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Thursday, January 13, 2011 rach, Community Member, asks

Q: my right breast is swollen and sore.i carn't find any lumps and under my arm is ok and my nipple is ok.please do know what this might be please

im 32. i have never breastfed
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Answers (5)
PJ Hamel, Health Guide
1/13/11 6:18am

Hi - This could be a simple infection – mastitis. You can develop mastitis at any time, it doesn't have to be as the result of breastfeeding. This could also be a sign of a rare form of breast cancer, inflammatory breast cancer - though at your age, and given the rareness of this diagnosis, it's highly unlikely. But either way, if this lasts longer than a few weeks – and certainly if it gets worse – you need to go to the doctor to have it diagnosed and treated, if necessary. Good luck - PJH

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rach, Community Member
1/22/11 9:11am

hi thanks for answering my quaetion.i took your advice and went to my doctor the following day and she said i looked like a breast infection so she put me on a course of co-amoxiclav and referred me to the breast clinic. i have finnised my course of co-amoxiclav and my breast has gone down alot and it not as sore,but it still looks bigger then the other and it looks a lot firmer its only really sore wen i put presure on the side nearest my right arm.do u think it could be somthing more then an infection because it hasnt cleared totally after taking the co-amoxiclav course because i would rather b prepared before i go to the clinic on the 3rd febuary.   thnx

                                           rach

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rach, Community Member
2/ 5/11 10:06pm

i went to the breast specialist like u advised me to they did a scan  and found a lump so they put a needle in my breast and used the scan machine to guid them to the lump it really hurt me but they managed to get a litte bit of a sampe to send to the lab but not much will the do it again if its not enough.ireally hope not cause i was so for a day or 2 after it  and i dont think i will be able to go through thet again. they have also said that they might need to cut some of the lump out.i go back on wednesday 9 feb.will they be able to tell then wot the diagnosis is by then cause i just need to know becase im thinking all kinds of things.

      rach  

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PJ Hamel, Health Guide
2/ 6/11 6:38am

See my answer at the bottom of this thread, OK? PJH

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Phyllis Johnson, Health Guide
1/13/11 6:36am

If it is right before your period, this could be hormonal; however, usually hormonal swelling and tenderness are on both sides.  If it is the week before your period, you could wait to see if it gets better afterward.  I wouldn't wait too long to see the doctor.  As PJ says, infection or inflammatory breast cancer are possibilities for these symptoms, so waiting too long is not a good idea.  Both infection and IBC also usually include redness and other symptoms, so you'll need a doctor to help you figure out what is going on.

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rach, Community Member
1/22/11 9:12am

hi thanks for answering my quaetion.i took your advice and went to my doctor the following day and she said i looked like a breast infection so she put me on a course of co-amoxiclav and referred me to the breast clinic. i have finnised my course of co-amoxiclav and my breast has gone down alot and it not as sore,but it still looks bigger then the other and it looks a lot firmer its only really sore wen i put presure on the side nearest my right arm.do u think it could be somthing more then an infection because it hasnt cleared totally after taking the co-amoxiclav course because i would rather b prepared before i go to the clinic on the 3rd febuary.   thnx

                                           rach

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Phyllis Johnson, Health Guide
1/22/11 10:25am

Antibiotics do not make cancer get better, so this is probably an infection as your doctor suspected.  However, the antibiotics have not completely cleared up the problem.  I suggest you see what the doctor says.  Consider asking for a referral to a breast specialist for a possible biopsy if you feel that your regular doctor is not being aggressive enough in diagnosing the remaining area of concern.

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rach, Community Member
1/23/11 10:06am

thank you i wll got back and see my doctor again 

                           thanks rach

                                   x

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rach, Community Member
2/ 5/11 9:46pm

i went to the breast specialist like u advised me to the did a scan  and found a lump so they put a needle in my breast and used the scan machine to guid them to the lump it really hurt me but they managed to get a litte bit of a sampe to send to the lab but not much will the do it again if its not enough.ireally hope not cause i was so for a day or 2 after it  and i dont think i will be able to go through thet again. they have also said that they might need to cut some of the lump out.i go back on wednesday 9 feb.will they be able to tell then wot the diagnosis is by then cause i just need to know becase im thinking all kinds of things.

      rach  

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PJ Hamel, Health Guide
2/ 6/11 6:37am

Hi - It sounds like they did a needle biopsy, to try to identify what the lump is that they found. Even a tiny bit of tissue can reveal cancer cells, so hopefully they won't have to take another sample. When you go in Wednesday, they should be able to give you results from the biopsy, I'd assume. If it's cancer, then you'll meet with a surgeon to discuss options for having the tumor removed. If it's not cancer, but they still want to find out what the lump is for sure - then yes, they may take a larger sample, either by needle, or with minor surgery. Be sure to tell them how uncomfortable the previous procedure was; some women do experience more discomfort than others. If they're aware of that, they may give you better local anesthetic, or pain medication for afterwards. Good luck - PJH

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rach, Community Member
2/ 6/11 7:11am

thanks i have more of an idea of what to exspect on wednesday now and what they may or maynot need to do. i will definatly tell them about how painfull it was for me during and after the neelde biopsy.

i will let u know how i get on on wednesday.

thanks again for answering back to me i really appreciate it.

                                                                   rach

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PJ Hamel, Health Guide
2/ 6/11 9:11am

Phyllis is right - it's VERY hard not to worry, but try to put that worry in a corner of your mind, and try to keep it there while you get busy with other things. The odds are definitely on your side. Please write back Wednesday afer your appointment, let us know how it goes- PJH

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rach, Community Member
2/10/11 5:44pm

hi i went back to the breast clinic yesterday  they said my test came back as not enough breast tissue think they said c1 or something like that so i have got to go back next thursday for a ultrasound wide core biopsy, thy said they will give me a local anaesthetic fo this as they didnt give me one last time the needle biopsy and it really hurt me . they said it will be another week after that when they will know the resalts, it seems like ages away.

