Indent, something is not right
UPDATE: I had my mamogram and US today. Radiologist said from what he sees they both look normal however I am BIRADs Density Catagory C. He said he would not be able to see smaller abnormalities because of this. I also got my generic testing back and I was negative for 32 mutation but tested positive for a variation (not yet a mutation as it is still being researched) my risk score came back as 24.3%. Radiologist advised talking with my surgeon on Monday as risk scores above 15% with a Cat C Density should have an MRI. Anyone with Lobular have a clean mamo and US and found it on an MRI?
Hi ladies, I need some advice. Trying to decide if I should push for an mri or not.
A little history. I just turned 40, am in premature menopause. In 2010 I had a partial hysterectomy due to cervical cancer cells. In 2012 I started having mamograms due to my dense lumpy bumpy breasts. In 2020 my regular breast surgeon recommended genetic testing due to my father's side families cancer history. At the time the counselor told me to invest in life insurance before continuing. Well of course I agreed and well, life got in the way and I never did it.
In 2021 my GP found a swollen lymph in my left armpit. I went for a mamogram and US and followed up with a breast surgeon (not my normal surgeon). He stated he did not feel the lymph and the mamo and US were clear. I left feeling fine about it.
Fast forward to this Christmas. Right after the holiday I was getting out of the shower and noticed a horizontal indent on the side of my left breast. Now I am very diligent about checking my body and skin for changed as my dad had melanoma and I have had 3 severe dysplasic moles removed on the last year so monthly checking is diligent. This indent of new, goes from my armpit towards my nipple. When I raise my arms is is not visible. So I want about 5 weeks to see if it changes. Meanwhile I have shoulder blade pain. The pain is beyond the muscle and doesn't change. This brings me to the Gyno for a regular visit to monitor my enlarged ovaries and discuss my HRT progress. I show her the indent. She doesn't like the look of it but doesn't feel a lump and sends me to my normal breast surgeon. He is booked for months so I go back to the breast surgeon that I saw last year. He sees me and says it doesn't look worrisome then says "it's probably always been there" when I tell him definitely not he brushes me off and says he will do a US in the office to put my mind at easy. He does it and says "don't see anything there, do you feel better?" I was so in shock by his earlier comment I just nodded. He said I still want to check it in 3 months.
I tell my Gyno all this and she says I need to get a diagnostic mamo just to see if there are changes from last year and I need to follow up with genetic testing as well as my regular surgeon. So I have scheduled my mamo for the 23rd and had my genetic testing done this past Monday.
Long story, I'm sorry but my question is in your experience if you have changes that you know are different should I push for further testing? When I read my mamo from last year I read I they suggested a biopsy of my lymph on the left in question if symptoms presisted (of course no one mentioned this). If my mamo and US comeback negative in a few weeks do I request an MRI or am I over reacting?
NOTE: my 35 year old cousin had 3 negative mamos before they found her lobular cancer doing a mri for something different.