Pimple sized “bump” under mastectomy skin

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Hi All! I’m new to this forum. I discovered a small pimple sized bump under the skin on my breast cancer breast. I had a mastectomy so I know a local recurrence would most likely appear within the top skin if it was going to happen. Any thoughts on this clinical presentation? It doesn’t look like a pimple as it’s completely under the skin, but feels like a hard one under the skin.

I’m actually going to see my onc tomorrow so can give you all an update but curious if anyone has had a similar thing that ended up being a recurrence?

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  • MountainMia
    MountainMia Member Posts: 1,307
    edited October 2020

    It's good you're lined up to see the oncologist. I don't have experience with that, in particular. I did have US this summer to follow up on a different issue. The tech spent quite a bit of time under my arm checking on a lump, which ultimately was determined to be a wad of fat. Also, in a TMI comment of a different nature, I had a lump on my labia earlier this year. It felt like the size of a dry pinto bean. And that was just some weird cyst that has spent most of the year getting smaller and then larger and ultimately fading away to a very small hard object in the same place. So that's just to say, sometimes we get lumps that aren't anything in particular.

    I wish you well tomorrow. Please come back to this same thread tomorrow and let us know what you find out. Good luck!

  • SuperJ13
    SuperJ13 Member Posts: 8
    edited October 2020

    @MountainMia- thank you for sharing your experience. My onc does believe that it is likely a benign sebaceous cyst, since it is hyperpigmented (brownish spot). He said that recurrences are usually hypopigmented (more of a white spot on skin) or reddish in color.

    He recommended going to my dermatologist to have a biopsy just to ease my mind and move on.

  • SuperJ13
    SuperJ13 Member Posts: 8
    edited October 2020

    update- dermatopathology came back as “atypical vascular lesion” which can be seen in the context of a radiated breast. Strange thing is that I have not had radiation. My onc is sending the sample to surgical pathology for another look. Regardless, I need to get a re-excision to get better margins.

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