Found 2 cm lump

[grayandwrinkled]

I found a lump on my left breast last week.  I am on coumadin and I kept feeling/rubbing the lump that night and therefore bruise appeared.  (normal occurance for me).  My doctor sent me for a mammogram and ultrasound.  The ultrasound tech came back in the room and said the radiologist asked if I had a bruise and he appeared to think that was the lump.  I don't have the results yet.  But could a bruise keep them from seeing the lump?  The bruise is almost gone today, but the lump has not changed.  

[BhumikaMD]

Hi,

It is not necessary that the aspiration should have been successful as that would depend on various factors including site, depth and size of the lesion and hence you need not worry.

You should carry out regular breast self examinations and report any abnormal features to your doctor. Get repeat investigations done in 6 months to see if the hematoma has resolved or not.

Let us know about how you are doing and if you have any other doubts.

Regards.

[grayandwrinkled]

Bilateral Mammogram: Standard views of both breast show fatty replaced breasts with an ill-defined patchy density in the superior subareolar area of the left breast, which was not appreciated on the mammograms from May of 2007.  There are no suspicious microcalcifications.
Ultrasound of the Left Breast:  Real-time images show a fairly well-defined hyperechoic area in the subcutaneous tissue with a small cystic component measuring 1.6 X 0.8 cm in the transverse and AP dimensions respectively.  This correlates with the patchy density seen on the mammogram.  
Impression:  Findings consistent with localized edema and probable small hematoma in the superior subareolar region of the left breast and correlated with an area of bruising.  No suspicious mass or microcalcifications.  
Recommendations:  Follow-up mammogram in one year.  Category 2

When I visited my surgeon for another reason this morning - he read the results and tried to aspirate the lump.  He could not withdraw anything and said he would repeat the test in 6 months.  Should he have been able to get something if it was a hematoma?

[BhumikaMD]

Hi,

A breast lump is caused due to various causes - fibroadenoma, cyst, lipoma, lymph node being the most common causes.

Post us the mammogram and ultrasound reports when they come in.

It would be missed on the routine investigations if it is too deep, small in size or if the breast tissue is dense. You could be having either of these. In rare cases is the lump malignant or cancerous.

Have you got a coagulation profile done?

Let us know if you have any other doubts and post us about how you are doing.

Hope this helps.

Good luck.