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Topic: should i get a second opinion ?

Forum: Not Diagnosed But Worried —

Breast cancer symptoms vary widely. According to the American Cancer Society, in addition to a lump, breast cancer symptoms can include swelling, skin irritation, dimpling, breast pain, changes to the nipple, thickening of the breast skin, or unusual nipple discharge. Still, some breast cancers cause no symptoms at all. Note: Please do not post pictures of your symptoms. It's important to have anything unusual checked by your doctor

Posted on: May 19, 2017 06:54PM

zerreale wrote:

Hi im 32 and found a lump imbetween my left breast and my armpit about a month ago . before that my chest started hurting very badly . so i had a mammogram and an ultrasound today and the radiologist said she couldnt see anything at all . the lump is about the size of a quarter so i find that hard to believe , she can in and told me about six times in a row that i had very dense breasts and she couldnt see anything suspisious . this doctor was very very young and seemed very happy with her answer to me ..... She looked confused and unsure about it all but kept trying to make me believe she thought it was nothing . i asked if it could be cysts and she said i dont know , i thought cysts were visable on ultrasounds . she just seemed very very unsure of what she was saying to me and couldnt answer the only question i asked should i go somewhere else and have it looked at ? I should mention i can pretty much not use my left arm anymore because my chest and breast hurt so badly .

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May 19, 2017 07:11PM - edited May 19, 2017 07:15PM by Artista928

Ultrasound should reveal what it is, cyst, fibroid, fatty tissue, tumor...Ultrasound is what's used for women with dense breasts so not sure why she can't see anything. You feel it. Something is there. I would most definitely get a second opinion. You need to feel at peace and need to know what it is. This I don't know wouldn't fly with me. Good luck.

ETA: One thing I have learned in this journey is you have to be your own health advocate. If something doesn't sound right you need to get to the bottom of it. Docs are not flawless, even the good ones.

Dx'd at 50. Doing it all, all by myself. Stopped Letrozole after 5 weeks. Debilitating se's. Back on Tamox now. Dx 6/2/2015, IDC, Left, 6cm+, Stage IIIA, Grade 3, 1/4 nodes, ER+/PR+, HER2- (DUAL) Surgery 8/6/2015 Lymph node removal: Left, Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 11/3/2015 AC + T (Taxotere) Radiation Therapy 5/2/2016 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy 6/28/2016 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 12/9/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy 2/14/2017 Femara (letrozole) Hormonal Therapy 3/26/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 9/1/2017 Reconstruction (right): Fat grafting, Silicone implant
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May 19, 2017 07:36PM octogirl wrote:

Agree with Artista! If your arm is almost unusable you need to figure out what is going on...good luck!

Dx 6/18/2015, IDC, Right, 2cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 7/16/2015 Lumpectomy: Right; Lymph node removal: Sentinel Chemotherapy 9/8/2015 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 12/15/2015 Hormonal Therapy 1/14/2016 Arimidex (anastrozole) Hormonal Therapy 4/8/2016 Femara (letrozole)
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May 19, 2017 08:02PM zerreale wrote:

thank you for the reply , I'll try and see someone else and see what they say . I'm kind of sad that they really didnt take me seriously when i was there . Its the weekend so unfortunetly more waiting to find out info , waiting i think is the worst part it seems . At this point any information good or bad would really be nice .

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May 19, 2017 08:24PM LisaAlissa wrote:

Hi zerreale,

You don't say where you started (w/ your primary care doc? with some specialist? an ob/gym? someone else?).

Considering your pain and that pain is causing you to be unable to use your arm normally, you definitely need to be diagnosed. But it might not be a breast problem--and might be completely unrelated to the lump you found...what else? I don't know, but we shouldn't try to guess...

Before you see a doc for a second opinion (I'd suggest an internist or a gp who enjoys sorting o ut diagnostic puzzles), make a list of every symptom you have (or have had) recently, and try to list them in the order you remember them starting (or when you found them). Don't make assumptions (or make suggestions) about what is wrong. Tell them that you've had some tests, and get them copies. Then ask them to try to sort out what's wrong...

Who knows? It might be something completely unrelated to the lump you found in your breast.

If you simply call a breast center for a second opinion appointment, you've essentially ruled out all of the non-breast potential causes (they'll assume they're looking at a breast problem and consider it from that standpoint.

An internist/GP who is trying to find out what's wrong may run tests themselves, or may send you to one or more specialists based on what they think might be wrong. Or they might be able to reach a diagnosis without sending you to a specialist. When you have an internist/GP/PCP who is managing the diagnostic process for you, they send you to whoever they think might be the appropriate specialist...and then receive reports, etc. to consider in light of everything else.

