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Re: breast calcifications, cyst, and pain

From: anonymous@obgyn.net
Thu, 5 Jun 2003 14:14:11 -0400 (EDT)

Dear Eliz- I am not sure about what it is you're describing. Calcifications of concern in the breast are microscopic and generally not seen on CT scan. The ultrasound with the cyst sounds like the most accurate information so far, and you may very well have new cysts developing. Another ultrasound may help, before having the mass and pain evaluated by a breast specialist. It may be another large cyst has formed that needs draining. The mammogram that was performed at the time was not a "waste" at age 31, because the person who ordered it was being careful and ordered a diagnostic mammogram on you when there were abnormal findings. That was perfectly appropriate at the time, and you shouldn't need another one until you are 40 UNLESS there is something of concern again...Start with some good advice and maybe a sonogram, tho. Hannah Brooks, MD, FACS

> Dear forum,
>
> Four years ago, I had a pre-employment chest X-ray done that showed
> calcification somewhere in the chest; about three years ago, it was
> confirmed by CT to be in my left breast rather than the pleural cavity.
> I had a mammogram that was clean (I was told by the radiologist it was a
> waste of time, as I was 31 at that time), and an ultrasound that showed
> a good-sized cyst in the same breast. About 30 ml fluid were drained
> out, and the path report was completely negative. For about the last 6
> months, every now and then I have had a twinge of pain on the outside of
> the breast, about where the cyst was. I'm about 10 days before the
> start of my period now, and I've been in agony this afternoon. I have a
> hard immovable lump maybe a bit closer to the nipple than the cyst was,
> that is tender to the touch. I've had pain from the nipple all the way
> into my armpit. I am planning on going to the doctor, but do I need to
> _demand_ an ultrasound? mammogram? removal of the calcification?
> surgical removal of the cyst? I think the calcification is more ductal
> than artieral, and is definitely just a bit behind the nipple.
>
> Many thanks!
>

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