Widespread lymphadenopathy

Hi all,

I had textured breast implants for approx 18 years, replaced with smooth implants 3 years ago. 

I'm currently breastfeeding my daughter (1 year old). A couple of months ago I noticed some redness and tenderness to my Right breast. I saw a breast consultant privately a month ago due to concerns it was inflammatory breast CA although knew deep down was most likely inflammatory mastitis. The breast consultant said the breast was normal but that I had widespread lymphadenopathy - neck, axilla, supraclavicular, groin. She looked at my bloods for the past 5 years and noted my WBC to be consistently low, she asked the question "why" and that it potentially signifies bone marrow insufficiency. 

She recommended an USS (again, privately) - the USS showed 3 abnormal lymph nodes in my R axilla which were classified as U3. She strongly recommended a biopsy to rule out a pathological cause, mentioning lymphoma and a small potential of BIA ALCL. The cost of the biopsy privately was extortionate so I decided to rejoin the waiting list as an NHS patient to see the same consultant. I had my NHS appointment today at the breast clinic. My USS today was carried out by a different radiographer.

The radiographer said that the axillary nodes are 'normal and reactive' and that a biopsy is not recommended. I requested a biopsy and he said no. I explained that since I had the last USS done a month ago, they have grown and feel more firm in my Left axillary specifically. I saw the breast consultant before having my USS done today who also said "oh yes this side is quite a bit larger.. we'll biopsy those"

I have spoken to the breast clinic consultant since I got home (I emailed her and she telephoned me) and she said that as the USS report showed the nodes are normal and reactive and they wont biopsy them. I don't have a lot of faith in the radiographer who carried out the USS today - he couldn't find the nodes, asked me to find them for him and only spoke about a singular axillary nodes instead of multiple nodes in the area which I know are present from the breast consultant examining me and my previous USS.

I feel a bit like I've been gaslit and have now been stranded without any pathology ruled out or a cause for this.

I would be so grateful for anyone's input in regards to what I can do next, if anything.

Thank you 

  • Hello Antonia12345

    I'm sorry ot hear that following some recent hospital appointments, you've still been left with some questions and uncertainty. It's understandable that you're feeling anxious. 

    Have you spoken with your GP at all about the issues you've described regarding lymphadenopathy and a low WBC? It's worth having that conversation with your doctor and letting them know how you feel about the conflicting information you were given at the hospital. It may be that they decide to arrange some further tests or appointments. 

    If you think it may help to chat with one of our nurses, you're welcome to call them. I know they will be happy to listen and offer any advice, information and support they can. They're available Monday to Friday 9am to 5pm on 0808 800 4040. 

    I do hope that you can get some clarity and reassurance soon. Let us know how you get on. 

    Best wishes, 
    Jenn
    Cancer Chat moderator