Breast lump
Hello, Doctor; I had an X-ray performed at a clinic two years ago, and the diagnosis indicated a mass, but the physician said it was benign and that I only needed to have regular check-ups.
However, six months later, I had an ultrasound at Taichung Veterans General Hospital, and the results showed no masses.
I presented the previous examination results to the doctor, but he confidently stated that the report indicated no masses on either side, suggesting that what I felt might just be bone.
However, I can feel a firm mass in one of my breasts that measures approximately 1.5 to 2 cm in length and width.
Sometimes it feels larger, sometimes smaller, which makes me feel uneasy! Why is there such a significant discrepancy between the results from the two facilities? Should I seek a third opinion and have another examination? Please take the time to provide a detailed response, thank you!
tin, 20~29 year old female. Ask Date: 2001/04/21
Dr. Lin Shuilong reply Surgery
Based on the issues you mentioned, it seems that you have not consulted the right physician.
The significant differences in diagnoses between the two medical facilities may largely depend on whether the physician you consulted was a breast surgeon.
Generally, breast examinations primarily involve physical examination, ultrasound, and mammography.
Mammography and ultrasound are different diagnostic tools with distinct principles.
The quality of mammography can be influenced by the technician, while ultrasound may show variations in imaging due to tissue structure.
For breast tumor concerns, it is recommended to seek evaluation from a breast surgeon.
Reply Date: 2001/04/21
More Info
When it comes to breast lumps, it is crucial to approach the situation with caution and thoroughness. Your experience of receiving differing opinions from two medical professionals regarding the presence of a lump in your breast is not uncommon. The discrepancies in findings can be attributed to various factors, including the type of imaging used, the skill and experience of the interpreting physician, and the inherent variability in breast tissue.
In your case, you mentioned that two years ago, a clinic diagnosed a lump as benign based on an X-ray, while a subsequent ultrasound at a different facility indicated no hard lumps. However, you are still feeling a lump that varies in size, which understandably raises concerns. It is essential to remember that breast tissue can change over time due to hormonal fluctuations, age, and other factors, which may explain the differences in findings.
The lump you described, measuring approximately 1.5 to 2 cm, should not be ignored, especially since it changes in size and is palpable. While benign lumps such as cysts or fibroadenomas are common, any persistent or changing lump warrants further investigation. The fact that you are feeling something that is not consistent with the imaging results should prompt you to seek further evaluation.
Here are some recommendations on how to proceed:
1. Seek a Third Opinion: Given the conflicting results, it is advisable to consult a third healthcare provider, preferably a breast specialist or a surgeon who specializes in breast health. They can provide a more comprehensive evaluation, including a physical examination and possibly additional imaging studies.
2. Consider Additional Imaging: Depending on the findings of the physical examination, the specialist may recommend further imaging, such as a mammogram, ultrasound, or even an MRI. These imaging modalities can provide different perspectives on the lump and help clarify its nature.
3. Discuss Biopsy Options: If the lump remains concerning after imaging, a biopsy may be warranted. This procedure involves taking a small sample of tissue from the lump to be examined microscopically for any signs of malignancy. There are different types of biopsies, including fine needle aspiration (FNA) and core needle biopsy, which can be discussed with your healthcare provider.
4. Monitor Symptoms: Keep track of any changes in the lump, such as changes in size, shape, or any associated symptoms like pain or discharge. Documenting these changes can provide valuable information to your healthcare provider.
5. Trust Your Instincts: If you feel that something is not right, trust your instincts. It is your body, and you have the right to seek answers and ensure your health is prioritized.
6. Stay Informed: Educate yourself about breast health and the significance of regular screenings. Understanding your own body and the typical characteristics of your breast tissue can empower you to advocate for your health effectively.
In conclusion, it is entirely reasonable to seek a third opinion, especially when it comes to something as significant as a breast lump. The goal is to ensure that you receive accurate information and appropriate care. Breast health is a critical aspect of overall well-being, and being proactive in addressing any concerns is essential. Remember, early detection and intervention are key factors in managing breast health effectively.
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