cervical i think) are swollen. In the breast ultrasound though my armpit nodes were not. Is this alarming? He told me they could become swollen if i got a cold (but i don't think i do) or because of stress....
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No, swollen lymph nodes are not alarming.
Swollen lymph nodes can be from many different things. Particularly common are viral infections. http://www.mayoclinic.org/diseases-conditions/swol... Viruses cause the common cold, flu, warts. Almost everyone has a herpes virus. Worldwide, ∼90% of people have one or both viruses. HSV-1 is the more prevalent virus, with 65% of persons in the United States having antibodies to HSV-1 http://www.ncbi.nlm.nih.gov/books/NBK47447/ Toxoplasma infections (a parasite, not a virus) are also very common. More than 60 million men, women, and children in the U.S. carry the Toxoplasma parasite, but very few have symptoms because the immune system usually keeps the parasite from causing illness. http://www.cdc.gov/parasites/toxoplasmosis/
I don't know about stress causing swollen lymph nodes, but emotional stress is very hard to measure quantitatively, and of course a certain situation will stress one person out and not another.
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Thank you a lot for these info Leaf. I will take the tests to my doctor tomorrow and let him see the redness again.
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Hello again. It has been 9 months and the redness keeps getting bigger. No one can tell me why. A dermatologist mentioned something about they way i sleep and that maybe i am pressing the breast there. I have an appointment for US this Friday. I also noticed when pressing my breasts together that on my other (right) breast, 2 dimples appear. On that breast i have a fibroadenoma and some cysts. Could that dimpling be caused by any of these?
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