Breast and Chest Symptoms: When to Seek Further Evaluation

There is a large swollen area near and below the clavicle, close to the upper left chest?

I recently experienced numbness and tingling in my left arm and the left side of my body, along with some unusual sensations in my breast, so I visited a general surgeon at a local hospital.
Since there is no family history of breast cancer, the doctor performed a physical examination and an ultrasound, which revealed two tumors on my left side, each approximately 0.5 cm in size.
They appeared to be benign, and the doctor advised me not to worry, recommending regular check-ups every six months.
I was told to return immediately if there was any increase in size.
As for the numbness and tingling in my left arm and the left side of my body, the doctor indicated that it likely wasn’t related to the breast issue.
However, I have recently experienced occasional discomfort on the left side of my body, sometimes in the armpit, sometimes in the chest, and sometimes in the back, with varying symptoms.
The entire left breast feels swollen, resembling an inflated balloon, and is slightly larger than the right breast, although it sometimes appears normal.
Additionally, there is a swollen area near my clavicle that resembles muscle; initially, it was so swollen that my clavicle was nearly obscured, but it has decreased slightly, though it is still more swollen compared to the right side.

1.
Given my condition, do I need further examination?
2.
The left breast feels inflated and is slightly larger than the right, with the left nipple sometimes appearing flattened and noticeably smaller than the right.
Could this indicate a problem?
3.
Could the discomfort in my armpit be related to lymphadenopathy?
4.
Is the swollen area near my clavicle related to my symptoms?
5.
Could breast cancer present with the symptoms I described above? Thank you!

You Ren Wu Yan, 30~39 year old female. Ask Date: 2005/03/31

Dr. Wu Jingtang reply Breast and Thyroid

No content.

Reply Date: 2005/03/31

More Info

When it comes to breast and chest symptoms, it is crucial to understand the significance of any changes or discomfort you may experience. Based on your description, you have several concerns that warrant further evaluation. Let’s address each of your questions systematically.

1. Need for Further Examination: Given your symptoms of discomfort in the left side of your body, the presence of two tumors in your left breast, and the recent changes in your breast size and texture, it is advisable to seek further evaluation. While your doctor initially assessed the tumors as benign, any new or worsening symptoms, such as swelling, changes in breast shape, or persistent discomfort, should prompt a follow-up. Regular monitoring is essential, but if you notice significant changes or new symptoms, do not hesitate to return to your healthcare provider.

2. Breast Changes: The sensation of your left breast feeling "like a balloon" and being larger than the right breast, along with the flattening of the nipple, could indicate changes that need to be assessed. While breast asymmetry can be normal, sudden changes in size, texture, or shape, especially if accompanied by discomfort, should be evaluated. It is essential to discuss these changes with your healthcare provider, who may recommend imaging studies such as a mammogram or ultrasound to assess the situation further.

3. Axillary Discomfort: The discomfort you are experiencing in your armpit could be related to several factors, including lymph node involvement, muscle strain, or even nerve compression. While lymphadenopathy (swelling of the lymph nodes) can be a sign of infection or malignancy, it is not the only cause of discomfort in that area. Your healthcare provider may perform a physical examination and possibly imaging studies to determine the cause of your symptoms.

4. Swelling Near the Clavicle: The swelling you describe near your collarbone could be related to muscle strain, lymph node enlargement, or other soft tissue changes. It is essential to have this evaluated, especially since it is near the breast area. Your doctor may consider imaging studies to assess the nature of this swelling and determine if it is related to your breast condition or another issue.

5. Breast Cancer Symptoms: Breast cancer can present with various symptoms, including lumps, changes in breast size or shape, skin changes, and discomfort. While your symptoms could be benign, it is crucial to rule out any malignancy, especially given your family history and the presence of tumors. Early detection is key to successful treatment, so it is essential to remain vigilant and proactive about your health.

In summary, while your initial assessment indicated benign tumors, the changes and discomfort you are experiencing warrant further investigation. It is essential to maintain open communication with your healthcare provider, share your concerns, and advocate for the necessary evaluations. Regular follow-ups and imaging studies can help ensure that any changes are monitored closely, allowing for timely intervention if needed. Remember, your health is paramount, and addressing these symptoms proactively is the best approach.

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