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Concerned about breast lumpiness

From: Anne (anonymous@obgyn.net)
Sat, 31 Mar 2001 11:23:23 -0600 (CST)


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






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