Back here again.... will be demanding an MRI on Monday

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Anonymous
Anonymous Member Posts: 1,376
edited February 2019 in Not Diagnosed But Worried
Back here again.... will be demanding an MRI on Monday

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  • Shezza33
    Shezza33 Member Posts: 16
    edited January 2019

    Hi All,

    I first posted on here 6yrs ago for changes etc that showed as very dense area in upper outer quadrant of my right breast..... as i was 33 at the time I was fobbed off by a breast surgeon as too young with a denses breast and he ushered me out of his office 😕 I'm 39 now.

    I have recently been feeling some weird pains in the right breast as well as let down reflex which burns like heck and also have a thick sticky discharge from that nipple, which I noticed last night also has some clearness to it.

    However. .... it's actually my left breast which has been giving me the most anxiety provoking issues which are visible and worsening since November.

    For approx 8 or so months my left armpit has felt bruised and is sometimes more swollen than usual and i have had odd twinges of pain between nipples/breast and a pulling sensation in my armpit.


    In November i woke up one day and my left breast absolutely stung like wasps had attacked it and had weird visible ropey lumps running across the top & down the sides etc and i noticed a sideways v shaped indent where my left breast was pulling in. I thought hmmmm, I'll wait and see if it's period related.

    Turns out its not.

    Went to Dr early December who sent me for ultrasound saying she'd never seen it before and that she was more concerned about a hard .5cm lump at 6 o clock on my right breast under my nipple.


    Went for ultrasound and the radiographer says 'it looks like you have varicose veins in your breast, i have never seen that before, I'm going to get the Dr to come in and have a look also, is that ok?'... next minute in comes the Dr who also reckons he has never seen it before 😕 they looked at it, felt it, were baffled by it, checked for compression and blood flow then sent me on my way.

    By the time my Dr received the report he reported it as 'a superficial vein in upper left breast'...

    My Dr calls to give me those results approx a week later and says to me 'all clear, you're fine', i responded with 'actually I've had more changes and have thickening in the left outer quadrant, redness and puckering, i have pain in my left shoulder and down my left arm and all my veins are sticking out on my arm, I'd like you to send me for a mammogram' she told me to come in so i did and she looked and felt around, wondered if mri may be better but not covered by medicare. So sent me for a mammogram and on the form simply wrote 'lump at 5 o clock on left breast'

    I attended for mammogram on 2nd jan.

    Tech reads form and says ok so you are just here for a routine mammogram? I answered with 'erm, actually I'm having some issues ' she takes one look at my breast and tells me she'll be right back.

    She returns and says you've actually been booked in for an ultrasound as well.

    So have my mammo, then in for ultrasound and the radiographer goes 'ooh, i can feel that' as she runs over the thickening with the probe, she zooms in etc and i see that she's taking lots of pics and titling it as 'ROI'. She then explains she'll have the Dr come and have a closer look. She comes back with the dr who looks totally disinterested and stands at other side of room watching the screen. Radiographer goes over where my boob is pulling in and dr says 'hmmmm ' radiographer is in that area for a while and is looking expectantly at the Dr when the Dr says 'probably just normal breast tissue' and turns to leave, radiographer tries to draw her attention to the area of thickening and the Dr responds with 'is young, probably just breast tissue ' and walks out the door.

    Radiographer looked at me and apologised. Says if you notice anything else make sure you follow it up. Wipe your self over and get changed.

    Anyhoos, fast forward and I now also have a long indentation line under my left breast, it's dark pink for the bottom half, is now the same size as my right boob, flipping burns and itches like mad inside, can't lay on it, it hurts behind my nipple as well, my 4& 1/2 year olds head when he rests on my chest has me whincing in pain with watery eyes, the thickening has more than doubled and now looks orange peel like in parts of it (had hubby help take some photos of my boob) and he said 'why does it look like that? ' lol and he said it feels alot hotter than the other one. I've been tracking the changes in photos since just before xmas and you can see the changes plain as day.

    Sorry for super long post, I'm anxious and after receiving a call last wed to say my mammo & ultrasound were clear, I've requested an appt with my Dr again for Monday as I'm going to demand an MRI & a referral for a biopsy.

    Couple that happening with my left breast with the weird feelings and discharge coming from my right nipple and I am seriously pooping myself!!!

