Loss of Sensation in the Left Breast: Causes and Concerns - Breast and Thyroid

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Hello Doctor: My mother is 50 years old and recently noticed a lack of sensation from her left armpit to the area between her left breast.
According to her, one-third of her left breast has no feeling, while the right breast has normal sensation.
What could be the cause of this?

123, 20~29 year old female. Ask Date: 2009/12/09

Dr. Wu Jingtang reply Breast and Thyroid


Dear Miss: Your mother's issue may require an examination by a neurologist, as it could be a neurological problem.
Wishing you peace of mind! Dr.
Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Department of Health.

Reply Date: 2009/12/09

More Info


Loss of sensation in the breast, particularly localized to one side, can be concerning and warrants careful evaluation. In your mother's case, the loss of sensation in the left breast and the area from the left armpit to the left chest could be attributed to several potential causes. Understanding these causes is essential for determining the appropriate next steps in her care.

1. Nerve Compression or Injury: One of the most common reasons for loss of sensation in a specific area of the body is nerve compression or injury. The brachial plexus, a network of nerves that sends signals from the spine to the shoulder, arm, and hand, can be affected by various factors, including trauma, repetitive strain, or even anatomical variations. If a nerve is compressed, it can lead to numbness or loss of sensation in the areas it innervates.

2. Neuropathy: Conditions such as diabetes can lead to peripheral neuropathy, which may cause numbness or tingling in various parts of the body, including the breasts. If your mother has any underlying health conditions, such as diabetes or thyroid disorders, these could contribute to her symptoms.

3. Hormonal Changes: Given that your mother is 50 years old, she may be experiencing perimenopausal or menopausal changes. Hormonal fluctuations can affect breast tissue and may lead to sensations of numbness or discomfort. However, this is less likely to cause a complete loss of sensation.

4. Infections or Inflammatory Conditions: Infections, such as shingles (herpes zoster), can cause localized numbness or tingling in the affected area. Inflammatory conditions affecting the breast, such as mastitis, could also lead to changes in sensation, although they typically present with pain and swelling rather than numbness alone.

5. Breast Conditions: While less common, certain breast conditions, including cysts or tumors, could potentially affect the nerves in the area and lead to changes in sensation. It is crucial to rule out any significant breast pathology, especially if there are accompanying symptoms such as lumps, changes in breast shape, or discharge.

6. Psychogenic Factors: Sometimes, psychological factors can manifest as physical symptoms, including numbness or loss of sensation. Stress and anxiety can lead to heightened awareness of bodily sensations and may contribute to feelings of numbness.

Given these possibilities, it is essential for your mother to seek a thorough evaluation from a healthcare professional. A comprehensive clinical examination, along with appropriate imaging studies such as a mammogram or ultrasound, may be necessary to rule out any serious underlying conditions. Additionally, nerve conduction studies or electromyography (EMG) may be indicated to assess for nerve damage or compression.

In summary, while loss of sensation in the left breast can arise from various causes, it is crucial to approach this symptom with a thorough evaluation to ensure that any serious conditions are identified and managed appropriately. Encourage your mother to consult her healthcare provider for a detailed assessment and to discuss her symptoms further. Early intervention can often lead to better outcomes and peace of mind.

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