Do Breast Cancer Symptoms Persist? Signs and Risks

Will the symptoms of breast cancer persist?

Last year, I had an ultrasound examination that revealed a benign tumor, and the doctor advised regular check-ups every six months.
I would like to ask if the doctor can determine whether a tumor is benign or malignant based solely on the ultrasound results.
If there are symptoms suggestive of breast cancer, such as nipple retraction, will they persist? One of my nipples is smaller, flat, and has slight wrinkling at the center; could this indicate breast cancer? Reports state that breast cancer can lead to lymphatic spread or swelling; how can one detect this? Would pain in the armpit or other symptoms be indicative? Recently, I have experienced occasional pain in one armpit, and my back, parallel to my chest, also hurts.
I feel like there is something inside my chest that is moving, but it doesn't hurt.
During a previous health check, I was found to have a suspected bone spur on my cervical spine that is pressing on a nerve, which causes my arm to often feel sore, numb, and weak.
Is this related to the breast cancer concern or is it a sign of something else? I read online that breast cancer patients may have small hard lumps in their breasts that are painful when pressed, and there may be swelling in the lymph nodes under the arm when raising the arm.
Last year, a colleague passed away from breast cancer, and I am somewhat worried about my health.
I would appreciate your answers, thank you!

JJ, 30~39 year old female. Ask Date: 2005/04/13

Dr. Yang Jinfa reply Breast and Thyroid

Hello! The accuracy of ultrasound diagnosis is approximately 85%, so it is recommended to follow up every six months.
If the shape and size of a benign tumor remain unchanged, it can be confirmed as benign.
Otherwise, fine needle aspiration or biopsy may be necessary.
Nipple retraction or asymmetrical nipples are just one of the possible symptoms, and tenderness or pain in the axilla has even less correlation with breast cancer.
It is advised to have an ultrasound follow-up every six months, and if necessary, the physician will also arrange for a mammogram for confirmation.
Thank you!

Reply Date: 2005/04/13

More Info

Breast cancer is a significant health concern, and understanding its symptoms, risks, and the diagnostic process is crucial for early detection and treatment. Based on your inquiry, let’s delve into the various aspects of breast cancer symptoms and the implications of your recent experiences.

1. Ultrasound and Diagnosis: Ultrasound is a valuable tool in breast cancer diagnosis, particularly for women with dense breast tissue. While it can help differentiate between benign and malignant masses, it is not definitive. A benign tumor may appear well-defined and homogeneous, while malignant tumors often have irregular borders and heterogeneous echogenicity. However, the only way to confirm a diagnosis is through a biopsy, where a sample of the tissue is examined microscopically. If you have symptoms such as nipple retraction or changes in breast shape, these should be evaluated further, as they can indicate underlying issues.

2. Persistence of Symptoms: Symptoms of breast cancer can vary widely. Some women may experience persistent symptoms, while others may not. Common signs include a lump in the breast, changes in breast shape or size, skin changes (like dimpling or puckering), and unusual discharge from the nipple. If symptoms such as nipple inversion or persistent pain occur, they should be investigated further. It’s important to note that not all changes indicate cancer; hormonal fluctuations, especially around menstrual cycles, can also cause breast tenderness and changes.

3. Lymph Node Involvement: Breast cancer can spread to lymph nodes, often first affecting those in the armpit (axillary lymph nodes). Symptoms of lymph node involvement may include swelling or a lump in the armpit, which may or may not be painful. However, not all swollen lymph nodes indicate cancer; infections or other benign conditions can also cause lymph node enlargement.

4. Pain and Discomfort: Pain in the breast or armpit area is not typically a primary symptom of breast cancer, especially in the early stages. Breast pain is often related to hormonal changes, particularly in premenopausal women. However, if you are experiencing persistent pain, especially if it is accompanied by other symptoms, it is advisable to consult a healthcare provider. Your mention of cervical spine issues and nerve compression could explain some of the discomfort in your arm and shoulder, but it’s essential to rule out any breast-related issues.

5. Physical Changes: Variations in breast size and shape are common and not necessarily indicative of cancer. Many women have asymmetrical breasts, and slight differences in size or shape can be normal. However, significant changes, especially if accompanied by other symptoms, should be evaluated.

6. Monitoring and Follow-Up: Given your history of benign tumors and your concerns about breast cancer, regular monitoring is crucial. Following your doctor’s advice for semi-annual check-ups is wise. If you notice any new symptoms or changes, do not hesitate to seek medical advice sooner.

7. Early Signs of Breast Cancer: In addition to lumps, early signs of breast cancer can include changes in the skin of the breast (such as redness or texture changes), discharge from the nipple (especially if bloody), and persistent pain in the breast or armpit.
In conclusion, while your concerns are valid, many symptoms can be attributed to benign conditions or other health issues. It’s essential to maintain open communication with your healthcare provider, report any new or worsening symptoms, and adhere to recommended follow-up appointments. Early detection remains key in effectively managing breast cancer, so staying vigilant and proactive about your health is crucial.

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