Should You Get a Breast Examination? Your Symptoms and Next Steps

Recommended examinations?

Hello, Doctor: Thank you for your previous response.
It has been almost three weeks since then, and I believe my left nipple condition has improved significantly.
Initially, both the areola and nipple were red, but now the redness has subsided, and there is no pain or itching.
I feel like I am almost back to normal.
However, the dermatologist mentioned that I have not fully healed yet.
Typically, adults should recover within two weeks of treatment.
He suggested that I see an immunologist or a breast surgeon for further evaluation.
In addition to the nipple eczema, I also have eczema on my lips and the soles of my feet.
The dermatologist indicated that my lack of adherence to the medication might be a contributing factor (I was diligent with my medication and topical treatment for the first two weeks, but in the third week, I stopped taking the medication because I thought I was better and only continued with the topical treatment).
He advised me to be consistent with my medication and then reassess the situation to determine if further examinations are necessary.

In the meantime, I have already scheduled an appointment with an immunologist for blood tests, and I am waiting for the results.
However, I am still very concerned about the breast issue and would like to know if you think further examination is necessary.
Is a biopsy required? I have heard that nipple biopsies can be very painful and may require stitches, which makes me quite anxious...
(I have already undergone a breast ultrasound and physical examination, which indicated no abnormalities, and I also plan to schedule an appointment with a breast surgeon for further evaluation).
I am genuinely worried and scared, especially after hearing the dermatologist recommend further testing.
I hope you can provide me with some advice.
Thank you.

lina, 30~39 year old female. Ask Date: 2018/10/12

Dr. Yuan Tianmin reply Breast and Thyroid

If you're really concerned, you should visit a breast clinic for an examination.

Reply Date: 2018/10/12

More Info

When it comes to breast health, understanding your symptoms and knowing when to seek further examination is crucial. Based on your description, it seems you have been experiencing some changes in your breast area, particularly with your left nipple, which has shown signs of redness and discomfort. While it is encouraging to hear that the symptoms have improved, it is still important to take a cautious approach.

Firstly, the symptoms you described, such as redness and discomfort in the nipple area, could be indicative of several conditions, ranging from benign issues like dermatitis or eczema to more serious concerns that may require further investigation. The fact that a dermatologist has suggested you see a specialist in immunology or rheumatology, as well as a breast surgeon, indicates that they are considering a broader range of potential underlying issues, including possible autoimmune conditions that could be affecting your skin and breast health.

Given your history of eczema on other parts of your body, it is possible that your breast symptoms are related to a dermatological condition rather than a primary breast issue. However, the recommendation for a breast examination is prudent, especially since you have experienced changes in the breast area. It is essential to rule out any serious conditions, including infections or other pathologies.

Regarding your concern about undergoing a breast examination, including a possible biopsy, it is important to understand that these procedures are typically performed to ensure your health and peace of mind. A breast ultrasound and clinical examination are excellent first steps, and if these tests show no abnormalities, the need for a biopsy may be reduced. However, if there are any concerning findings, a biopsy may be necessary to obtain a definitive diagnosis.

Biopsies can be intimidating, and it is normal to feel apprehensive about the procedure. However, many patients report that the discomfort is manageable and that the benefits of obtaining a clear diagnosis far outweigh the temporary discomfort associated with the procedure. Additionally, advancements in medical technology have made biopsies less invasive and more comfortable than in the past.

In summary, while your symptoms have improved, it is still advisable to follow through with the recommendations from your healthcare providers. A thorough examination by a breast specialist can provide you with reassurance and clarity regarding your breast health. If a biopsy is recommended, discussing your concerns with your doctor can help alleviate your fears and ensure you are well-informed about the procedure.

Lastly, it is essential to maintain open communication with your healthcare providers about your symptoms and any changes you notice. Keeping track of your symptoms and their progression can be helpful in guiding your medical team in making informed decisions about your care. Remember, early detection and intervention are key in managing any potential health issues effectively.

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