Dimpling but clear U/S?

Hi there,

Just wanting to get peoples opinions and to hear similar stories.

5 months ago I developed what looked like a blocked duct on my nipple (breastfeeding my then 16mo) but none of the usual tricks cleared it. I wasn't developing mastitis like I usually would do I just thought I'd leave it. Every few weeks I'd have try clearing it again and then decide to leave it when nothing changed.

Fast forward to about 4-5 weeks ago and I got another blocked duct on the same side, with a little help it cleared in two days and the original one stayed exactly the same. At that point I decided I definitely need to do something but couldn't get a drs appointment in time before our overseas holiday.

Then 1-2 weeks ago while in Italy I was looking in the mirror and thought I'd noticed a dimple in the same breast but was having trouble seeing it. With in a few days it became very evident. A few days later looking in the mirror again I noticed that above the dimple I'd developed a thickened orange peel textured area of skin. I also noted some lumpy areas but no defined lump. I immediately messaged my doctors surgery to book an appointment for as soon as we arrived home.

The day after we arrived home I went to the doctor, told her the spiel and while I was taking my top off she said "can you show me where the skin changes are" as she was turning around and then said "oh never mind I can see it right there" so they're very obvious. Within a minute or so she was having me feel a lump she found right by the dimple that she thought was also questionable. She referred me for a breast ultrasound and mammogram.

Today I went in for the US and the tech seemed to be scanning very quickly and then said "everything looks fine to me" she went out and got the doctor in charge who had her run the US over the dimple again and said nope nothing there ok bye and was off out the door. I asked him to wait and said what about the mammogram am I still doing it? He said he'd call my dr and then left. The us tech then started to walk out until I stopped her and asked what the lump on my nipple was then and she said oh it's probably just a blocked duct although there was no actual sign of a blockage in your duct, just get your doctor to lance it... really.. after 5 months?! I've actually stuck a pin in it before trying to lance it and it's a hard lump , a little blood cane out from beside it and that was it.

Anyway!

After forever waiting in the waiting room the receptionist calls me over and says I'll book your mammogram for next week, I said no I want it today like I was told. Eventually she agreed to book an appointment but it was a different clinic that does the mammograms.

When I went into the mammogram the lady said "so what is happening? The Imaging doctor rang and said you had a clear ultrasound but insisted on a mammogram as well?" Ahh.. no! My doctor obviously told him she wanted it done, I just asked to not have to wait a week since I'd already driven to the city for the appointment.

The mammogram went fine, she gave no indication of the results and said since it is a holiday weekend here my doctor won't get the results until Tuesday (it's currently friday). I'm concerned that the mammogram is going to be clear as well and I'm not sure where to go from there. I just think there clearly has to be a cause for these sudden and multiple signs and I'd rather not "leave it two months then maybe go see the GP again" as suggested by the imaging doctor. I am already worried that I've allowed a breast cancer to develop by not getting the nipple lump checked and I'm kind of hoping that it not showing up on IS might mean that it's still early stages in which case I want to get it sorted ASAP before it developed even more. I just think it has changed so noticeably in 1-2 weeks that it could be so much worse in 1-2 months!!

Any ideas?

I think I am going to ask the gp to atleast try to lance and or bipopsy the nipple lump in her rooms and see what that shows but if the mammogram is clear, what's my next step?