Worried and biopsy pain
Hello! I've been dealing with a red spot on my breast for almost a year now. I've seen my OB/GYN (2 different providers) and was referred to breast surgeon. None of them thought it was cancer but couldn't tell me what it was. I also have nipple discharge (from both nipples).
Currently I'm 25 weeks pregnant and recently the red spot has gotten larger and the breast that it's on is also more tender. I also get shooting pains and now the past few days I feel like pain is going into my arm. I went for a follow up with breast surgeon who again said we would just monitor it but she doesn't think it's cancer and I have no lumps and that I should come back when not pregnant to be checked again.
Since I was still worried I made a dermatologist appt yesterday and she immediately said it looks like skin cancer to her and that we should biopsy it. When I went for biopsy today, she again said she really thinks is basal cell or squamous cell but also mentioned pagets, but said that would be around nipple. She said she doesn't think IBC (which is my biggest worry) but did punch biopsy for my peace of mind.
Anyway, I'm still super worried and at this point I am praying she's right and it's basal cell and nothing else. And that the pain/tenderness is pregnancy related.
My question is....she said the biopsy shouldn't hurt after, but since my breast was already hurting, not that the numbing has worn off, it does hurt. Anyone know if it's normal for it to hurt? I can't take anything because I'm pregnant, so I'm just dealing, but the pain is making me worry more that it's something like IBC. And the amount of worrying I'm doing I'm now even more worried it's going to effect the baby.
Comments
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Dear Pregnantandworried,
We are so sorry that you have been dealing with this change in your breast and the worry that it brings. It sounds like you have been very much on top of everything. It is hard not to worry when you are waiting for results of tests, etc. Everyone here will say that. Try to distract yourself as best you can while you wait. Please keep us posted on your results and how you do.
The Mods
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So I got the call today that the red spot is skin cancer. I’m still very worried as I have pain/tenderness in one spot on that same breast. Calling tomorrow to schedule ultrasound as recommended by my obgyn. Then will be scheduling to remove skin cancer. All this has me so worried.
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Pregnantandworried - Glad that you finally have a diagnosis. Hopefully it's something that will be relatively easy to take care of. Please let us know how the ultrasound goes.
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Thanks, I'm still very worried, and my OB seemed concerned as well that something else is going on. Ultrasound is Monday and the waiting is making me sick.
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Did they say whether it was basal cell or squamous cell or Paget's? I would call the breast surgeon and let him/her know that it's cancer (and what type), let them know your next steps, and ask if he/she has any other recommendations for your care. Don't assume the doctors are following up with each other.
FWIW, I was diagnosed with Paget's by my dermatologist, and she referred me to a large hospital's breast cancer center, and they had me meet with a surgeon. My red spot was on the areola, and was previously diagnosed as eczema, but it was very itchy, would not go away, and doubled in size over the last year so I had it punch biopsied. I don't remember the pain being too bad (maybe just to the level of 'sore') - but I was able to take Tylenol.
Are you able to get a second opinion from another breast surgeon? I think you are right to follow up and be sure. Don't be afraid to bug people for something that is potentially serious.
Did your OB or the breast surgeon provide you any insight into what you could do if things got worse before your next appointment? Should you call the breast surgeon and have him/her paged? Anything else you should do? It might make you feel better if you have a plan, even if it never needs to be used.
The good thing about ultrasound is that the results should be available quickly.
It is hard not to worry, but try to take care of yourself as well as you can in the meantime. Relaxed breathing, distraction (tv shows, pets, word games, puzzles), and a good partner or friend to support you in staying strong can be helpful. You'll probably want to research every spare moment, but it can be sanity-saving to put a limit on it, at say, 8 or 9pm, and try to relax and get some sleep at night if you can.
Thinking of you and wishing the best for you.
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The red spot is a basal cell. The pain/tender spot I'm feeling is not directly near it, and I've had it the whole time I've been pregnant (so for 5 months). I've had a bunch of breast exams and no one could feel any lumps. But I was also told by 4 different doctors (including breast surgeon) that the red spot wasn't anything to be concerned with and then I finally went to dermatologist on my own so I could get a punch biopsy done.
I have also had white nipple discharge from both sides for over a year and small whitish bumps on my areola (again both sides, but on the right side I have much more) for over a year, so since before being pregnant. I've been told it all seems normal, but now I'm just not sure who to trust.
Obviously I'm hoping they don't find anything on ultrasound and that I can just get the basal cell removed in a couple weeks and start feeling less worried. The waiting and wondering, especially when pregnant is just so hard.
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It can be such a challenge navigating the healthcare system, knowing who to go to for what, what questions to ask, what tests to ask for, and whose expertise to trust.
One phrase I learned from another person with Paget's is: "make them prove it to you." If you have discharge, they should be able to test it. If you don't have to rely on their word, don't. Make them prove it's not something serious. Or just figure out what it is! (I was diagnosed with psoriasis, but when biopsied, it turned out to be eczema.)
And for anyone with a long-term issue, don't be afraid to go back and have it checked periodically.
I'm so sorry you are going through this. Know you are not alone.
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I'm praying for you. Don't let this consume you. You have a lot to look forward to. Worrying is so easy to do in these times. Calm is the perfect tribute to God. Try as hard as you can to be calm.
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Thinking of you and hoping you get some answerstomorrow.
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Just got out of ultrasound and they found nothing but normal breast tissue. The doctor said pain could be pregnancy related or from underwire bra being too tight since becoming pregnant.
So now I wait a couple more weeks to see new dermatologist to get get the rest of the basal cell carcinoma removed.
For now I'm finally feeling some relief. Thank you all for the support. Along will all of this I had placenta issues going on, and they weren't sure if something might be wrong with baby, but things are looking better there too and baby is looking perfect. Hoping I'll finally be able to start eating, sleeping and taking care of myself for this third trimester.
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