Certainly you can, at some point in the consultation, say "I've been worried that it might be..." but start with telling them the symptoms and asking for help.

HTH,

LisaAlissa


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May 20, 2017 06:21AM djmammo wrote:

Zer

Agree with LisaA's post above. Contains all the correct questions and advice at this point.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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May 20, 2017 06:55AM dtad wrote:

Hi zehheral...IMO you need an MRI. I believe every breast lump needs to be diagnosed. MRI is the best screening tool for dense breasts. Also would advise you to see someone at a major university teaching hospital. Good luck and keep us posted.

Dx 3/20/2015, IDC, Left, 1cm, Stage IA, Grade 2, ER+/PR+, HER2- Dx 4/10/2015, ILC, 1cm, Stage IA, Grade 2, ER+/PR+, HER2- Surgery 5/21/2015 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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May 20, 2017 08:51AM muska wrote:

Has anybody run basic labs on you? I agree with the recommendation to see a general practitioner before heading to breast specialists or requesting more tests. Did you have a cold or flue or some other type of inflammation before you noticed something in your breast?

BTW, breast cancer doesn't usually cause any pain whatsoever.

Dx at 54 Dx 5/9/2013, DCIS/IDC, Right, <1cm, Stage IIIA, Grade 3, 7/11 nodes, ER+/PR+, HER2- (FISH) Dx 6/13/2013, LCIS, Both breasts Surgery 6/13/2013 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 7/25/2013 AC + T (Taxol) Surgery 2/20/2014 Reconstruction (left); Reconstruction (right) Hormonal Therapy 3/12/2014 Arimidex (anastrozole) Radiation Therapy 3/23/2014 Breast, Lymph nodes, Bone
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May 20, 2017 12:39PM Artista928 wrote:

Many people find out they have bc because of pain. I did. We're all different in how it presents itself. Anything not letting up needs to be checked for possible bc. Best to catch it at DCIS stage if it is forming than to let it go.

Dx'd at 50. Doing it all, all by myself. Stopped Letrozole after 5 weeks. Debilitating se's. Back on Tamox now. Dx 6/2/2015, IDC, Left, 6cm+, Stage IIIA, Grade 3, 1/4 nodes, ER+/PR+, HER2- (DUAL) Surgery 8/6/2015 Lymph node removal: Left, Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 11/3/2015 AC + T (Taxotere) Radiation Therapy 5/2/2016 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy 6/28/2016 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 12/9/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy 2/14/2017 Femara (letrozole) Hormonal Therapy 3/26/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 9/1/2017 Reconstruction (right): Fat grafting, Silicone implant
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May 22, 2017 11:31AM MTwoman wrote:

I agree with LisaAlissa and DJMammo, make an appointment with a good GP or Internist (puzzle solver extraordinaire). Her reasoning is sound, and don't forget to write down your list of recent health problems. Let them work you up and make appropriate referrals. Good luck!

Dx 12/10/2002, DCIS, Right, 1cm, Stage 0, Grade 2, 0/3 nodes, ER-/PR-, HER2- Surgery 12/20/2002 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 12/23/2003 Reconstruction (right): Nipple reconstruction Surgery Reconstruction (right): Saline implant Surgery Reconstruction (right): Tissue expander placement Surgery Mastectomy: Right
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May 22, 2017 02:33PM octogirl wrote:

Regarding pain: I had pain. but I put off seeing my doc for about four or five months or even a bit more once the pain started, because I kept googling 'breast pain' and getting results that bc doesn't cause pain. I believe that the pain was likely caused by the lump, which was in a hard to feel location under the nipple, pressing on nerves. I didn't go to doc until lump got big enough to feel.

In this case the OP feels a lump and was told that her breast tissue was very dense. Given that, I think a second opinion with a breast specialist makes sense.


Dx 6/18/2015, IDC, Right, 2cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2- Surgery 7/16/2015 Lumpectomy: Right; Lymph node removal: Sentinel Chemotherapy 9/8/2015 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Radiation Therapy 12/15/2015 Hormonal Therapy 1/14/2016 Arimidex (anastrozole) Hormonal Therapy 4/8/2016 Femara (letrozole)
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May 27, 2017 05:53PM zerreale wrote:

thank you everyone for the information it does help a lot , so i know what to ask doctors .i got a report about my breast density today , it says that they are extreemly dense and that is why the lump probably doesnt show up at all . I did call my regular doctor to have someone else look at the results and figure out what other things i can do to figure out what it is . so im still kind of waiting , at least i know my doctor is much more thorough when it comes to checking results :) . thankfully i have tons of patience .

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