Re: Concerned about breast lumpiness
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 31 Mar 2001 20:58:28 -0600 (CST)
Hormones have been known to increase the incidence of benign breast
disease, to be sure.
As far as your complaints, some women are very sensitive to breast
changes while on HRT. Your family history should have no relation to
breast concerns however.
You're quite right about the order of things in 2001. Mammo first and
sono if needed to get more info. the breast surgeon was a great idea
for a further evaluation. Without specific lesions demonstrable on
either mammo or sono, if specific areas of concern are felt and
confirmed by a breast surgeon, normal mammo and sono should not deter
from a biopsy to make a full evaluation whenever needed.
Hope this helps and write back anytime for more information.
HSM
At Sat, 31 Mar 2001, Anne wrote:
>
>I have developed breast lumpiness since I started hormone replacement 2
>years ago- mostly in both upper outer quadrants. I have one brother who
>died when he was 40 of stomach and colon cancers and my other brother
>just died of Pancreatic cancer. I faithfully get my GI testing done. I
>was on Cenestin 0.6 and Prometrium 300. Last year I had my mammo and
>diagnostic ultrasound. Nothing really showed up. I went to a breast
>surgeon who is supposed to be very good in our area. In his office, he
>took a syringe and aspirated the area in several places- came back as
>fat. He did not want to see me again, unless something else develops.
>He seemed to be very much against hormone replacement.
>I am switching to tri-est, prometrium and testosterone compounded by a
>local reputable pharmacist. I almost decided to come off all this.
>My GYN said to diagnose you have to get right in the lump.
>Here is where I need help understanding the proper diagnostic process.
>
>First you have a mammo- this is not 100% accurate because breasts are
>more dense when on hormones.
>The ultrsound will help find what the mammo misses. Is this
>very accurate?
>If you have multiple small lumps will aspriating the area be the best
>diagnostic tool?
>
>What do you suggest?
>
>Appreciate your help- I am real nervous about all this-Anne
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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