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chcolate cyst/armpit pain

From: Madge (anonymous@obgyn.net)
Mon, 19 Nov 2001 00:29:57 -0600 (CST)

I had what looked like a bloody discharge from my right nipple in June. A mammogram came out normal, and no lump was felt upon examination. The surgeon said there was a fullness behind the nipple, and said this was part of fibrocystic breast disease, and that the discharge was from a 'chocolate cyst', and that the discharge was not in fact blood. It was a bit darker than blood, actually. Upon searching for info about chcolate cysts, I have only found reference to them in relation to ovaries, not to breasts.

The surgeon said no biopsy was required, and told me to avoid coffee & vit. E. I've since read that vit. E is in fact recommended in the management of fibrocystic disease. ??? Also, I've determined that, at age 49, I am estrogen dominant, and since beginning to use transdermal natural progesterone cream, the pain in my armpit has subsided considerably. However, it still comes & goes.

I'm at a loss whether or not to pursue further diagnostic measures, such as ultrasound. The surgeon was able to squeeze a drop of the discharge out of my nipple, but did not send it to a lab for scrutiny. This worries me. Should I pursue this?

I'm assuming that my hormones are on the move right now, being perimenopausal. I just don't know whether it's safe to assume that the breast situation is benign.

thanks, Madge

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