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Have nipple discharge, milky and yellow; chest pain; enlarged lymph nodes. Help?

hello, i am 35 wf with hx of endometriosis , SLE , RA, Systemic sclerdoma, Pleurasy, Lumpectomy L Breast benign, partial omnectomy, mild ekg chg with chest pain, Right breast enlarged and hard very painful x 7 months nipple discharge clear , milky, yellow sometimes under arm pain more R than left enlarged lymp nodes very pronounced in neck on right side sporadic a recent ultrasound showed 15 mm axillary tail lymph node and several papable tumors in both breast no insurance and no one feels i should be concerned
Asked On : Sun, 10 Mar 2013
Answers:  2 Views:  96
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The symptoms of multiple hard lumps in the breast, palpable lymph nodes, and discharge from nipples are alarming.
These symptoms are suggestive of carcinoma / cancer of the breast.
Underlying cancer of the breast can cause nipple discharge.
Certain investigations need to be done immediately.
A bilateral mammography and aspiration cytology of both breast lumps and lymph nodes need to be done.
Aspiration cytology of breast lumps and lymph nodes will sample the cells.
These cells will be stained, and examined microscopically for character of the lesion whether benign or malignant.
The cytology of nipple discharge should also be examined to look for cancerous cells.
Consult your doctor for clinical examination, investigations and management.

Thanks and take care
Dr Shailja P Wahal
Answered: Wed, 7 Aug 2013
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