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Saturday, August 16, 2008 c asks

Q: small dimple and lump on breast

Hi there:  I just posted an answer that I think might really be a question.  I have noticed a small dimple on my right breast above my nipple and over an area where I feel a lump.  THe dimple comes and goes and mainly appears only when I raise my arms. The lump is not firm and very movable (which I hear are good things).  I had a mammo and ultrasound and both were negative.  The mammo, when compared with last years mammo shows the area as having an increased "clump" of regular breast tissue.  The doctor is taking a "wait and see" for a month and will examine me again in September.  I am 40 and premenopausal and my mother had breast cancer in her sixties.  I'm not sure if I should be concerned or not.  Its hard to believe it can be anything serious when the tests don't show anything wrong. SHould I ask for any other tests or treatment when I go back in September.

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Answers (5)
PJ Hamel, Health Guide
8/16/08 11:06am

Hi - It's always good to have breast lumps checked out. As you say, moveable and soft are both signs it's most likely a cyst. So I wouldn't panic about it. In September - which is only a couple of weeks from now, anyway - you might want to ask for an ultrasound, which is very good at identifying a cyst, or eliminating it as a possibility. Personally, I'm not a fan of the "wait and see" approach; especially with your family history, why not figure out what's going on ASAP, then deal with whatever it is? Good luck - PJH

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8/16/08 5:18pm

Thanks for your help.  I did have an ultrasound on the same day they did the mammo and nothing showed up in that area.  Thanks again, C

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8/17/08 3:29am

hello

i agree with pj's comment about the wait and see. a dimple in the breast is sometimes a sign of something going on it was for me i had a dimple in the same place and no lumps could be felt at all it turns out i had four masses that could not be felt by physical examination but the dimple in my breast was for me a sign of bc stage 1

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9/ 2/08 11:29am

I had a dimple in my breast when I raised my arm.  My mammo and ultrasound were negative. I had a positive biopsy for invasive lobular carcinoma with lymph node involvement, along with a positive MRI-Breast.  My lump was very palpalble.  I'm now in my 3rd stage of chemo and been through 2 surgeries.  Lobular typically doesn't show up on mammo or ultrasound.

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9/20/08 1:18am

I am 60 yrs old.  I had dimpling and an inverted nipple.  I have had 30-40 "normal mammograms" including 2 normal ultrasounds and mammograms in Jan.  The radiologist recommended that I have an MRI because of the dimpling and inverted nipple.  I had the MRI immediately and it discovered I had a 4" and a 1.5" invasive cancer tumor - basically, my whole breast was full of cancer.

 

I have since been told:  (1) every woman who has dense or fiberous breast should have an MRI in addition to the mammogram - the American Cancer Society is now recommending this; (2) that I probably had the large tumor for 15-20 years.  I was in stage III because it has spread to 8 of 21 tested lymph nodes. 

 

I would recommend that you demand an MRI with your current dr.  If they refuse, then get another dr.

 

My prayers are with you,

 

Carolyn

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By c— Last Modified: 01/16/11, First Published: 08/16/08