Hi - If the nodule is very small, they may want to remove the whole thing, as it might be just as simple as doing a biopsy. if it's large, then yes, you might want to have a biopsy first, to see what's up. I know this is a scary time, but it's virtually impossible for your daughter to have cancer at age 16; her chance is less than 1 in a million. Yes, it's possible; just very improbable. So please continue with the diagnostic process, but I hope you can take a deep breath, consider the odds, and stay positive, OK? Good luck to you both, and I hope things turn out well for you. - PJH
P.S. Your mother dying of leukemia would have no bearing on your daughter's breast health; only breast or ovarian cancer in an immediate relative increases breast cancer risk.
Thank you for taking the time to answer my question. yes there was ovarian cancer my grandmother had it at age 18. and then passed away of lung cancer at age 62. also my cousin on my dad's side his sisters daughter had breast cancer. she had a mamogram in october it came back fine in febuary she was diagonised with 4th stage breast cancer at age 30. she was pregnant at the time and had radiation until baby was born. then had double masectomy. would that have any bearing on my daughter's genes. since it was my cousin. still a close relative.
No, no bearing. Only mother; grandmother; sister; daughter; or aunts, with breast or ovarian cancer, raise your risk. So, our daughter sounds like the closest link would be her great-grandmother, which isn't a risk factor for her. Hope this helps - PJH
ok thank you! i will write back tomorrow and let you know what happens.thank you for your time.
Good luck - I'll look forward to hearing back from you. PJH
Hi it's me again. We found out that it can't be biopsied with the needle. it has to be removed to biopsy it because it is a 1.6 cm solid mass. theres no fluid in it. therefore it has to be removed first. what does that mean solid mass. does that make the changes worst. the doctor gave us a 90% chance it may be cancer. scared to death any chance of cancer is scary. trying to be strong for my daughter i no she scared to death she hates any type of needles now she has to go threw surgery. shes always been a healthy child. on the day i brought her home from the hospital as an infant her breasts leeked never seen anything like mymother in law either. called the doctor right away he said it was her hormones adapting with out mine. said it happens. now 16 years later a lump. its crazy. do you no what the differnce between solid mass and fluid mass. thank you once again for your time.
This sounds very strange - I had a 1.6cm solid mass in my breast that was biopsied, no problem. Many, many, many women have solid masses in their breast biopsied. If you understoood the doctor correctly, and he says a solid mass can't be biopsied - please find another doctor, and FAST, because s/he doesn't know what s/he's doing.
Also, at your daughter's age, saying the mass has a 90% chance of being cancer without any further info. other than that it's solid - well, that just sounds plain wrong, as many women have non-cancerous fibroadenomas in their breasts; and these are particularly prevalent in younger women. A fluid-filled lump would most likely be a cyst; if she had an ultrasound, then that would have identified fluid vs. solid, so apparently she doesn't have a cyst.
Be strong - the statistics are definitely on your side. At her age, your daughter's chance of having breast cancer is LESS than 1 in 1,000,000. Yes, one million. And do seek a second opinion about needle biopsy vsl surgery - or at least ask the doctor for some clarificaiton, as the way you've explained it here just doesn't sound reasonable. Good luck - PJH
This link to our lump image gallery will give you some information about the different types of breast lumps. Cysts are filled with fluid that shows up clearly on an ultrasound, and they are harmless. There are several types of solid lumps including harmless fibroadenomas and lipomas (fatty tumors). Of course, the type of solid lump that scares everyone is the cancerous one. An ultrasound or mammogram cannot tell the difference between a cancerous solid lump and a harmless one. That's why the doctor wants to do a biopsy. Although there may be something about the position of the lump that would make it hard to do a needle biopsy, the size itself should be no problem for a needle biopsy. Although sometimes the shape of a lump suggests to a doctor that it might be more likely to be cancer, the doctor can't know for sure without the biopsy. When the vast majority of lumps in teenagers are fibroadenomas, I'm very surprised that the doctor would be so sure that it is probably cancer.
If the doctor you are seeing is a local general surgeon, then I agree with PJ that a second opinion might be the way to go. If a more experienced breast surgeon could do a core or fine needle biopsy, you could spare your daughter the more extensive surgery and still get a definitive answer about what this lump is.
The doctor would not give you the choice of doing a biopsy or removing the nodule if waiting to get the results from the biopsy would be dangerous. It's good that the doctor is being proactive to find out exactly what kind of lump this is. Keep in mind that even in older women with a much higher cancer risk, the vast majority of lumps biopsied turn out to be benign.
You must be so pleased that your daughter trusts you enough to discuss her breast health with you. She'll need you to stay calm and reassuring through the actual surgery and waiting for the biopsy results. Usually in young women, breast lumps turn out to be a harmless type of lump called a fibroadenoma.
Thank you for taking the time to answer my question. also i was reading the signs of breast cancer. and she had one in the summer. she had a scaly itchy rash on her breasts that went away. it was on both breasts. we didn't tell the doctor that. but i will tomorrow at the doctors appointment. in breast cancer does that itcy rash go away or does it stay. also what type of doctor do you go to have it removed. she also has been having alot of back pain. and i heard once that that was a sign also. how long does it usually take for the results to actually come back.
A rash that goes away is unlikely to be cancer. Cancer almost never goes away on its own. Do mention the rash at the doctor's appointment to get ideas about the best possible treatment if it comes back. Back pain is not a typical breast cancer symptom unless the cancer has already spread from the breast to the bones, which would be highly unlikely in a teenager. A breast surgeon or general surgeon usually does a biopsy. Results are sometimes available in a day or two, but if the pathologist's office is very busy, it may be over a week before you hear. Make a list of all your daughter's symptoms and medical history as well as all your questions. It's easy to forget something during the actual appointment if you don't have a written list.