Patient Review Highlights
I have peeling on one breast Nipple and sometimes blood on applying any fluid cream. Or otherwise sometimes little blood without applying anything. I m. Unmarried. Is it Breast cancer sign or serious.
I had fibroadenoma excision surgery 10 days before there were no pain or discomfort till yesterday. Yesterday accidentally excision site got pressed becoz of my hand bag. After that m feeling very little pain while bending or moving. Pain is not continuous but m feeling it sometimes. Is it normal to have such kind of pain or should I consult to dr.
Give me all the advantages and disadvantages of silicon breast implants. My cousin wants this surgery within 4 months is it safe for her or not?
I am 18 years old and I think I have gynecomastia i. E man boobs from last two years. I am doing gym from last two years and couldn't see any change in my chest. I will really appreciate it if you will help me Thank You.
In the last week, I have seen two patients who have presented with features of a breast abscess but they ultimately turned out to be breast cancers. Although, inflammatory breast cancers are a known entity and they can present as breast abscesses but this fact is not well known among patients and many general practitioners, which leads to late detection of these cancers.
With this case, I want to highlight some pointers to diagnose these lesions early. A 39-year-old, nonlactating mother presented to with complaints to swelling in the right breast for the last 3 weeks. She had already taken a course of antibiotics from a general practitioner but did not get relieved of her symptoms. On examination, she had a swelling involving the skin fold below the breast (inframammary crease) with swelling and hardness spreading till the lower part of the breast. In addition to this, she had lymph nodes (glands) in the underarm area (axilla) as well.
An USG revealed a lump in the breast associated with the fluid collection, which on biopsy turned out to be an invasive cancer. Fortunately for the patient, on further examination, the cancer was found to be restricted to the breast and the underarm area only.
When should we suspect that a breast abscess can actually be associated with a malignancy (cancer)?
A nonhealing breast abscess - which is persisting despite antibiotics and surgical management
Breast abscess in a patient who is not lactating.
Breast abscesses in elderly patients
Breast abscesses associated with hard lumps in the breast
Patients with these symptoms should get an ultrasound and biopsy done to confirm the diagnosis. In India, another entity which should be ruled out is Breast Tuberculosis.
Hi. How to reduce chest flesh? Bec my chest looking like breast. Please help in reducing soon. It Leads me more inferiority complex in public places.
How to get rid of man boobs commonly called gynecomastia. How to increase testosterone production in male. With help of exercises as well as medicine which have not bad impact at body.
Sir. M 28 yrs. My 2 breast are looks puberty girls breast. When I use tshirt. It shows. Frm outside. I fell uncomfortable when I used to outside. Kindly help how to recover from this plbm.
My problem is that my chest look like girls. So I can not show my body in front of anybody. What should I do please tell me.
What is the side effect of circumcision operation And gynecomastia surgery cost and how long it will take to require.
Hello doctor. She has a fibroid in breast. Examined it by a gynecologist. It is only common fibroid. Doctor said no problem. Can she cure it without surgery?
1. Most common cause of pain between 15-35 years of age is fibro-cystic disease, which occurs due to hormonal fluctuations.
2. In fibrocystic disease, there is cyclical pain, which is more in intensity just before the menstrual periods
3. Cyclical pain is commonly seen in patients who are overweight and hypothyrooid.
4. Ultrasound should always be done to rule out any lumps/ cancer.
5. During these episodes of pain, try wearing a sports bra. It offers good support and reduces the pain. You can also apply anti-inflammatory gels over the site of pain.
6. Large cysts (>1.5 cm) should be aspirated - they help in reducing pain
7. Cancer usually presents as a painless lump in the breast
8. Sometimes breast pain can be due to musculo-skeletal causes.
9. If there is one particular point, where pain in occurring (specially close to the middle), then it could be due to costo-chondritis (inflammation of the joint between cartilage and bone)
10. Costo-chondritis can be managed by pain-killers and local injection of steroids
Please make sure you get yourself treated from an expert breast surgeon, who knows the various causes of breast pain and their management.
Risk factors for Male Breast Cancer:
1. Age: The risk increases with increasing age and male breast cancer usually presents in the 6th or the 7th decade of life
2. Family history of breast cancer/ Inherited gene mutations: The chances of male breast cancer are higher in people with BRCA 2 mutation and a positive family history of breast cancer
3. Klinefelter’s syndrome: Men with Klinefelter syndrome have small testicles (smaller than usual). Often, they are unable to produce functioning sperm cells, making them infertile. Compared with other men, they have lower levels of androgens (male hormones) and more estrogens (female hormones). For this reason, they often develop gynecomastia (benign enlargement of the male breast), which is also a differential diagnosis of male breast cancer.Patients with this syndrome have a higher incidence of Male Breast Cancer.
4. Radiation exposure
5. Exposure to estrogen: Excessive exposure to estrogen increases the chances of male breast cancer.
6. Liver disease
8. Testicular problems: Undescended testis, mumps and Klinefelter’s syndrome increases the chances of male breast cancer.
A common differential diagnosis of Male Breast Cancer is Gynecomastia (benign enlargement of the male breast). Gynecomastia usually results from an imbalance between androgen and estrogen production. This is commonly seen in adolescents or in elderly patients because testosterone levels increase during puberty and decrease with age. Besides these causes, many drugs—including steroids, antidepressants, diuretics, and antihypertensive medications—have also been implicated in the development of gynecomastia, although as many as 50% of cases have no known identifiable cause.
Certain risk factors are common to both gynecomastia and carcinoma: breast irradiation, mumps orchitis, and bilateral cryptorchidism (undescended testis), Klinefelter’s syndrome.
Lack of awareness is the major cause which prevents early diagnosis of this condition in males. Following are the danger signs, which can point towards a male breast cancer:
If you notice any persistent changes to your breasts, you should contact your doctor. Here are some signs to watch for:
a lump in the breast
an inverted nipple
nipple discharge (clear or bloody)
enlarged lymph nodes under the arm
Diagnosis of male breast cancer is achieved on the same lines as female breast cancer. Patient is usually subjected to an imaging test followed by histo-pathological confirmation of the diagnosis.
Some patients also require extensive work-up to rule out metastasis to other parts of the body.
Management & Prognosis:
Management of male breast cancer is similar to female breast cancer.
By virtue of the proximity between most male breast cancers and the skin and chest wall, extension to or invasion of these structures is more commonly observed than in women but the prognosis of male breast cancer remains the same as female breast cancer.
My wife delivered a baby 2 months ago. She is getting a lump in her left breast, can you please provide a solution on treating this?
Hello sir, I have a white bump on my nipple but it does not pain or itch. What might it be? Please tell me.
Adopt a healthy lifestyle to reduce your risk of getting this disease:
1. Regular exercise - at least 30 mins of exercise 4 times a week
2. Avoid smoking
3. Avoid alcohol consumption
4. Over-weight and obese individuals have a higher incidence of breast cancer. Maintain your weight in the normal range (bmi - 18-25)
8. If there is a family history of breast cancer, do consult your oncologist to discuss your risk of breast cancer. Also discuss the need to getting genetic testing.
Breast cancer can also be detected early. Remember these three simple tips:
1. Be breast aware - do regular self examinations
2. Clinical breast examination by an experienced breast surgeon after the age of 35 years (annually)
3. Regular mammograms after 40 years of age