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Breast lumps - doctor says normal
Hi, I was recently referred to a breast clinic since my doctor noted I had a lump in my right breast that had been there for about 2 months.
This is what the breast clinic's consultant has written to my doctor:
"Thank you very much for asking me to see this lady who presents with a 2 month history of discomfort in the right breast together with a lumpy texture to the tissues. Her symptoms have been intermittent, occasionally radiate around the ribs to her back and sometimes are severe enough to disturb her sleep. They do not however appear to be cyclical nor have they been severe enough to require analgesia. She has also been concerned about the possible appearance of lumps, perhaps more so on the right than on the left. I note a previous history which was characterised by a blocked milk duct 9 years ago. There is no family history of breast cancer and she is nulliparous.
On examination her left breast felt normal. On the right breast tissue felt unremarkable. No abnormality is apparent on ultrasound scanning and I have therefore been very reassuring and discharged her back to your care."
First of all:
"They do not however appear to be cyclical nor have they been severe enough to require analgesia." - Yes, they have been severe enough to require analgesia, I did not take any analgesia because I am on thyroxine and therefore unsure of what painkillers to take since I am hypothyroid!!
"On examination her left breast felt normal. On the right breast tissue felt unremarkable." - That's because you, the consultant, simply swept your hand over my breasts when you examined them and did not feel for the tissue with your fingers like my doctor did!!
"No abnormality is apparent on ultrasound scanning" - No, no abnormality is apparent on ultrasound scanning but the radiographer told me during the scanning I have dense breast tissue, not the normal fatty tissue. The counsultant even told me at the follow-up of this finding so why omit to speak of this dense breast tissue???
And what has confused me all the more is that why this consultant, if that is what he is, did not write down that I take thyroxine since he asked me during the consultation what medication I take and I replied that I take thyroxine???
I don't mean to rant but this letter took the biscuit. I feel a bit put out by this letter to be fair since I had to spend so much of my time, energy and patience traveling up to the hospital in question. Absolute waste of my time, I feel.
Can someone please tell me that my anger at this letter is justified? Thank you.
This is what the breast clinic's consultant has written to my doctor:
"Thank you very much for asking me to see this lady who presents with a 2 month history of discomfort in the right breast together with a lumpy texture to the tissues. Her symptoms have been intermittent, occasionally radiate around the ribs to her back and sometimes are severe enough to disturb her sleep. They do not however appear to be cyclical nor have they been severe enough to require analgesia. She has also been concerned about the possible appearance of lumps, perhaps more so on the right than on the left. I note a previous history which was characterised by a blocked milk duct 9 years ago. There is no family history of breast cancer and she is nulliparous.
On examination her left breast felt normal. On the right breast tissue felt unremarkable. No abnormality is apparent on ultrasound scanning and I have therefore been very reassuring and discharged her back to your care."
First of all:
"They do not however appear to be cyclical nor have they been severe enough to require analgesia." - Yes, they have been severe enough to require analgesia, I did not take any analgesia because I am on thyroxine and therefore unsure of what painkillers to take since I am hypothyroid!!
"On examination her left breast felt normal. On the right breast tissue felt unremarkable." - That's because you, the consultant, simply swept your hand over my breasts when you examined them and did not feel for the tissue with your fingers like my doctor did!!
"No abnormality is apparent on ultrasound scanning" - No, no abnormality is apparent on ultrasound scanning but the radiographer told me during the scanning I have dense breast tissue, not the normal fatty tissue. The counsultant even told me at the follow-up of this finding so why omit to speak of this dense breast tissue???
And what has confused me all the more is that why this consultant, if that is what he is, did not write down that I take thyroxine since he asked me during the consultation what medication I take and I replied that I take thyroxine???
I don't mean to rant but this letter took the biscuit. I feel a bit put out by this letter to be fair since I had to spend so much of my time, energy and patience traveling up to the hospital in question. Absolute waste of my time, I feel.
Can someone please tell me that my anger at this letter is justified? Thank you.
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Having dense tissue in the breast isn't always a sign of anything. My breasts are naturally lumpy and dense, and it runs on both sides of the family. Unless it just started becoming like that out of nowhere, I don't believe it will be cause for concern.
However, the pain is a cause for concern. It is possible that this particular person you were referred to didn't realize the implications of Thyroxine when it comes to pain medication, though if you stressed you couldn't take pain meds because of it, the person is just dense. I would ask your doctor what you can take for pain as you do need to know. Sometimes a girl just needs it for various things.