Hi, Thanks for your question. I'm Dr. Hasan and I'll try to help you.
Yes sure I can assist you.
Since how long you have this lump?
about four months since I noticed it but in the last month I can see it in the mirror
it is only the size of a grape
Tell me some more details like exact location, skin color, nipple changes, nipple discharge etc.
left breast ... about 3 centimetres from nipple. No nipple changes. Just Itchiness of left side of breast and no pain in the lump but occasionally sharp pain shooting down side of breast. I notice I'm protecting the breast a lot when my children run toward me as it can be painful, but the lump itself is not painful.
skin colour seems normal
Can you pinch the skin above from the lump?
I suppose I was more concerned because i can now see it in the mirror. I couldn't see it in the mirror a month ago
Do you have kids?
Family history of breast cancer?
I'm 48. I have four kids. Aged 27, 18, 10 and 8
Any lump in the arm pit?
Unaware of any family history of breast cancer. I don't think so but can't say for certain
Lump in arm pit?
I don't think so. There seems to be a muscle there.. is that correct?
can't tell if is lump or muscle
Yes muscle is normal
ok... I don't think theres a lump in armpit then
any other symptom related to breast?
Yes I agree.
Any weight loss, loss of appetite, fatigue, respiratory difficulty etc?
sharp pain shooting down it a few times a day. Very very sore near to menstruation. Quite itchy also. Generally sore.
Do you mean this lump gets sore and itchy?
Extreme loss of appetite. Am generally a poor eater anyway but have had unusual difficulty. Lost a lot of weight but assume that could be am not eating. Am barely managing one tiny meal a day.
the lump isn't itchy but the breast is
very fatigued for few months now. Hard to do normal things
Since how long you have this loss of appetite?
since the end of october loss of appetite.. much worse in the last three weeks
Is this lump mobile or fixed?
waking up tired and having to go to bed very often in the afternoons. I used to have a lot of energy.
Have you had a breast mammogram done?
Have you seen doctor and any tests done so far?
I think its fixed but I don't know how to be sure. It seems fixed. The skin moves but not the lump. I find it hard to touch because it grosses me out
No I haven't done mammogram. Didn't want to go if it seemed benign so was asking around first
I had two surgeries to remove kidney stones in march so maybe that took my energy?
Can you move the lump sideways after holding it in with your thumb and finger?
No. It doesn't move
Thanks a lot for your input. I am sorry to hear about your problem. I am going to address your primary concern but later you can ask anything you want.
All breast lumps should be considered cancerous until proven otherwise.
Because early detection and early treatment is very very important.
There is no point in skipping your check up.
I was afraid of the machine because the breast is so sore
So my first recommendation is to get it checked.
So it will not cause any trouble
Now coming to your concern........What are the chances.
Having a breast lump doesn't mean cancer always. Benign lesions are common and you are fairly expected to have it as benign lump.
But as i said you always need to be sure.
can you see benign lumps in the mirror?
or could that be because I have lost weight?
Loss of appetite is something which can be seen in cancers but definitely it is a vague symptom and can have multiple causes.
Seeing a breast lump in mirror doesn't mean cancer.
You can even see a benign lump in mirror.
As I said I haven't yet found very specific symptom of cancer in your case after which I say yes this is cancer
ok great : )
So i am quite hopeful for the good news as well
But as you know, we always need tests to be sure.
ok I'll make an appointment for january
So please go whenever possible at the earliest and get needle biopsy of the lump done.
Yes that would be great
My best wishes and prayers will follow you :)
Any question please?
No thats all... thanks so much
You are most welcome. I wish you good luck and that you get well soon. My goal is to provide you with excellent service – if you feel you have received anything less, please reply back as I am happy to address follow-up questions. Kindly rate me when you are done. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.
Is there any medication I could take to improve appetite?
No you should just take any OTC multivitamin