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Saturday, August 08, 2009 CoolBreeze asks

Q: What could cause breast dimpling, large lump and pain that is not cancer?

I'm 51 and have had fibrocystic changes in my breasts my entire adult life. Several months ago, I noticed dimpling and a large lump in my right breast. It felt smooth so I didn't worry. I waited a cycle and  when it didn't go away, I set up a diagnostic mammogram. I thought it was probably just a cyst but in the time I've been waiting for the test, it's gotten harder and more painful, and it appears that there is some very light bruising-like discoloration in the skin above the lump. I'm confused as they say that pain is not a symptom of breast cancer but dimpling may well be. I would estimate the lump between the size of a strawberry and lime. I am seeing a doctor but what could it be aside from cancer?

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Answers (2)
PJ Hamel, Health Guide
8/ 8/09 9:25pm

Hi - It could be a fibroadenoma, a non-cancerous tumor - if you've had fibrocystic issues, you might have had one of them before? Anyway, I'm glad you're getting a mammogram; that should help clarify what's going on. Good luck - PJH

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8/ 8/09 9:35pm

Thanks!  Everything I read says a fibroadenoma occurs mostly in much younger women than I am, so I discounted that as a possibility.  If I ever had one before, I never knew it.

 

I wasn't even the littlest bit nervous until today.  It sure doesn't feel like a cyst any longer, it's very hard with a pea sized, super hard lump on top of the previous lump I thought was a cyst - and it feels a bit like it could be attached to the skin, but it's hard to tell.   Now I wish I knew!  I always feel better when I know what I'm dealing with.

 

 

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10/10/10 11:34am

Hi, I have left side aerola dimpling ,age 53, fibrocystic changes since age 28.

I am heading for an ultra sound Thursday . Clean Mammogram in April .

Most info says cancer on these sites but dr. says 1-100 dimpling is cancer.

She has been my Dr. 12 years.

Dimpling late stage agreessive cancer is extremly frightening!!!

TRUTH??? Why did I feel great till I heard the words dimpling and untrasound?

What are the stats. on this????

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Phyllis Johnson, Health Guide
10/10/10 12:10pm

I don't know the stats on what proportion of patients who present with dimpling actually have breast cancer.  I would guess that your doctor is speaking of her experience in her practice.  If she sees lots of patients with dimpling who don't have cancer, that should be very reassuring.

I always assumed that when doctors use the words dimpling to describe a breast cancer symptom, they meant an indentation caused by a lump that is pushing out in one place, causing a dimple somewhere else.  With that type of dimpling, a cyst or any other type of benign growth can cause a dimple, but not be cancer.  I found out in my own experience that that is only one type of dimpling associated with breast problems.

Another type of dimpling is caused by swelling in the breast.  As the skin swells, not all of the connective tissue swells, which leaves the skin looking pitted and dimpled like the skin of an orange.  This type of dimpling is one symptom of a dangerous form of breast cancer called inflammatory breast cancer.  However, other causes of swelling like an infection, or even pregnancy or other hormonal changes can also cause this kind of dimples.

So while I don't have exact statistics, your doctor's attempts to reassure you are on target.  You will want to be assertive about following up with all testing until you are sure you know what is causing the dimpling because it might be dangerous, but it is much too soon to panic.  Good luck with the ultrasound.

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Phyllis Johnson, Health Guide
8/ 9/09 7:49pm

It's good that you have set up an appointment for a mammogram.  As PJ says, this could be a fibroadenoma.  It could also be a cyst that is just a bit different from others that you have had in the past.  Although pain is often associated with cysts and rarely associated with cancerous lumps, it is a myth that breast cancer never hurts.  In fact, pain was the first symptom I had with my breast cancer.  Unfortunately I believed the myth that breast cancer doesn't hurt and delayed seeing a doctor.  It's certainly too soon for you to panic.  Most breast lumps are not cancer, but do be proactive with your doctors to find out what this is as quickly as possible.

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8/ 9/09 11:19pm

Thank you for your answer!  I do know the odds are in my favor.  The lump didn't have me concerned really; the dimpling did.

 

It looks like this:  http://screening.iarc.fr/breast/dimpling2.jpg

 

Almost exactly, except it's on the other side of my breast. 

 

It's not movable at all and feels like it's stuck to the chest wall - I think that's why it hurts, it pulls when I move my arm.  Oh well, I guess time will tell, there is so much we don't know.  I'm thinking fibroadenoma or cyst thoughts!   I'll try to relax - never look for a zebra because it's probably just a horse.  :)

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8/29/09 9:51pm

Just in case anybody searches on the same topic, I'm going to post my diagnosis. The large lump is infiltrating ductal carcinoma, and I had calcifications in a different area which are lobular carcinoma in situ and atypical lobular hyperplasia, as well as ductal carcinoma in situ. 

 

AKA cancer soup.  :)

 

So, anybody who comes across this, please get yourself checked immediately and don't wait, thinking it was nothing, as I did.

 

Dimpling is a bad sign.

 

 

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9/ 9/09 12:17pm

Thank you for coming back and updating with your diagnosis.  I have a lump and a separate mass along with some dimpling.  I have recently finished breastfeeding so the doctor seems to think it might be related to that.  Thanks to your post though, I will be more assertive in getting testing done quicker.  Best wishes to you. 

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By CoolBreeze— Last Modified: 12/26/10, First Published: 08/08/09