  • Luckynumber47
    Luckynumber47 Member Posts: 397
    edited January 2019

    Clearly, something is going wrong and you must get to the bottom of it. Here in the US the next step would be to go to a breast surgeon/specialist. They should be able to tell what’s going on. If they are dismissive of you because of your age find another dr who will take you seriously. Keep seeking out expert opinions until you get an answer. It’s sad that we have to advocate so hard for ourselves but too many drs want to take the easy way out. Is it possible to go to a medical school type breast center? That’s what I’d recommend if you were in the US.

    Finally, if there’s any chance at all that it could be IBC then a dermatologist could do a punch biopsy to determine if the orange peel area was cancer.

    I hope this turns out to be nothing but I’m glad you’re requesting the mri.

    Lucky

  • windingshores
    windingshores Member Posts: 704
    edited January 2019

    Did you ever breastfeed your child? Is there any chance you have an infection in the duct?

    I wonder if you have seen your PCP to discuss this. Maybe a breast specialist could see you but if cancer isn't what is going on, they could refer you to the proper person. There are other things that can cause these symptoms.

    Glad you are investigating cancer first and hope your concerns are respected. If you keep hearing it is not cancer, that does not mean there is nothing to address. I have had infections that caused similar symptoms.

    (I also had discharge for years and years in both breasts. I believe discharge was relevant to cancer only when it was black or greenish black but they can test the discharge for you, easily.)


  • Shezza33
    Shezza33 Member Posts: 16
    edited January 2019

    Hi Lucky and Windingshores,

    Thanks for your replies.

    Can't sleep because it hurts and panadol and ibuprofen arent doing anything thelp. Hurts to lay on my belly, side or back. Even sitting up hurts 😕

    As my little guy is 4 and 1/2 years old I.haven't breastfed him for a few years 😊 The discharge from the right nipple and the weird let down feelings in the right breast/nipple have only started occuring in the last couple of weeks. I have no temps and there's no redness or lumpiness to the right breast. I also can't be pregnant as haven’t dtd in about 18mths.

    The pain and symptoms I'm getting in my left breast are not the same pain or feelings as i remember mastitis was. The pain feels as though its burning and itching from the inside out, i can't even handle a loose tank top pressing against it. I've noticed that my left breast is now bigger than my right one and it looks like the weird texture has spread further up, the redness and swelling now covers the whole lower left breast, and the stretch marks under my left breast are all puffing out (opposed to the right breast where the stretch marks are faint silver and dip in). The redness and thickening is also going up the left outer side of my left breast past my nipple area.

    I know we can sometimes over feel or overthink things. I have sat here and wondered if some of the panic comes from what my aunty said to me when I showed her the 'varicose veins' before the other symptoms popped up. She said 'oh, that looks like Mondor's Disease, you should get that checked. That's the only symptom my sister had when she was first diagnosed with cancer in her milk ducts'..... Thanks for the insertion of panic dear aunt!! I think that's why I'm not letting it go and also because something is not right. I seriously hope i have an infection and nothing else.

    I'm not sure if there are teaching hospitals here in Australia. I'll see how my appointment with my GP/Dr goes this afternoon.

    Apologies in advance for sounding like a worry wart.

  • Shezza33
    Shezza33 Member Posts: 16
    edited January 2019

    Quick update

    Saw my GP this afternoon, although mammogram and ultrasound came back ok and noted significant density in left breast.

    She's referred me to a breast surgeon due to the visual changes of pulling in, orange peel skin, redness and my left breast is in her words 'alot hotter than the other one, 'it's also concerning how quickly the changes have happened in the last 8 weeks, especially with the growth of your left breast i think it's best we just send you to a breast surgeon and have our fingers crossed '. Thanks Doc....

    My appointment with the breast surgeon is this Friday.

  • Shezza33
    Shezza33 Member Posts: 16
    edited January 2019

    Hi All,

    Just an update after my appt with the breast surgeon.

    He seems like a lovely guy, though a bit sure of himself 😂😂

    He started asking me questions about family history etc, was concerned to hear that ovarian and breast cancer has occurred for some relatives. Asked if i had any children, told him 4 and he asked what age i had my first (to which i answered 15... and waited for a look of shock), he said 'that's great, infact well done research shows the earlier you have children the lower your risk of getting breast cancer '....

