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Sunday, November 15, 2009 twhidden asks

Q: Very concerned....please advise

Hi, I'm 32 yrs. old and have a 9 month old son and quit breastfeeding 4 months ago.  A little bit of background info...about a month-month and a half ago my son was sitting in my lap and before I knew it he had reached up and pinched and twisted the heck out of my right nipple so needless to say I always wear a bra now.  Anyway, a few weeks ago I was going to bed and I laid on my stomach and noticed that my right breast seemed somewhat sore and after a few days the soreness went away and I decided to examine myself and I felt a lump on my right breast very close to my nipple (toward the top left of my nipple) and after pressing and pushing on it alot it was sore again for a day or two and then the soreness went away.  So a week later I checked it again and the lump seemed somewhat smaller but still there and after pressing and pushing on it again it was sore again for a day or two and then the soreness was gone again.  Well this past Friday morning I noticed what appeared to be a pimple like zit on the outer top of my right nipple and I mashed it and a little bit of white odorless stuff came out so later that morning I mashed my nipple again and a lot of white thick odorless stuff came out of my nipple...kinda like what you get out of a boil or zit but the lump was still there.  I haven't touched my right breast since then. So I decided to call my ob/gyn and I see him tomorrow (monday) but I am so worried and nervous.  I do tend to suffer from anxiety/panic attacks too but I have been able to keep my anixety in check.  My mother this past spring had a lumpemonty (misspelled) and is cancer free.  I know that you can't tell me for sure...but does this sound like breast cancer?  Or maybe a clogged milk duct (not sure if thats even possible since I quit breast feeding 4 months ago but I do leak milk from time to time when I squeeze my breasts)?  Or maybe a infection (I have no fever and no redness and no swelling) or cyst?  I'm just very scared since my mother had breast cancer (which she is cancer free now) and my paternal grandmother died of Ovarian cancer.  Can you put my mind at ease any?  Sorry for the novel but I also thank you in advance for answering.

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Answers (1)
PJ Hamel, Health Guide
11/15/09 2:32pm

Hi - With your family history, it's good to be diligent about noticing breast changes; and when you notice something, not to just write it off. So seeing the doctor is the right move here; that said, it sounds very much like you have a breast infection of some sort. The doctor will be able to determine this fairly easily, I'd think, and treat it.

 

However, if s/he puts you on a course of antibiotics and it doesn't take care of the problem, then please pursue it; what appears to be a breast infection can sometimes (rarely) turn out to be a type of breast cancer called inflammatory breast cancer, which you'd want to rule out, just in case. But as I said - very rare, and what you describe sounds like an infection. So you have every reason to stay positive till your appointment tomorrow, OK? Good luck - PJH

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By twhidden— Last Modified: 11/02/10, First Published: 11/15/09