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persistent left breast lump and discharge

From: Misty (anonymous@obgyn.net)
Wed, 17 Sep 2003 00:06:38 -0500 (CDT)

I'm a 25-year old female in good health. Approximately 7 months ago, I found a lump in my left breast. My family doctor saw me the same day, and he performed a quick breast exam. He told me he could feel 3 suspicious areas and ordered a mammogram for the next day. The mammogram was difficult to read, so they also did an ultrasound. The radiologist couldn't find anything - no cysts, fibroadenomas, etc. I was relieved. The following week, though, my doctor's nurse called to schedule an appt. to discuss the results and talk about scheduling a biopsy. When I saw the doctor, he said a biopsy wasn't necessary. The mammogram showed assymetrical breast density/thickening? The radiologist's recommendation was not to discourage biopsy if the lumps were still palpable. He went on to explain that cancer is rare in someone my age (which I knew). I told him at that time about discharge from the left nipple following mammogram. He still didn't seem concerned. I have since lost my insurance, but the discharge has continued only from the left breast. Sometimes it happens on its own, but it also happens when squeezed. I have quit taking birth control, eliminated caffeine from my diet, and do not squeeze my breast. The lumps have gotten somewhat larger, and I now have a lump the size of a grape near my armpit. Should I be concerened? Should I press for a biopsy or seek a second opinion? 

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Thanks in advance for any guidance or suggestions.
Misty

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