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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tenderness in breast and nipple, dense breast. Family history of breast cancer. Is this the cause for concern?

I am a 42 year old female and had a baby 18 months ago. I am experiencing tenderness on my right breast. The nipple are is tender and seems to tingle. My mother passed away from breast cancer at 51. Is this something I should be worried about? I also had a lump in that same breast a few years ago and it was biopsied 2X and was found to be a basically a hardened milk gland. The area has been monitored up until about 3 years ago. Until then there was no change in the size. I have very "dense" breast so it seems like I feel lumps everywhere.
Mon, 25 Nov 2013
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General & Family Physician 's  Response
Welcome to Healthcare-Magic
Greetings of the day

Breast cancer is unlikely to poo present with pain as.presenting symptom .
It's quite common for woman with dense breast to present with pain.
I would suggest you to once get it examined from surgeon for reassurance as you have had family history of breast cancer related mortality.
Also do learn Breast Self examination(bse) for you to pickup up early cancer or suspicious lesion.

Following are the symptoms of breast cancer
1. Hard immobile lump
2. Alteration in symmetry of breast
3. Retraction of nipple
4. Discharge from nipple
5. Skin teetheering

Do get back to me if you have any other query

Take care
Regards
Dr T Shobha
MBBS MD


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Radiologist Dr. Pankaj Nagori's  Response
hi,
thanks for using healthcaremagic.
Yo have a family history of breast cancer so it is mandatory for you to get screened for breast cancers yearly.
You have dense breasts, so mammography is not a good tool for getting screened for breast cancer. Mammography is unable to identify lesions in dense breasts.
Best investigation is an MRI as it can detect even minute lesions and can characterise lesions easily. But affordability is an issue with MRI as its expensive to undertake yearly.
You can undergo an MRI once in 2-3 years and follow up with yearly USG which will be more helpful than mammography in your case.
USG is more sensitive than mammography to pick up lesions in dense breasts.

Hope it sorts your problem.

Regards,
Dr. Pankaj Nagori
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