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What Causes Lump Under Skin Beside Areola?

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Posted on Mon, 2 Mar 2015
Question: I have a lump that is just under skin beside areola. It is now about the size of a dime. It started as a small blue blister like bump during third trimester of pregnancy. I had mammogram and ultrasound and radiologist assured me that it is not malignany and thinks it's either an atypical Fibroadenoma or enlarged lymph node. Report showed suspicious mass and surgeon say it needs to be biopsied and it's not something that he is going to watch.
doctor
Answered by Dr. Deepika Patil (1 hour later)
Brief Answer:
It needs to be biopsied

Detailed Answer:
Hi,

Welcome to HealthcareMagic .

As you have not asked anything particular I assume you want to know wether to go ahead with biopsy or watch. I suggest you to go ahead with biopsy.

When reports are saying suspicious mass then it needs to be biopsied . Any mass or lump in breast needs to be biopsied . I choose FNAC as the choice. Discuss with your doctor and go ahead with biopsy.

Hope I have answered your query. If any further query are there I would love to help.

Regards
Dr Deepika Patil
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Deepika Patil (6 hours later)
I am definitely having it removed and biopsied, but I was unclear about asking if I should really be concerned. I was told by radiologist, ob and breast surgeon that it doesn't not look like typical breast malignancy. Also, why would it be suspicious?
doctor
Answered by Dr. Deepika Patil (3 hours later)
Brief Answer:
There are 3 types

Detailed Answer:
Hi,

When investigating a mass we usually encounter 3 types of report. One is non malignant(benign). Second is malignant. The third variety is suspicious lesions . These have features in between a malignant and non malignant mass.

In suspicious lesion there will be 50 -50 chances of turning out to be either malignant or non malignant . So Biopsy will tell clear diagnosis .

No need to be worried too much as your all doctor told it is most likely non malignant. That means it has more features of a non malignant mass. So it will likely turn out that only .

Hope I have answered your query. If any further queries are there I would love to help.

Regards
Dr Deepika Patil
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Deepika Patil (1 hour later)
Okay, thanks for your feedback. This is more information regarding the "suspicious diagnosis" than I have received thus far. I had the mammogram and ultrasound almost a month ago and am awaiting the surgery, which may be another couple of months. Since it was a diagnostic mammo and US, the radiologist came in to discuss results. The US tech and he both assured me it was not typical breast malignancy, but suggested removal because it is visible. I would hope and assume that the mammogram and biopsy would give some indication of malignancy, as even microscopic cell changes can show, correct? I do not understand why they cannot diagnose exactly what it is though? When would they know from a mammo or US, if a mass is for sure benign? Do they do this for insurance purposes or do they have to biopsy to make sure? Thanks again. I completely understand you cannot tell me for sure, but any information is helpful.
doctor
Answered by Dr. Deepika Patil (10 hours later)
Brief Answer:
Biopsy is must

Detailed Answer:
Hi,

Sorry for late reply.

Biopsy is the final confirmation test as in this we see the cells directly under microscope . This will tell you about the mass.

U.S. and mammography can only suggest the mass could be a benign or suspicious or malignant. It can't surely diagnose it. Confirmation is needed by biopsy. Also efficiency of mammography and US reduces in case of bulky breast.

Since malignant mass is a big thing for a patient and surgery will be radical and chemotherapy or radiotherapy has side effects so always treatment is done after confirmation by biopsy .

Without having 100% confirmation we can't remove a breast like that . So biopsy is must for 100% diagnosis. It's not done for insurance . This is the protocol followed to avoid missing malignancy and repeated surgery.

Hope I have answered your query. If any further queries are there I would love to help.

Regards
Dr Deepika Patil
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Deepika Patil

General Surgeon

Practicing since :2008

Answered : 745 Questions

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What Causes Lump Under Skin Beside Areola?

Brief Answer: It needs to be biopsied Detailed Answer: Hi, Welcome to HealthcareMagic . As you have not asked anything particular I assume you want to know wether to go ahead with biopsy or watch. I suggest you to go ahead with biopsy. When reports are saying suspicious mass then it needs to be biopsied . Any mass or lump in breast needs to be biopsied . I choose FNAC as the choice. Discuss with your doctor and go ahead with biopsy. Hope I have answered your query. If any further query are there I would love to help. Regards Dr Deepika Patil