    Cut a long story short he asks questions about my symptoms etc, so i tell him. He tells me my Dr sent him my scan reports which say they are normal with 'benign calcifications', i said that i am here due to changes that continue to occur that are visible and palpable but haven't shown on mammogram. He said are you questioning Inflammatory breast cancer, i said 'yes, I am'. He told me that I meet the criteria for rebateable breast mri's as well as annual screening mri's until I am 50 due to family history and that he could send me for an mri to 'prove' that I don't have IBC. I told him that something is obviously going on and that i would also prefer biopsy.


    He re read the reports and then brought the mammogram pics up on his screen and said they were perfect types of breast for mammogram, then as he's talking to me about the left scan up and was pointing he says 'oh, there's thickening down here.... see along the bottom of your breast going around and up near your nipple? That's quite thick, we'll get an mri of that', then he re reads the report and says 'strange, they didn't report on that, come with me and I'll have a look at your breast'.

    So he's looking and he says' there's definitely changes, redness, dimpling, ridges, swelling, heat and you can tell the size differences between the two, i can see some what we call peau d'orange too, hmm it's quite a thick area' i spoke about it first being a feeling of waking up about 6-8 wks ago as though 100 bees had stung my boob. He kept looking. Then felt and asked about the right side, which i told him has discharge, he told me it's great that it's not a blood stained discharge. He then spoke about my left breast and said, there's something going on because of the changes but i wonder if it's more of a skin issue than a breast issue as theres no scaliness, scabbing or open sores, with IBC you get that especially near your nipple somewhere.

    So we go back to his desk where he asks if I've tried creams, which is a yes, told him I've tried all sorts and I'd really like to have the area biopsied. He told me he'd only biopsy the area if i got scaly, scabby or open sored skin 😕

    He says, we'll get an mri, I'd like you to applt celestone cream to the area in the meantime and it may take a couple of months for you to get your mri as it depends on certain times of your cycle to be able to get it done and it's best to get it done when you don't have your period. It takes about 5 days for your mri to be reported on as they have 2 specialists report on it. In the meantime I'd like you to apply the cream, but if you get further swelling and if scaliness occurs near yor nipple, call my office straight away and then we'll do a biopsy whether you've had your mri or not'

    On the mri slip it says:

    Request for MRI of both breasts for detection of cancer

    Bilateral breast

    Rebateable

    Has left breast pain with skin erythema and excaviation, mammo Birads B on 2/1


    What is 'excaviation'??? I've never heard of that word lol.

    I've called the mri place and they reckon i have to actually have my period at the time, so now I'm confused 😕. ..

  • LoriCA
    LoriCA Member Posts: 923
    edited January 2019

    Shezza33 with those symptoms you should push for a skin punch biopsy, the only way to reliably detect IBC, even if it means consulting with a dermatologist. Swelling, skin thickness, redness, heat and peau d'orange are very concerning symptoms. Despite what the breast specialist said, the open sores and scabbing don't happen immediately (although there is often an area that looks like a rash), it happens as the IBC progresses if it isn't caught quickly or doesn't respond to the first treatment tried as the cancer breaks through the skin. I don't want to scare you by urging you to push for a skin punch biopsy, but it should be able to confirm or rule out IBC, and all an MRI can do is "maybe" confirm the need for a punch biopsy while wasting more time. I learned the hard way that even an MRI doesn't reliably detect IBC.

    Even after treating me from Day One of a Stage IV de novo diagnosis of IBC, when I had skin changes a few months ago and suspected recurrence, I was told by my MO that it didn't "look like cancer" and he sent me for an MRI that didn't show anything suspect. It wasn't taken seriously until it got so bad again that now we haven't yet figured out how to slow it down, let alone stop it this time and I'm frustrated that it wasn't taken more seriously even though we'd gone this road once before.

    If they don't specialize in IBC they don't always understand the symptoms and how to properly diagnose. Keeping my fingers crossed that it turns out to be something else for you.

