Palpable Lump not visible on scans..what now?
Hello. I have a lump that was felt in 2022, right before my regular mammogram. I felt it, the tech felt it. It didn’t show up on the mammogram. I was called back for an ultrasound. The tech felt the lump. Again, it didn’t show. I basically got a pat on the head, and sent on my way.
This June, I became aware of a radiating pain in my breast. When I felt around for the source, I landed on that lump. It had grown. So, I made note to mention at my mammogram last Friday. Again, it didn’t show up. Report says, I could have a targeted US, but nothing is there. Breast is “clear”
I just spoke with my GP’s office who said that nothing can be done if nothing shows on the scans. There is a lump! I’m trying not be snippy to these people, but surely they understand how ludicrous this sounds?
Can I ask if anyone has any advice for me on how to proceed? I really need resolution on what this lump is.
Thank you.
Trace
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@dianez4912 if you just had that test today, it is likely that next steps are coming. I know how hard it is but try to be patient. If you don’t feel safe with the testing that is done and the doctor doesn’t order follow up. My next step would be to ask the doctor specifically, how can I get a definitive answer, because I lose sleep without that.
Is this in the same location as your previous breast cancer?
Did you contact your oncologist again? Maybe they plan an MRI.
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1 ReactionNegative breast exam due to dense tissue.
I had mammo- negative. MRI positive. Tried to do ultrasound guided biopsy, could not detect tumor. MRI was only way to detect.
Might be worth while asking for?
Best of luck❤️
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1 ReactionTrace, I know it's difficult, but be persistent. Lumps aren't always found on ultrasound, etc. There have been articles in the Wall Street Journal with stories like this. The woman felt it; staff ignored it because it didn't show up on the mammo or ultrasound. She insisted and breast MRI found it. You have dense breasts (as do I and 50 percent of women). The tech felt it and it should be biopsied . Lobular cancer spreads out and presents differently than ductal. If you have not had an breast MRI, you should have one. I'm sorry that your GP would stand up for you. Are you near any major breast center? They are usually more up to date on this. My best to you!
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1 ReactionI agree with what others have suggested, that if you're able, make an appointment at a breast cancer center & get another opinion.
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1 ReactionI had a small indent in my right breast that would come and go (had dense breast too - no longer prophylactic double mastectomy) and I brought it up at my mammo - and at a breast center. Nothing was found by the radiologist but they ran it through AI - found five microcalcifications. Areas was steriotactic biopsied initial diagnosis was atypical ductal hyperplasia (ADH) - had a lumpectomy. That path was ADH plus lobular carcinoma in-situ (LCIS) - a pre-cancer because it was in-situ and had not busted the basement membrane - that is protein mat that the deepest layer of cells sit on. LCIS may or may not spread but it does increase life time risk for breast cancer and in both breasts! As someone else has said this form of breast cancer is stealth...it does not create spheres its form is linear and hard to detect with imagery. It is almost always an incidental find.
I would push for a AI reading the previous mammo and if it detects nothing push for a biopsy. If they cannot find it on the imagery, but everyone feels it (!), they should be able to draw a ring around the lump and take several samples within that ring. I would want several samples since the form is linear...and the odds of catching that form (linear) with a needle biopsy is low. I work in bioengineering and with material science tools...we work at the nanoscale (for reference this is about 80 times larger the diameter of human hair - it is slim!) and typically use a 5 point grid; four corners and center. I would ask for this -and possibly two to three grids within the lump. I think this 5-point technique might be the way forward to help diagnosis LCIS or Invasive Lobular Cancer (ILC). Even though I have elected (prophylactic due to high risk indicators) to loose my breasts I am concerned about our lack of tools for early detection of lobular forms - and particularly so as it is difficult to detect spread; we all know it is more difficult to treat metastatic cancer. Unfortunately LCIS, and ILC, are rarer forms of BC and not a lot of research money is directed to develop techniques to enhance early detection.
Final thought - if your lump is not painful when palpated you have a stronger argument for biopsy since a non-painful lump itself is suspect for cancer. If a lump is palpable and painful it is more likely a cyst or non-cancerous growth. Cancer cell membranes calcify and this is part of the reason a cancerous mass doesn't create a pain response. General rule is always have any suspicious lump checked out regardless of pain or not; but no pain for sure! I wish you luck with this process and peace of mind, or further treatment if needed, on this leg of your journey. It's always something...hang in there!
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