Is A Lump In My Left Breast During Lactation A Cause For Concern?

Posted on Thu, 10 Aug 2023

Question: I have a lump in my left breast ( presently lactating ) Based on my previous and present report i want to know the condition of the disease whether it is worst or better ..

Answered by Dr. T Chandrakant (58 minutes later)

Brief Answer:
Please give additional information.

Detailed Answer:

Hi,

Noted the history, read the reports and understood the concerns.
Please give additional information:
Is there any pain or tenderness?
Any pain during sucking or extraction of milk?
Since when is the lump present?
Since when is the lactation present?
Any FNAC or any other investigation done?
lease give detailed answers and add on any other information for me to assist you better.

Awaiting your response.

Regards,
Dr. T Chandrakant
General Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (2 hours later)

no pain no tenderness. ..no pain during sucking as well. lump is present since 8 months (6th month of pregnancy baby is 4 months old now)..below is the FNAC and trucut biopsy report

Answered by Dr. T Chandrakant (26 minutes later)

Brief Answer:
As detailed below.

Detailed Answer:

Hello,

Thanks for your feedback and the additional reports.
The good part is that there is no evidence of cancer that is most feared about.
The problem is a combination of microabscesses - chronic mastitis that is inflammation - stromal fibrosis and fat necrosis - FNAC raises doubt about tuberculosis.

I would advise you to do further tests:
Blood tests for CBC, tuberculosis (prevailing in your country), serum proteins, liver functions and as may be advised by your Doctor/ Surgeon.
Fresh sample of core biopsy for TB PCR.
Mantoux and other tests for Tuberculosis.
X-ray of chest.

If the tests are positive for tuberculosis, your doctor will give you appropriate medication.

Since you are breastfeeding a baby, your Doctors/ Surgeon may not be much willing to excise the lump in total, for fear of fistula formation.

This may be done at an appropriate time after your detailed discussion with your Doctors.

Excision helps in the following ways:
You get rid of the disease.
Biopsy report of the complete specimen gives definitive diagnosis and a plan of further management as per the reports.

I hope this answer helps you in decision making and coming out of the anxiety. Feel free to ask for further relevant queries if you feel that there is a gap of communication.

Take care.

Regards,
Dr. T Chandrakant
General Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (7 hours later)

earlier there was only one lump but in the last report there are multiple(but of small size) . Does it mean the condition is better or it increased?

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Not much of prognostic value

Detailed Answer:

Hello,

The appearance of whether a single lump or multiple lumps does not matter much or indicate about the prognosis.
Most important is to find the preliminary cause. And get treated accordingly.

Consult your Surgeon and discuss about further investigations, surgery, treatment and so on.
Repeat trucut biopsies may help.

Hope I have answered your query.

Take care.

Regards,
Dr. T. Chandrakant
General Surgeon

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar