Referral to the breast clinic

I noticed a small lump underneath my nipple on one side - it's painful and I can't move it around, it feels like an irregular shape fixed onto my breast tissue kind of. I always do self-checks but I lost some weight recently and my boobs have really changed in how they feel, less fatty more gristly! So it's been a bit hard for me to tell what's normal and what isn't. What made me worried was this lump is quite painful sometimes even when I'm not touching it, like an ache kind of pain. I read on here that it's not usually painful if it's cancer but sometimes it can be. THe irregular kind of shape and the fact that I can't move it makes me more worried though. 

The GP examined it last week and said he didn't think it was anything to worry about because I'm much too young to have anything serious. I'm 28 and have a healthy lifestyle, no smoking, healthy weight, exercise, good diet, and I know not in the highest risk category but I know younger people do get cancer still :( He referred me to the breast clinic and I got a letter from them yesterday saying they'd call me some time between now and next week and ask for the code on the letter to make an appointment. 

I have to have my phone on silent at work so I'm super anxious I'm going to miss the call. I'm worried about the appointment because I'll probably have to go on my own and what if I get bad news? 

I'm engaged to be married this year and just buying a new house. I'm an anxious person anyway, but I feel a lot of impending-doom kind of worries. My fiance doesn't want to talk to me about it because it's upsetting and he doesn't want to dwell, which I get when logically there's still a good chance it could be nothing. 

I wondered if anyone else has experience of going to the clinic and if you got the results right there? I know they can do three tests but one might be a biopsy? I'm trying really hard to be rational and control my anxiety but I feel like crying sometimes and it's only been 2 or 3 weeks.

  • Hi adic-tongue,

    Even without the weight loss you are at an age where your breasts are still changing so it's good that you do self-examine and keep track of things.

    Thankfully there has been lots of promotion of how to self-examine etc. but the downside to that is that increasingly people have it in their heads that lump=cancer, and that just isn't the case usually.  Like may people my breasts were lumpy in my 20s and that meant that occasionally I would find a lump that needed to be checked out.  These all came back as nothing to worry about.  Other people don't have lumpy breasts necessarily but find a lump due to all sorts of other non-cancerous medical conditions.

    I hope it helps a little that the chances of your lump being cancerous are incredibly small, they really are.  The chances of it being an indicator of one of many other non-cancerous conditions is likewise very high.

    Just a note that lifestyle isn't a cause of breast cancer.  While there are many things that can increase your risk of developing it (by a small amount usually), they still aren't the actual cause.  Like you, and like my mum both times she had it, I have a healthy lifestyle and am a good weight etc.  The things most likely to give you breast cancer are simply being female and living a long time unfortunately.  It's good for people to be aware of what can increase their cancer risk but, to be honest, just about everything seems to increase our cancer risk.  People would probably do better to consider their heart health and the health of other organs as any one of us can cause damage to those by our lifestyle, whereas plenty of people live incredibly unhealthily and still never get cancer.

    Breast clinics seem to differ a little.  Where I am they can only do a physical exam and ultrasound.  If they determine a biopsy or mammogram is needed then that is done in the mammography department of the hospital.  But other people on here seem to have breast clinics that do biopsies and mammograms too.

    Whether or not they can tell you anything on the day is dependent on how your lump presents.  They may know from their experience that it is a fibroadenoma and be confident telling you that on the day.  Ultrasound might also help them diagnose it as something non-cancerous.

    I get that you're likely still going to be anxious that it could be cancer but please try to distract yourself from that, it is very unlikely to be cancer.

    LJx

  • Hi how are you feeling? I’m in a similar situation in that I’m 29 and had on off aches in my right breast the last couple of months and now my arm, found a pea size lump under armpit but nothing in breasts and GP couldn’t find anything either but this armpit lump has now appeared! So back to docs tomorrow morning such a horrible feeling my anxiety is through the roof as I have a little boy x 

  • Thanks for your reply, it really made me feel a lot better. 

    Just to update in case anyone else reads this with the same worries - the doctor at the breast clinic felt it and it's really reduced in size since the GP originally felt it, he said he wasn't worried about it at all and it's very likely hormonal. He said to keep an eye out! But I didn't even need a scan or anything. 

    So panic over :) thanks for your support here and sending good thoughts to everyone here. 

  • Hi, I had my appointment today and it turned out to be caused by hormones and nothing to worry about. 

    Had you been to see someone yet? I hope everything turns out ok. As everyone said here, it's worth checking out to be safe but really often turns out to be nothing.