[43F] With shoulder pain and newly discovered breast lump

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Breast Lump: The lump you found in your breast could be a benign condition such as a cyst or fibroadenoma, but it is important to rule out breast cancer. Breast cancer can present as a lump that is hard, painless, and immovable, but it can also be painful and slightly movable in some cases.

  • Typical Testing: A clinical breast exam, mammogram, and possibly an ultrasound or biopsy will be necessary to determine the nature of the lump.
  • Treatment: If the lump is benign, it may not require treatment but should be monitored. If it is malignant, treatment options may include surgery, radiation, chemotherapy, or hormonal therapy.

• Referred Pain: The shoulder, upper arm, and armpit discomfort could be related to the breast lump, as pain can sometimes be referred from the breast to these areas.

  • Typical Testing: Imaging studies like an MRI or CT scan may be used to evaluate the shoulder and arm pain.
  • Treatment: Treatment will depend on the underlying cause but may include physical therapy, pain management, or addressing the primary issue (e.g., the breast lump).

• Lymph Node Involvement: The pain in your armpit could be due to swollen lymph nodes, which can occur with infections, inflammatory conditions, or malignancies.

  • Typical Testing: A physical exam and possibly imaging studies or a biopsy of the lymph nodes may be needed.
  • Treatment: Treatment will depend on the underlying cause but may include antibiotics for infections or other specific treatments for inflammatory or malignant conditions.

What you can do

While waiting for your appointment on Monday, here are some steps you can take:

1. Monitor the Lump: Keep an eye on the lump for any changes in size, shape, or pain. Note any new symptoms that develop.
2. Pain Management: Continue to support your arm and avoid activities that exacerbate the pain. Over-the-counter pain relievers like acetaminophen or ibuprofen may help, but consult with a healthcare provider before taking any medication.
3. Healthy Lifestyle: Maintain a healthy diet, stay hydrated, and get adequate rest to support your overall well-being.
4. Symptom Journal: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help your healthcare provider make a more accurate diagnosis.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Rapid increase in the size of the lump
• Significant changes in the skin over the lump (redness, dimpling, puckering)
• Nipple discharge, especially if it is bloody or clear
• Severe pain that is not relieved by over-the-counter medications
• New or worsening symptoms, such as unexplained weight loss, fatigue, or fever

Remember, while I can provide information and suggestions, it is important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.