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Breast Cancer/Painful Breast Lumps

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Question
Hello,
I am 26 years old.  I have a 4yr old and breastfeed.  I recently felt a large lump in my right breast which is also quite painful.  I can also fill it under my armpit.  It feels like a big knot and aches all day.  I had my gyno check it and she sent me for an ultrasound and mammogram.  The ultrasound showed normal breat tissue so they did not perform the mammogram. Well it still is bothering me.  I have no family history of breast cancer. My doctor did tell me to stop drinking caffine.  Could it just be PMS and caffine causing this pain and knots? Should I get a second opinion?

Answer
It is never wrong to ask for a second opinion. However since it is painful and you are rather young it is probably not a cancer but PMS. I doubt though that stopping the use of caffeine will be of much help. If you want to be sure you can ask for a fine/thin needle aspiration biopsy. Such are done by the thousands at the MD Anderson Cancer Center in Houston so hopefully you can get it too where you are! Good luck!


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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.

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I'm a medical doctor and specialist in medical oncology and radiation therapy.

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