Should I have asked for more testing besides ultrasound?
A couple years ago I noticed an area of "thickening" in one of my breasts. On both of my breasts there appears to be a network of tissue/glands (I guess, it's definitely not fat) in the upper outer part, sorta kinda mirrored on both sides. However on the right side it is noticeably thicker, larger and firmer. It's not rock hard and I can move it around as I can with other tissue.
First I saw a nurse practitioner who gave me an X-ray and took my c-reactive protein, which was normal. I'm not sure why she did that really because you don't diagnose breast cancer with an X-ray and I guess c-reactive protein can be taken to see if there is a lot of inflammation, which is present with more aggressive types of cancers most of the time (I *think*), but it wouldn't diagnose cancer. So kinda confused about that. She also said it felt normal to her and that with something the size of what I have I would be having other symptoms (but from what I've heard elsewhere it doesn't sound like that's true).
Anyway, last year I was thinking about it again and decided to see a gynecologist (the LNP I saw was primary care). He said he can tell what I'm talking about but it really feels like normal breast tissue to him, and that most of the time breast cancer is an extremely hard lump that doesn't move at all. I said "Well, it is kinda hard." He replied "Sort of, but I'm talking like -" *raps his knuckles on the wall*. He said I did exactly what I should have done by having it checked out though because you should do that when you notice an unusual change of any kind in your breasts.
I had an ultrasound and it was normal. I'm 28 with no family history of cancers except for thyroid cancer in my grandmother when she was very elderly but that was due to radiation exposure. Though I know 85 percent of women who have breast cancer have no family history of it.
The area in question doesn't seem to change throughout my cycle. Sometimes it will hurt before any other parts of my breast before my period, but usually not. Pain is tricky for me though because I get random pains due to anxiety which resolve once I force myself to relax. Also I have a desk job so sometimes I get tight chest muscles, especially in my right pectoral muscle because I'm right-handed.
And because of this anxiety thing it's hard for me to be like "I just need to follow my gut if something seems off" because I catastrophize everything and feel like everything seems off all the time (I don't tell doctors that though lol). But nothing has changed in my breasts since I first noticed it and I do self exams regularly.
So my main question is... should I do anything else? Just monitor it for changes? I guess I'm also kinda unsure about it because I'm not exactly sure what changed or why. Does the texture of your breasts really just change like that sometimes as you age and it's normal?