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Query about swelling in the breasts - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3394 Questions
I was treated for a rash under both breasts that started as a typical fungal heat rash and became infectious and two mrsa type lesions appreared on each breast. Also, I had a red aread with swelling and a lump literally pop up over night. I went to a doc and he put me on an antibiotic immediately and set up an appt. to see a surgeon 4 days later....the lump began to decrease in size and some of the redness and pain subsided but was still apparent when I went to the surgeon. he looked at it, thought it was not an abcess but did do a culture which came back negative for infection. he is recommending a biopsy but my PCP and my rheumatologist both think this is way to extreme. Now a week later the wound where he incised the node is healing nicely, the lump is gone almost completely, all redness and pain are gone...what should I do? an MRI?, just hold off and see if it continues to resolve? help....
Doctor :   Hi
User :   Hello
Doctor :   let me read ur query
User :   I need to add that the lymph node that became red and swollen and hurt was in my armpit and appeared overnight. This was after I had been trying to treat the rash under my breasts for about three weeks with little success. When I got the lesions, one of which blistered, combined with the lymph swelling I went to the doc.
Doctor :   the issue that u ahd was due to cellulitis
Doctor :   and u can wait for some time since the wound is healing
User :   so an inflammatory condition? that is what my PCP thought to. He believed that the two things were very much connected and that the chance that this was inflammatory breast cancer was really minimal and that I should not consider surgery at this time. My rheumatologist concurred with this. I have RA
Doctor :   yes it is an infllamtory condition
User :   That said, I take immunosuppresants and so I do have inflammatory issues at times.
Doctor :   there is no need for surgery
Doctor :   the history do not indicate breast cancer
Doctor :   on case the swelling comes up again , u can get a Ultrasound done
User :   so you think that a culture can come back negative after 4 days on an antibiotic and still have been an infection? this was a lump
User :   he looked at it with an ultrasoud tool when I first went in and that was what originally led him to question if it was an abcess.
Doctor :   yes
Doctor :   treatment with antibiotics can render a culture negative
User :   that said, my other doctors felt that the suddeness with which it appeared and the close connection to the skin infection accounted for it and made the liklihood of cancer very remote. why would he recommend such an extreme measure??? it has really scared me.
Doctor :   the doctor mentioned biopsy, just to make sure that he was not missing anything
Doctor :   but since the sweling came down, the chances are less
Doctor :   that it can be cancer
Doctor :   since the condition has improved now, the management would be conservative
User :   OK, so I guess I will just keep an eye on it...and if the redness and swelling continue to subside and the lump continues to decrease in size I will relax a bit. thanks for your help. He mentioned inflammatory breast cancer but my breasts show no our time up?
Doctor :   yes that would be the right approach
Doctor :   you are welcome
User :   I think I may actually sleep better tonite!
Doctor :   yes,
Doctor :   u just need to relax and everything will be fine
Doctor :   do u have any other query for me ?
Doctor :   are u there ?
User :   thanks
Doctor :   ok
Doctor :   take care
Doctor :   and bye for now
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