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What Causes Pain In Breast With Normal MRI And CAT Scan?
Question: Enlarged breast with pain. Post- menopausal. MRI shows no cancer. CAT scan clear. Mammograms are negative as well.
Only one breast.
Bra size increased two sizes in 4 months.
Swells more after use of left arm, sweeping, mopping, etc.
Only one breast.
Bra size increased two sizes in 4 months.
Swells more after use of left arm, sweeping, mopping, etc.
Brief Answer:
lymph edema
Detailed Answer:
Hello
Thanks for the query
I would like a few more details in order to help you
1. is there pain ?
2. is there any change in colour of the skin ?
3. does it reduce on lying down?
4. is there any nipple discharge ?
5. any history of trauma to the arm or hand ?
6. any history of fever in the recent past associated with pain in the breast ?
please get back to me , I am awaiting your reply
regards
lymph edema
Detailed Answer:
Hello
Thanks for the query
I would like a few more details in order to help you
1. is there pain ?
2. is there any change in colour of the skin ?
3. does it reduce on lying down?
4. is there any nipple discharge ?
5. any history of trauma to the arm or hand ?
6. any history of fever in the recent past associated with pain in the breast ?
please get back to me , I am awaiting your reply
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1. Yes there is pain. Dull pain. The pain increases as it swells.
2. No skin color change.
3. No change when lying down.
4. No nipple discharge. No rashes.
5. No trauma to left hand or arm.
6. Not feverish.
2. No skin color change.
3. No change when lying down.
4. No nipple discharge. No rashes.
5. No trauma to left hand or arm.
6. Not feverish.
Brief Answer:
Follow up
Detailed Answer:
Hello
Thanks for getting back with the details..
From the history you have given me it looks like you have lymphedema. It usually occurs due to a block in the lymphatic system.
Here is how you should go about it
1. Get a doppler scan of the upper limb and vein of the neck to rule out venous thrombosus. This causes single sided swelling
2. If it is normal I would want you to get a lymphangiogram done, this will show us where exactly the block is
3. If that is normal as well, the next step is to see for any hidden tumour of the breast by undergoing a PET scan.
Whatever maybe the cause the treatment is till the same. You will have to apply upper limb tight stockings. This will reduce the edema and swelling.
The best doctor to approach would be a general surgeon and a vascular surgeon.
I hope I was of help, if you have any further queries please get back to me
Regards
Follow up
Detailed Answer:
Hello
Thanks for getting back with the details..
From the history you have given me it looks like you have lymphedema. It usually occurs due to a block in the lymphatic system.
Here is how you should go about it
1. Get a doppler scan of the upper limb and vein of the neck to rule out venous thrombosus. This causes single sided swelling
2. If it is normal I would want you to get a lymphangiogram done, this will show us where exactly the block is
3. If that is normal as well, the next step is to see for any hidden tumour of the breast by undergoing a PET scan.
Whatever maybe the cause the treatment is till the same. You will have to apply upper limb tight stockings. This will reduce the edema and swelling.
The best doctor to approach would be a general surgeon and a vascular surgeon.
I hope I was of help, if you have any further queries please get back to me
Regards
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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