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Phyllis Johnson, Health Guide
2/ 6/11 6:57am

Rach, I know it's hard not to worry, but you will probably have the pathology report back on Wednesday.  The vast majority of lumps, especially in young women, are not cancer, so try not to let your mind run away with you.  I know from personal experience how hard that is to do.  I've learned that the best thing to do is to stay busy and try to concentrate on other things.  I hope you get a good report back on Wednesday.  We'll be interested in hearing what happens.

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rach, Community Member
2/ 6/11 7:20am

thanks and i do tend to think the worst an worry ,but u r right i  will keep myself busy to keep my mind of it i will definatly let you know how i get on on wednesday

                    thanks so much for replying

                                        rach

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rach, Community Member
2/10/11 5:35pm

hi i went back to the breast clinic yesterday  they said my test came back as not enough breast tissue think they said c1 or something like that so i have got to go back next thursday for a ultrasound wide core biopsy, thy said they will give me a local anaesthetic fo this as they didnt give me one last time the needle biopsy and it really hurt me . they said it will be another week after that when they will know the resalts, it seems like ages away.

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PJ Hamel, Health Guide
2/10/11 6:47pm

Sorry you have to go through this again. And yes, the wait for biopsy results feels like forever. Try to keep busy, and believe that the results will be good; we'll all be pulling for you. Let us know what happens, OK? And come back anytime - we're here for you. PJH

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patti bradfield, Community Member
1/26/11 12:33pm

The big difference between Inflammatory Breast Cancer and Mastitis in it's early presentation is ... Do you have a fever?  A fever is present with an infection, but not with IBC.

It's been almost 3 weeks since you first wrote in to this group, so a breast specialist "Who is FAMILIAR" with IBC should be your first choice, IF your breast is still swollen at all (and you had no fever when this started).

Just stay vigilant.

 

patti Bradfield

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rach, Community Member
1/26/11 5:53pm

thanks for your reply. i have got an appointment with the breast specialist  on the 3 feb. but ive not had a fever, or rash  but my breast is still swollen some days it looks bigger then other days and feels hotter then my left breast. and my nipple is fine.

                     thanks rach.x

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Sven, Community Member
7/14/13 10:42am
Hi I'm 21 going through the identical symptoms as you and would love to know what the out one of this was. I am very worried. Going to go to doctor tomorrow. I have been feeling site for the past week. Reply
PJ Hamel, Health Guide
7/14/13 7:43pm

Sven, you're diong the right thing, seeing your doctor. You might have an enlarged cyst; or an infection; or fibrocystic change, all of which can be bothersome, but aren't serious. However, a rare form of breast cancer, inflammatory breast cancer (IBC) can start with a swollen breast. At your age, and considering its rarity, it would be very unlikely this would be your diagnosis; but it's still good to rule it out. I hope your visit to the doctor produces positive results. Good luck - PJH

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Sven, Community Member
7/15/13 3:02am
I am little worried as I can't feel any lumps so I don't think it can be any of the first ones. I know it's highly rare and the scary thing is that it is still a possibility. Can I skip going to the doctor and go straight or a mammogram? I don't want to risk a week extra. It's also a little painful. But I will def go to the doctor. Thanks for your reply- been wandering what other possibilities there are. Very much in hope that it's something silly. Reply
PJ Hamel, Health Guide
7/15/13 5:18am

Nothing that gives you pain and swelling is "silly," Sven; but I know what you mean, you hope it's not serious. No, you can't skip going to the doctor; follow through with your original plan, and if the doctor feels it's really something to worry about, s/he'll start the ball rolling right away. In my experience, if serious issues are suspected, you don't have to go stand in the back of the line for diagnostic procedures. Good luck - PJH

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whiskers, Community Member
12/25/13 2:03am

Hi there,
I am 32 years old. I have had very severe pain in my left breast for over 2 weeks. Went to about 7 doctors until one of them finally gave me Danazol. The pain in my left breast is much better... infact almost gone, however, the left breast now feels fuller and looks a bit swollen. I keep going back to my family doctor, she keeps doing physical examination of my breasts and she can't feel any lumps. She ordered an ultra-sound and nothing came up on the ultra-sound. I have not had any fever throughout all this. She referred me to a Breast Clinic but my appointment is not for another month in the meanwhile, I don't know what to do.

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PJ Hamel, Health Guide
12/25/13 3:44pm

Hi - I'm sorry you've had to go through all this, and right around the holidays, too. Not fun! Just to clarify, are you still taking the Danazol? If so, it might simply be masking pain that's happening for a reason: your body trying to tell you something's amiss. If you're still taking the Danazol, and you feel your breast is beginning to swell, contact your GP again, tell her you're worried about a potential infection, and ask if she can check for that. Also, ask if you can be moved up on the breast clinic appointment list, or at least be put onto the list for an earlier appointment if someone else cancels.

 

Thankfully, the symptoms you describe don't sound like typical breast cancer symptoms. If your breast does become noticeably swollen, and/or red/discolored/bruised; dimpled; or hot, then you'd have to worry about a rare form of breast cancer, inflammatory breast cancer. But in the absence of those other symptoms, and if you can get your GP to rule out an infection, then you might be looking at fibrocycstic change, a painful though basically harmless hormonal condition common in women your age.

 

I hope this simply goes away on its own soon; but if it lingers, I hope the breast clinic is able to diagnose what's causing the pain and treat it. Good luck - PJH

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By rach, Community Member— Last Modified: 04/08/14, First Published: 01/13/11