  • djmammo
    djmammo Member Posts: 2,939
    edited January 2019
  • B055W0man
    B055W0man Member Posts: 9
    edited January 2019

    Dear LoriCA,

    I hope you get things figured out soon! To me it sound like inflammatory breast cancer which my mother was diagnosed with a few years ago! I know how you feel being younger and no one wanting to hear you out. I am 28 and having similar problems that they say are just normal dense breast tissue. Bull I say! Haha we know our bodies best and know when something is NOT right! Good luck and I hope you have a safe and healthy recover given the outcome!💖

    Sincerely,

    B055W0man

  • Shezza33
    Shezza33 Member Posts: 16
    edited January 2019

    hi djmammo,

    I reckon you are right! I've just re-read his Dr writing and definitely looks like the word 'excoriation' (not excaviation. ... geez I'm a wally! Lol). I've never heard of the word excoriation either.......


    Hi LoriCA,

    You just reminded me of another comment he made 'if i biopsied that rash, the results would simply just come back as a rash'.....

    I'm sorry you are going through all this and have everything crossed that they'll figure out how to slow it down x

    Thanks for your replies 😊

  • LoriCA
    LoriCA Member Posts: 923
    edited January 2019

    Shezza33 his comments make me mad. After spending time on this forum I understand why doctors might be skeptical about IBC, it seems like every woman who has slight redness starts freaking out that she has IBC, but it's frustrating to deal with skepticism when it does turn out to be IBC. If he's confirmed that you have all of those symptoms - heat, noticeable swelling, skin thickness, discoloration, peau d'orange, puckering, and excoriation, and your doctor has commented on how quickly symptoms are progressing, it needs to be taken seriously, not tell you that it may take months to schedule an MRI. Try the cream, but if your symptoms continue to progress or if that rash breaks open and starts oozing, it needs immediate attention.

    It's tough to biopsy for IBC because of the way it forms, there is no defined lump. At my original dx they did three punch biopsies to make sure they got a sample that contained the cancerous cells, and they didn't biopsy the "rash" itself, they took samples of the surrounding skin.

    I really hope it is just a rash and that you don't have IBC, I wouldn't wish it on my worst enemy, but if your doctors have confirmed that you have all of the textbook symptoms and that they are surprised at how rapidly it's progressing, they shouldn't be wasting any time to confirm or rule it out. It makes all the difference in catching it while it's still curable (Stage 3 vs Stage IV). I'm the first one to tell people when their symptoms don't sound at all like IBC, but I also won't hesitate to tell people when I think their symptoms are concerning because I've gone through it. And I really don't want to scare you, I feel bad just talking about it, but I want to urge you to not waste any time if your symptoms continue to get worse.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2019

    Bravo. Great post Lori.

    Go get 2nd opininon from IBC experienced specialist Shezza? I went through a bad scare myself in 2016. My skin turned bruised and red...itched like crazy for months then started hurting and aching. Eventually I was dx'd with lymphoedema of the breast/chestwall

    Very scary...I was at Peter Mac where I think they have seen quite a few cases...just a thought for an alternate p.o.v?

    Jump on a cheap flight maybe...unless S.A has a great cancer specialist hospital?

    Sending love and good wishes for the best outcome.


  • Shezza33
    Shezza33 Member Posts: 16
    edited February 2019

    Heya,

    I thought I'd jump on for a quick update to say that I've had my beast mri and 2 days later received a call from the surgeons breast care nurse to let me know that my breast surgeon is on leave but would like to see me as soon as he is back. When I asked if anything had been found she said that it looks like what they can see in my left breast appears to be benign, but that there's something showing in my right breast that he'd like to 'discuss the way forward from here' with me. She then said she couldn't discuss anything further with me, but that in the meantime if i notice any other changes to make contact immediately, and proceeded to give me my appointment time.

    To say I am freaking out a lil is probably an understatement.

    I will still ask for punch biopsies of the left breast as the orange peel affect, redness, heat and pain is still there. Plus by the time my mri rolled around my areola has also changed colour and the bottom halves of both my nipples are now purple 😕

  • Beatmon
    Beatmon Member Posts: 1,562
    edited February 2019

    I hope your appointment is soon. You have had to advocate for yourself for sure. Certainly hope it turns out ok. Best of luck

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2019

    Good plan to still push for biopsy of left breast Shezza. You poor darling, no wonder you are concerned. Once you have seen the B.S. having a plan and more clarity should help a lot.

    I still would like to recommend that you get yourself to the best cancer specialist team/hospital you can. If you are not already at a specialised cancer centre, then a 2nd opinion from one would be great if possible.

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