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Breast Abnormalities and Other Symptoms
General questions about breast health and possible symptoms.
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AskedPublicly Submitted Question
1/6/2018Hello, I am a two year breast cancer survivor stage I +ER/PR and neg HER with partial mastectomy/reconstruction to left breast and reduction to right in 12/15. 10/16 had total hysterectomy and ovaries removed due to family history of ovarian cancer. My left breast has continued to be an issue for the past year. My breast surgery showed atypical ductal hyperplasia at 3 o'clock and my cancer at 6 o'clock. Jan 2017 breast MRI noted bilateral increased focal areas of parenchymal enhancement more conspicuous compared to prior MRI 7/29/16 and likely related to differences in hormonal cycle. Can you have increased enhancement with surgical menopause and on tamoxifen? Moving forward since Jan. I complained on sensitivity deep inside the left breast at 3 o'clock area to the point if there was a clip I want it out. No clip but something bothering me and pushing down it is sore. After mammo in June only this breast was swollen and warm. Doc wasn't sure if from mammo but only response on this side or from inflammation. Rad onc followup for soreness said from surgery so I stopped complaining until recently. I had ultrasound and it was sore as she pressed down and doc said not a cyst. First said she wanted a biopsy and then changed her mind. Her report notes area of palpable lump is scar tissue no lesion or cyst and at 3 o'clock 3 cm from nipple there is a "7x4x5 mm hypoechoic ovoid lesion with no significant vascularity probably a lymph node". I have the ultrasound and it looks like side view of a dove with 2 points or other view like a half-moon and a blue spot away from the marked shape but in the box perimeter. I asked for a biopsy and the team agrees with the ultrasound doctor that probably a lymph node. I am scared with MRI report from last year not saying anything really about the increased changes of enhancement and 9 months of something in this area. Should I be worried and push for a biopsy? I so truly appreciate your time and input on this matter.
RepliedJHU's Breast Center Reply
1/6/2018First make sure the radiologists are breast imaging radiologists. mammogram should be a 3D tomo. MRIs usually not used for screening unless patient has severe density. that said, good news no vascularity.

soreness, swelling, pain are quite common and can linger forever from both surgery and from radiation effects.

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