WOMENS-HEALTH Messages for April, 2009: Re: BREASTHEALTH: negative mammogram, bleeding from R Nipple

Re: BREASTHEALTH: negative mammogram, bleeding from R Nipple

From: sameasalways (anonymous@obgyn.net)
Sat, 18 Apr 2009 22:21:57 -0500 (CDT)

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At Fri, 6 Mar 2009, sameasalways wrote: >
>I have had bleeding with expression at a trigger point only from m R
>breast. This has been occuring since November 2008 (currently March
>2009). The doctor wants to do a ductogram but I have a hematoma from
>the first biopsy of the mammogram showing microcalcifications (which
>were negative for anything other than fibrocystic changes). So I am
>waiting for that to go away before having the ductogram where they will
>once again squeeze that breast through two little plates (mammogram).
>Anyway, my question is, since there is a palpable bump under my areala
>near the "trigger" point for bleeding, can they just do a needle biopsy
>instead of a duct excision? My big concern is that I am going to have
>inability to breastfeed from that side on my breast in the future (I am
>33 y/o), and also that I will have reduced nipple sensitivity or my
>nipple will lose its erectile function/its appearance will be reduced. I
>would prefer something less invasive for this issue since 90% of nipple
>bleeding is caused by a papilloma which is noncancerous.

I wanted to update the situation--I just had the ductogram done and the results are negative for any abnormality. The only thing I have achieved is making the lump from the stereotactic biopsy turn pink and feel bruised now ( a month after the stereotactic biopsy was done). So I have negative mammogram, negative ductogram and nipple bleeding from one duct only ( with expression) for over 5 months now. I know be is gonna want to do the duct excision ( not total duct excision) now. I am really confused now about why it bleeds if there Is no abnormality and why I need the duct remowd if nothing is showing up. I do have a lump below the areola and it is near the trigger point. My husband says the breast is smaller than the other breast (smaller than it was) since we had sex last Time which was 2 years ago. I am 33 yr old with 2 kids and I am healthy other than some Kind of hormonal issue that causes lots of menstrualspotting (hypertrophic endometrium has been ruled out). I am not sure what the next step should be although the dr said I had an extensive duct system and the tech said they put a lot more dye in me than what they normally are able to. If that means anything?

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